It’s Not About The Box Improving Care at Group Health with People, Process and Technology

October 14, 2009

Resource Stewardship

Filed under: Radiology — Tags: , , , — admin @ 5:37 pm

I am sitting at our Medical Staff meeting on Central Campus – my second of these fall meetings, first one down in Olympia. A great turnout tonight. Even in these difficult financial times, I am very hopeful. We are having direct discussions about resource stewardship, really for the first time in our history (well, except for prescribing). And when our group decides to tackle a difficult issue, we have a great track record.

Uwe Reinhart, the health economist from Princeton, posed a great question – “How can the best medical care in the world cost twice as much as the best medical care in the world?”. He was referring to data from top medical centers in the country, which showed that care at Cedars-Sinai cost twice as much as care at Mayo, with the same outcomes. In our group, we are now confronted by data about our use of high end imaging, which demonstrates three fold variation in imaging rates by clinic, and up to five fold variation within clinics/service lines. Time for us to have conversations to make sure that we are consistently providing the most cost effective care for our patients, learning from each other. We will be tracking our rates in the months ahead, and i expect that we will start to see significant improvements.

Powered by WordPress