Action For Better Healthcare

A forum to identify, discuss, confront, and propose solutions to complex healthcare issues

Health systems talk population health at national ACO summit

Monday, May 20th, 2013

Experts from more than 40 health systems recently convened in Cleveland to share population health management strategies at the Premier healthcare alliance’s national accountable care organization (ACO) summit. University Hospitals and Summa Health System co-hosted the event.

Members of Premier’s PACT™ population health collaborative attended the summit. PACT unites 79 health systems across 40 states and payors engaging in ACOs to learn from each other while measuring and benchmarking care with integrated patient data. These organizations have more than 80 ACO agreements with both the federal government and private payors.

Dr. Andrew Hertz, vice president and medical director of University Hospitals Rainbow Care Connection, discussed applying accountable care and population health principles to a pediatric population. Rainbow Care Connection is one of the first pediatric ACOs in the country, designed to improve the overall health and wellness of more than 65,000 children. The new type of multidisciplinary model aims to produce positive changes in pediatric care including greater focus on wellness and chronic disease in an outpatient setting.

Martin P. Hauser, CEO of SummaCare Inc., Summa Health’s provider-owned health insurance company, co-presented a session with Dr. Brian J. Silverstein, managing director, Geisinger Consulting Group on developing ACO arrangements with employers. SummaCare is one of the region’s only provider-owned health insurance companies, composed of more than 7,000 quality healthcare physicians and 50 hospitals. Major employers are seeking new population health arrangements which create incentives for helping their employees remain healthy.

Other topics discussed include palliative and end-of-life care focusing on greater family involvement to better meet the needs of patients.

“PACT participants are among the nation’s leaders and early adopters in redesigning care to be more valuable and patient-centric,” said Premier Performance Partners Senior Vice President Wes Champion. “By comparing performance, sharing intelligence and creating open forums for idea exchange, they’re both learning from and informing one another. This type of collaboration is key to achieving system-wide change that impacts quality, the care experience and bends the cost curve. Early results from these organizations are promising.”

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Inova Health System saves millions with green initiatives

Thursday, May 9th, 2013

For healthcare systems looking to improve the health of the environment and save money at the same time, take a look at the work Inova Health System is doing. They have saved millions through various “green” initiatives that have allowed them to reduce medical waste and improve operations.

A recent article in Hospitals & Health Networks explains the following:

If providers want to get in the business of population health, it's critical that they start thinking more seriously about environmental stewardship. Hospitals ship about 6,600 tons of waste to landfills each day, spend about $10 billion a year on energy. The healthcare sector produces roughly 8 percent of U.S. greenhouse gas emissions, Seema Wadhwa, director of sustainability for Inova Health System, told attendees this week at the Siemens Health Executives Forum. Attacking those environmental concerns should be a key piece of any hospital's strategy to manage the health of its community. 

"The healthcare industry is based on the principal and premise that, first, we will do no harm," Wadhwa said. "Perhaps this is an opportunity for us to take a look at our own operations and the way that we're leading our facilities to really understand what our impacts are, and how we are the anchor institutes for many of our communities."

Inova Health has looked to perfect its approach to sustainability in recent years, and tried to catch some of those environmentally induced health problems upstream before they snowball into chronic diseases. The organization has eliminated 1 million pounds of regulated medical waste through education, training and proper waste segregation, and cut another 60,000 pounds of waste over the last three years through single-use device reprocessing. Not only have those efforts lessened landfill heaps, they've also saved the system nearly $3 million, Wadhwa said.

Inova Health System is also partnering with local farmers markets for fresh foods, developing an employee commuter-bus program and taking part in a fashion show displaying items made out of recycled surgical blue wrap.


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Premier healthcare alliance leaders on final ballot of 100 Most Influential People in Healthcare list

Tuesday, May 7th, 2013

Each year Modern Healthcare recognizes 100 leading healthcare experts who are deemed by their peers and an expert panel to be the most influential individuals in the industry, in terms of leadership and impact. This year’s final ballot lists nearly 40 representatives from the Premier healthcare alliance, including three Premier executives Susan DeVore, president and CEO; Mike Alkire, chief operating officer; and Richard Bankowitz, MD, enterprise-wide chief medical officer.

Voting is open through June 14 and you must vote for exactly five nominees out of 300. The full list of Premier alliance member nominees is below. These healthcare experts are incredible influencers in transforming our industry. Help them make the final cut as the list narrows to 100! Vote now.

