This article, first published by in July 2016 by hfma, outlines how hospitals can get physicians to understand the financial impact of their clinical decisions and become actively engaged in improving the value of care. Texas Children’s Hospital was successful through recognizing the need for cultural transformation and ensuring quality came first. The organization engaged clinicians with financial data, including educating them on key financial principles, linking quality improvement training with financial accountability, and accompanying financial choices with clinical choices.
Learn more about Dr. Charles Macias
Dr. Macias has had a long-time interest in health services research with a focus in asthma. He has developed a niche in the Emergency Department role in pediatric asthma management. His research interests have also led to publications on the acute use of steroids, the acute use of novel therapies, the role of emergency department (ED) surveillance in pediatric asthma, and the role of educational interventions in pediatric asthma. He conducts statewide surveillance of pediatric emergency department asthma, helping to coordinate the efforts of several governmental and educational organizations. He is on the board of directors of the Asthma Coalition of Texas, has served on its Epidemiology Committee, and has participated in the development of an Asthma Plan for Texas. He is also a member of the Gulf Coast Asthma Coalition. He was the primary investigator of the Texas Emergency Department Asthma Surveillance Project, funded by the American Academy of Asthma Allergy and Immunology as well as the Robert Wood Johnson Foundation, and has continued work in this arena. He serves as the Chairman of the Asthma Center of Excellence at Texas Children’s Hospital. He is also the Director of Evidenced-Based Outcomes Center at Texas Children’s Hospital and is involved in quality improvement research and leads a number of initiatives to evaluate the impact of various guideline development protocols throughout the TCH IDS.
Read articles by Dr. Charles Macias
We know that healthcare costs are increasing and that value will become more important than ever. But the concept of value can be subjective. When it comes to healthcare, we can’t afford to be subjective in our assessment of value. I like referring to the Porter equation where value is equal to quality over cost. What this equation makes clear is that we must markedly improve the quality of healthcare in order to improve value. The adoption of the EHRs in clinical systems should help drive the quality agenda. But it’s important to recognize that EHRs alone may not be sufficient to deliver data intelligence, to really deliver data to clinicians in a meaningful way that will help them improve value.