Evidence-based medicine is an important model of care because it offers health systems a way to achieve the goals of the Triple Aim. It also offers health systems an opportunity to thrive in this era of value-based care. In specific, there are five reasons the industry is interested in the practice of evidence-based medicine: (1) With the explosion of scientific knowledge being published, it’s difficult for clinicians to stay current on the latest best practices. (2) Improved technology enables healthcare workers to have better access to data and knowledge. (3) Payers, employers, and patients are driving the need for the industry to show transparency, accountability, and value. (4) There is broad evidence that Americans often do not get the care they need. (5) Evidence-based medicine works. While the practice of evidence-based medicine is growing in popularity, moving an entire organization to a new model of care presents challenges. First, clinicians need to change how they were taught to practice. Second, providers are already busy with increasingly larger and larger workloads. Using a five-step framework, though, enables clinicians to begin to incorporate evidence-based medicine into their practices. The five steps include (1) Asking a clinical question to identify a key problem. (2) Acquiring the best evidence possible. (3) Appraising the evidence and making sure it’s applicable to the population and the question being asked. (4) Applying the evidence to daily clinical practice. (5) Assessing performance.
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Health Catalyst University
Establishing a healthcare improvement initiative is just the first step toward transformation. The real work of improvement lies in sustaining it, which is why qualified change agent are essential to meaningful progress. Change agents are trained to lead organizations in:
- Case for change
- Data management
- Change management concepts
- Cost Benefit Analysis
Our current healthcare system is designed to provide “sick care”—care intended to help patients return to their previously healthy state after experiencing an illness or injury. But sick care is costly and introduces the risk of further patient harm. A new model of care, patient-centered care, aims to improve cost and quality by shifting the focus of care to preventative measures. Moving to patient-centered care requires organizations to provide the following for their patients: respect for preferences, values, and desire to stay informed; emotional support; physical comfort; information and education about conditions; continuity of care and transitional assistance after discharge; care coordination and integration care providers; access to care whenever care is needed; and the inclusion of family and friends as caregivers and decision makers.
Too often, hospitals and health systems stop at developing broad clinical quality improvement statements that come up short of achieving their desired goals. What’s missing are clearly defined improvement objectives in the form of aim statements that take into account the effects on other areas of the organization: patient safety and satisfaction, physician engagement, and financial contribution. Aim statements help articulate the problems that add value for patients and the organization, but good data, and the analytics tools required to understand the data, are essential to illuminating high-value problem areas. Additionally, aim statements must stick to the SMART guidelines: Specific, Measureable, Achievable, Relevant, and Time-bound.
Adaptive leadership is a leadership language and conceptual framework developed by Ronald Heifetz, MD, as a way to help hardworking leaders bring about change at their organizations. By applying adaptive leadership principles, leaders can enhance their ability to work with others by seeing human behavior differently and making sense of the behaviors triggered by rapid, high-volume change. The following five principles form the framework for adaptive leadership: (1) There are two types of challenges: technical and adaptive. (2) People need a certain amount of tension to do their best work, but the amount of tension needs to be productive. (3) There is a difference between the role of authority and the exercise of leadership. (4) Work avoidance (resistance) means that people are outside the productive range of tension. (5) Reflect in action by spending time on the balcony and the dance floor.
Introducing the Accelerated Practices (AP) Program: An Innovative Way to Help Health Systems Accelerate and Sustain Outcomes Improvement
We are excited to announce the launch of Health Catalyst University’s Accelerated Practices (AP) Program. This program is a highly immersive, project-based learning experience that healthcare industry experts have spent a lot of time developing. The goal of the program is for participants to leave with the tools and knowledge they need to achieve significant improvements in a short amount of time for their organizations. They will also learn how to communicate the need for change in this new value-based care environment by using data and proven leadership principles.
Describing healthcare data models can quickly get very technical. We prefer to use an analogy: making and sticking to a grocery list. With this analogy, audiences can quickly see the differences between dimensional, enterprise and adaptive data models and determine which one will work best for their organization’s needs.