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Clinician Engagement

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Removing Barriers to Clinician Engagement: Partnerships in Improvement Work

With clinicians driving many of the decisions that affect health system quality and cost, they’re an essential part of successful improvement efforts. Clinicians are, however, notoriously overburdened in today’s healthcare setting, and getting their buy-in for additional projects is often a big challenge. To successfully partner with these professionals in improvement work, health systems must develop engagement strategies that prioritize clinician needs and concerns and leverage data that’s meaningful to clinicians. Improvement leaders can approach clinician engagement on three levels:

  1. Clinician-led local programs.
  2. Department- or division-level programs.
  3. Leadership-level growth and improvement programs.

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Preventable Medical Errors: The Future is Calling Us

Healthcare’s journey to improving care and reducing preventable medical errors is a difficult one. But those who embrace the changes are finding new, exciting opportunities. Some of the new realities are reflected in the American Board of Medical Specialties Maintenance of Certification program: Professionalism, Patient care, Medical knowledge, Practice-based learning and improvement, Interpersonal and communication skills, and Systems-based practice. While this has created considerable friction, it is possible to make this shift as part of an integrated practice, like Mayo Clinic and M.D. Anderson Cancer Center have done. Healthcare needs an environment to better manage complexity, not add to it. This is possible and it is happening today.

My Wake-Up Call: How Data Saves Lives

Have you ever had one of those "wake up moments" where you literally learn a lesson that impacts and changes the trajectory of your life?   Read this personal story by Dr. Bryan Oshiro of his "wake up" call where he learned the importance of data to save lives.  He learned this first-hand when he saw rows of babies on ventilators in the neonatal unit and realized that they had all been electively delivered before 39 weeks. But he didn’t have the data compiled to make a compelling case to his physicians to stop elective pre-39 week deliveries. Working with his technology team, he gathered the data, analyzed it, and successfully engaged his physician team in a quality improvement project to reduce these elective deliveries.

Becoming the Change Agent Your Healthcare System Needs

I’ve met many clinical and operational leaders across the U.S. and seen how many have become progressively cynical and disengaged when faced with important healthcare reform issues like cost cutting and tight budgets. These clinicians would agree that equally important are quality and safety issues. However, most don’t have the tools available to actually measure that quality or patient outcomes. When clinicians do have access to the ability to measure, and the work together, I’ve seen enormous energy arise as they ask questions they really care about: What is quality? What do we measure? How do we achieve the best outcome? 

Will Healthcare Transformation Affect the Rule of Rescue?

The Rule of Rescue has held particular significance in the United States where the importance of the individual has long been a part of our cultural fabric. In the U.S., we tend to count ourselves as not fully human unless we pull out all the stops. Increasingly, however, healthcare ethicists and policymakers are asking whether this same moral instinct to rescue, regardless of cost, should be applied in the emergency room, the hospital or the community clinic.

7 Tips for Increasing Physician Engagement

Starting a clinical quality improvement initiative requires shifting from a personality-centric culture to one that is data-driven, with near real-time data to help providers make better decisions and improve the quality of outcomes. But turning plentiful data into meaningful information represents a significant change. From Dr. J. Kevin Croston, MD, CMO at North Memorial Health Care, here are seven tips to gaining physician buy-in: 1. Get the Physicians Engaged Early; 2. Find Champions Among the Medical Leadership; 3. If Your Project Is Large, Choose One Area of Focus; 4. Build a Broad but Specific Guidance Team; 5. One You Have  Plan, Follow It; 6. Make the Results Data-driven; 7. Be an Agent for Change

Are EHRs Truly Improving the Quality of Healthcare? A Closer Look.

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.

Accountable Care Means Sharing Data Between Payers and Providers: You’ll Need More than an EHR

Accountable care is changing the way Payers and Providers look at their healthcare data. Many healthcare enterprises believed that their Electronic Health Record (EHR) would be the silver bullet to this data problem, but they are beginning to discover the limitations of the EHR for managing at the enterprise-level all of the information necessary for effective risk-sharing. Health information exchanges (HIEs) help eliminate data silos but are not designed to store or analyze the data with the level of sophistication required for supporting a risk-sharing model. The reality is, until now, providers and payers have lacked consistent incentives to share data.

Texas Children’s Hospital Uses Healthcare Data Warehouse as an Alternative to EHR Reports

One of my clients, Texas Children’s Hospital, recently made tremendous strides in this data-driven journey. Getting data from their EHR in a timely fashion was difficult, time consuming and resource intensive. Now, with the proper tools in place, namely a healthcare enterprise data warehouse, a suite of healthcare analytics applications and a process for information deployment, they have shifted the cost curve to drastically increase the availability and usability of information.T CH used their healthcare enterprise data warehouse (EDW) to meet demands for EHR data and reports, and slashed their reporting costs by 67%.

Problems With Relying on EHR Analytics For Your ACO: You Need a True Data Warehouse

Many CIOs, along with their other C-suite colleagues, are anticipating a catharsis on completing massive EHR deployment projects. Before long, however, they come to the unwelcome realization that the EHR is just one component needed to provide the actionable intelligence health systems need to survive in a value-based purchasing environment.

How To Unlock the Analytic Value of Your EHR

"The EHR alone is not enough without a data platform that enables an enterprise wide, consistent view of data from many sources. Since this challenge seems to be pervasive, let me offer a perspective on some of the most oft-repeated data questions posed by health system leaders."

Why An EMR Can’t Solve Your Most Important Healthcare Transformation Challenges

At no time in the history of U.S. healthcare has a flexible, scalable platform for delivering data-driven insights been more important than it is today. But EHRs alone don't provide the intelligence that physicians, group practices, and hospitals need to significantly improve both the effectiveness and efficiency of care delivery. Learn what you can do to harness all of the data you're collecting to make real change.