Cooperating for better care.

Uncategorized

Category Archives

3 skill sets for clinicians who become execs

 

Sachan Jain, M.D., writes in the Harvard Business Review about three roles/skill sets where clinicians who become healthcare-sector executives must become proficient:

Operations management and execution. 

People leadership.

Setting and defining strategy.

He notes at the end of his piece:

“One CEO with whom I have worked remarked that physicians and nurses run the risk of losing their clinical identities as they develop into executives. It would be a shame if they did. As they transition to careers in the business of healthcare, clinicians must hold on to the heart and practice of medicine as they continuously develop the core executive skills required to effectively lead and shape their organizations. healthcare will be markedly better for it.”


Partners to face lower-priced rival

 

Tufts New England Medical Center and Boston Medical Center are pushing to complete a merger this year and set up the new entity as a lower-price competitor to Partners HealthCare.

Massachusetts regulators, long concerned about Partners’ pricing power,  presumably will help move along the merger.

 

 

 


Patients may misunderstand a promise to ‘fix’ an ailment

 

This study looks as how patients may misunderstand what surgeons mean when they say they can ”fix” a medical problem.

Margaret Schwarze, a researcher at the University of Wisconsin School of Medicine and Public Health in Madison, said of the study in an interview with Reuters:

”’The patient gets the message that because something is broken, it has to be fixed, and that might not be the case,’ Schwarze said. Another flaw is the assumption that surgery will return patients back to how they normally were before they got sick or hurt. ‘For many patients, especially patients with lots of medical problems who need big operations, they are not normal after surgery.”‘

”Schwarze and colleagues analyzed 48 recordings of surgeons explaining high-risk operations to patients treated at three different academic hospitals in Madison, Boston and Toronto and found that variations on the ‘fix-it’ theme regularly cropped up in these conversations.”


Report says Mass. health centers save $1 billion

A Massachusetts League of Community Health Centers report says that  its members save the state $1 billion a year by cutting emergency-room use and hospitals stays. Cambridge Management Group has done extensive work in this sector.

 

 


ACA is gaining popularity

The Affordable Care Act is becoming more popular as the Supreme Court’s ruling on a key part of it approaches.

 


Compliance amidst complication

 

FierceHealthcare looks at the new and more complicated duties of hospital compliance officers resulting from the regulatory and fiscal changes from the Affordable Care Act. Pushing quality initiatives is a major part of their revised jobs.

 


Cleveland Clinic CEO touts standardization

 

Toby Cosgrove, M.D.,  president and CEO of the Cleveland Clinic, talks about the Affordable Care Act’s effects on healthcare in general and the Cleveland Clinic in particular.

Becker’s Hospital Review reported that Dr. Cosgrove said ”he sees some positive changes, noting healthcare inflation has fallen while quality metrics have gone up, in addition to 13 million new people becoming enrolled in health insurance.”

Dr. Cosgrove explained that two and a half years ago, Cleveland Clinic knew it must cut the budget.  He said the clinic planned to reduce the budget by 20 percent, or $1.5 billion out of $6.5 billion, and in the last 18 months has taken out about $500 million in costs.

He touted Care Pass, Cleveland Clinic’s system of streamlining procedures,  which has let  it  reduce spending significantly.

“‘With Care Pass, you take the very best of how you do a procedure, take care of somebody and standardize it. That takes out the variation. As you take the variation out, you improve the quality and reduce the cost,” Dr. Cosgrove told Becker’s.

The news service also said that the  clinic’s “renowned same-day appointment philosophy has enabled more than 1 million same-day appointments a year at Cleveland Clinic facilities. Additionally, the clinic has developed a mobile stroke unit, one of two in the country.”

Cleveland Clinic will  further  expand its virtual patient-physician visits based on  mobile apps.

 


What’s meant by ‘population health’?

 

 David Kindig, in a HealthAffairs blog, asks what we mean when we say “population health”.

He notes:

“Many progressive healthcare organizations are doing cutting edge population health management, but are also working with other partners on total population health across geographic populations, such as the approach Health Partners board has taken in the Twin Cities. In such cases, it would be appropriate to label these efforts as population medicine expanding into total population health.

”Semantics like this can seem arcane, but they also ensure that we clearly understand each other. For the next decade we need to be clear about these two ways of thinking about population health, how they interact, and the important work going on in both of them.”


Successes of Michigan’s fee-for-value incentives

 

The Commonwealth Fund reports on Michigan’s fee-for-value successes. It says:

”An evaluation of one of the nation’s largest ‘fee-for-value’ initiatives demonstrates that physicians can control costs while improving their performance under a traditional fee-for-service arrangement. Primary care doctors who were offered financial incentives to form patient-centered medical homes and engage in quality improvement activities reduced spending by 1.1 percent on a per-member per-month basis compared with a control group. Performance on measures of preventive care and chronic disease management also improved. Spending increased initially, but declined by the program’s second year of participation.”

 


China’s evolving health system, and ours

smog

Two variations of Beijing smog.

China’s rapidly evolving health system may have some lessons for America’s.


Page 327 of 369First...326327328...Last

Contact Info

info@cmg625.com

(617) 230-4965

Wellesley, Mass