1. Modern physician executives: Not your father's CMO
The Prescription for Change Blog, June 2017
Health care transformation, with an increased focus on value and outcomes-based payment, is causing the CMO role to evolve. While CMOs' core responsibilities of overseeing quality, patient safety, and medical staff affairs remain, their charge to bridge the gap between administration and the medical staff on issues like population health, care coordination, and unwarranted care variation is becoming increasingly critical. Read the full post to review five ways the changing health care landscape is amplifying the importance of the CMO role.
While not all physicians follow CMS's Severe Sepsis/Septic Shock Early Management Bundle—as demonstrated by a compliance rate of 60-70% at top performing hospitals—a recent New England Journal of Medicine study highlights that compliance to this bundle is critical. The review of New York State's mandatory sepsis regulations suggests that the mortality rate for septic patients increases by 3 to 4% for every hour a physician delays bundle initiation. This article also reflects physicians' concerns—increasing antimicrobial resistance, prevention of physician judgement—and hospitals' burden over strict sepsis protocols, ultimately concluding that a quick response saves lives.
3. How 3 top health systems develop physician leaders in-house
The Prescription for Change Blog, March 2017
As studies continue to draw a link between physician executives and quality performance, the demand for qualified physician leaders at hospitals and health systems now far outpaces the supply. However, despite the increased need for experienced physician executives, only 47% of health care organizations have a development pipeline for physician leaders. This blog post reviews the key components of successful physician leadership development programs at Baylor Scott & White, Cleveland Clinic, and Northwell Health.
4. There's no magical savings in showing prices to doctors
The New York Times' "The Upshot," June 2017
As health systems look to provide higher-value care at lower costs, many are leveraging the electronic health record to promote this cause. One system is aiming to sway physicians to order fewer tests, for example, by displaying the associated fees. This blog post reviews several studies, including a recent one in JAMA Internal Medicine , which find that presenting physicians with this type of clinical decision support has no bearing on their decision to order—or abstain from ordering—a test. The article goes on to highlight price transparency as important, but ultimately just one piece of the puzzle to reduce overall spending on care.
5. What hospitals waste
ProPublica, March 2017
The National Academy of Medicine estimated in 2012 that the U.S. health care system wastes $765 billion a year. A portion of this waste is "golden trash" or the medical supplies that are discarded from hospitals for a variety of reasons, but are still considered safely usable and often collected by nonprofits for donation overseas. This article reviews sources of medical waste and offers suggestions for hospitals to cut down through methods such as: reducing variation in surgical instruments used in the OR, sharing unblinded cost per procedure data, and incentivizing physicians to reduce their waste.
6. How Mayo Clinic overhauled its world-renowned care—and saved $900 million
Daily Briefing, June 2017
In response to a "perfect storm" of market forces, Mayo Clinic launched its 2020 strategy focusing on cutting costs while improving quality. Since 2009, Mayo has conducted more than 400 projects with savings totaling $900 million. This Advisory Board review of a recent Wall Street Journal article focuses on the opportunities Mayo pursued and key lessons on local control over innovation.