Prescription for Change

News, resources, and insights for the CMO team

Q&A: What every physician executive should know about change management

by Prianca Pai and Taylor Hurst October 25, 2019

Virtually all physician executives share a common leadership challenge: successfully implementing strategically important change initiatives while simultaneously supporting the medical staff through the emotional toll of those changes.

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How Johns Hopkins wins physician buy-in for Enhanced Recovery After Surgery

by Virginia Hite and Taylor Hurst September 6, 2019

Enhanced Recovery After Surgery (ERAS)—a surgical protocol that combines evidence-based clinical components with rigorous patient education—is one of the rare win-win tactics that dramatically improves both clinical outcomes and patient experience. Organizations that have implemented ERAS see patients discharged days earlier, less opioid use, and higher experience scores. However, despite compelling data, many of our members tell us they're struggling to implement ERAS at their organization.

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How Brigham and Women's Hospital is rethinking PA career development—and what you can learn from them

Serena Bernthal-Jones August 2, 2019

Medical group leaders often tell us they struggle to retain top performing advanced practice providers. To overcome this retention challenge, many organizations are developing clearly defined career paths to promote long-term advanced practice provider (APP) loyalty and engagement. One example of an effective APP career ladder that can be adapted to ambulatory APP programs comes from our inpatient colleagues at Brigham and Women's Hospital.

Editor's note: This blog was updated on August 14, 2019. The opinions expressed in this article are solely our own and do not reflect the views and opinions of Brigham and Women's Hospital.

Few hospitals and health systems have historically formalized a career ladder for advanced practice providers (APPs) in the way that they have for other types of clinicians. However, as APPs take on increasing responsibilities as part of the inpatient care team, clinical executives are starting to ask how they can better support career development for their APPs.

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Four keys to enable effective CDS that won't burn out your physicians

by Kelsey Chabal and Sarah Evans July 12, 2019

Electronic health records (EHRs) remain a primary driver of physician burnout—and according to Advisory Board's 2018 physician engagement data, EHRs are also one of the engagement drivers for which health systems have the greatest opportunity to improve nationally. And it's no surprise why: The average physician spends 5.9 hours in the EHR per day. (And that doesn't include the 1.4 hours per day they spend on the EHR after work).

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How Mayo standardized system-wide prescribing—and saved $50M annually in the process

by Gina Lohr and Jessica Preston June 21, 2019

Care variation reduction (CVR) continues to be an evolving priority for CMOs. It's no longer enough to reduce care variation only in the acute setting; CMOs are increasingly setting their sights on reducing variation across the care continuum. A critical—yet often overlooked—step is to implement a system-wide formulary and standardize medication selection across care settings.

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Patients have questions about costs. How should physicians respond?

by Prianca Pai and Sarah Evans May 10, 2019

Editor's note: This story was updated on June 5, 2019.

It's official: Health care costs are a hot topic in the press and among patients—no longer a subject reserved solely for economists and policy wonks. It's no surprise, given the stories of patients across the country who've been surprised by exorbitant medical bills, such as the history teacher in Texas with a $108,951.31 medical bill for a heart attack, or the Vermont skier who paid a $18,442 medical bill for a broken leg.

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Are your physicians feeling 'HCAHPS fatigue'? Here's how to rethink your strategy.

by Virginia Hite and Sarah Evans April 26, 2019

The national data speaks for itself: As measured by HCAHPS, CMOs are doing pretty well when it comes to patient experience. Hospitals at the national median receive top-box scores on physician communication measures 80% of the time, with minimal spread between low- and high-performers. Organizations at the 10th percentile of performance receive top-box scores 74% of the time, while hospitals at the 90th percentile receive top-box scores 86% of the time. (If you're curious where your hospitals stand, use The Hospital Benchmark Generator to compare performance.)

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2 things population health leaders want CMOs to know about behavioral health management

by Sarah Evans, Serena Bernthal-Jones, and Clare Wirth March 29, 2019

Behavioral health conditions are highly prevalent, often undiagnosed or untreated, and deeply entangled with chronic disease management, making them one of the most costly conditions today. Physician executives tell us they are increasingly concerned about behavioral health outcomes, but don't always know the answers.

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