Ascension Health: Robert Henkel, president and CEO, Dr. David Pryor, executive vice president and CEO, Anthony Tersigni, president and CEO

Aurora Health Care: Dr. Nicholas Turkal, president and CEO

Banner Health: Peter Fine, president and CEO, Dr. John Hensing, executive vice president and chief medical officer       

Baptist Health South Florida: Brian Keeley, president and CEO  

Billings Clinic: Dr. Nicholas Wolter, CEO

Carolinas HealthCare System: Michael Tarwater, CEO   

Catholic Health Partners: Michael Connelly, president and CEO

Children's Hospital of Philadelphia: Dr. Steven Altschuler, CEO

Covenant Health: Anthony "Tony" Spezia, president and CEO   

Dignity Health: Lloyd Dean, president and CEO 

Greater Baltimore Medical Center: Dr. John Chessare, president and CEO          

Geisinger Health System: Dr. Glenn Steele Jr., president and CEO           

Greater New York Hospital Association: Lee Perlman, president, Kenneth Raske, president and CEO    

Group Health Cooperative: Scott Armstrong, president and CEO             

Hackensack University Medical Center: Robert Garrett, president and CEO        

Henry Ford Health System: Nancy Schlichting, CEO         

Inova Health System: Knox Singleton, CEO         

Kaleida Health: James Kaskie, president and CEO            

Legacy Health System: Dr. George Brown, president and CEO   

Montefiore Medical Center: Dr. Steven Safyer, president and CEO         

Nemours Foundation: Dr. David Bailey, president and CEO          

North Shore - Long Island Jewish Health System: Michael Dowling, president and CEO  

Presbyterian Healthcare Services: James Hinton, president and CEO     

Presence Health: Sandra Bruce, president and CEO        

Rush University Medical Center: Dr. Larry Goodman, CEO           

SSM Health Care Corporation: William Thompson, president and CEO   

St. Jude Children's Research Hospital: William Evans, director and CEO 

St. Mary's Hospital: Dr. Frank Byrne, president 

Texas Health Resources: Douglas Hawthorne, CEO         

Thomas Jefferson University Hospital: Dr. David Nash, Dean, Jefferson School of Population Health, Thomas Jefferson University          

University Hospitals: Thomas Zenty III, CEO       

The University of Texas - M. D. Anderson: Dr. Ronald DePinho, president            

Vanguard Health System: Charles Martin, chairman and CEO     

WellStar Health System: Reynold Jennings, president and CEO

The final “Top 100” list will be published in the August 26 issue of Modern Healthcare.


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Virtual component enhances hospital’s intensive care unit

Monday, May 6th, 2013

Imagine having a critical-care specialist at the bedside around the clock. That’s how some in healthcare are describing what Carolinas HealthCare System has accomplished.

Carolinas HealthCare System opened a $12.3 million, virtual critical-care center. The 3,200-square-foot command center will allow for 24/7 remote monitoring of patients in intensive care units across the healthcare system.

Here is an excerpt from a recent article in the Charlotte Business Journal:

The command center will rely on audio and video to monitor patient data, such as lab results, blood-pressure readings and heart monitoring. Hospital personnel and the command center will be able to communicate around the clock about a patient’s condition and concerns.

The initiative aims to enhance — not replace — existing care in the 40 hospitals owned, leased or managed by Carolinas HealthCare, says Dr. Jim McDeavitt, senior vice president and chief academic officer for the healthcare system.

“Part of what this does is improve care across our entire system,” he says. “We’re talking about going in with valuable support services.”

McDeavitt foresees benefits that will stretch across Carolinas HealthCare. He cites potential quality-care improvements and efficiencies that reduce the length of time a patient has to stay in the hospital. For example, the command center staff might identify subtle changes in a patient’s condition — which results in a more immediate response to the patient and, in turn, a shorter hospital stay.

Carolinas HealthCare anticipates the initiative will cut the length of patients’ hospital stays by 20 percent systemwide after three years. That could result in $108 million in savings over the first six years of the program.

“It’s like having a critical-care specialist at the bedside 24-7,” says Dr. Richard Bankowitz, chief medical officer with the Premier healthcare alliance. “This really extends the reach of critical-care specialists.”

 

To read more about this virtual center, please click here.


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Collaborating for quality

Friday, May 3rd, 2013

Implementing healthcare improvement methods that yield positive results in terms of both costs and quality is a goal for many healthcare systems across the country. How does one get started? And how can a health system minimize the risks of change?

Recognizing these common concerns, hospitals and health systems with the Premier healthcare alliance participate in a series of collaborative learning networks where they measure the quality of care provided today, set improvement goals based on a reasonable pace of change, learn from others, and steadily and sustainably improve over time.

Tonya Kirby is senior director of quality and safety collaboratives for the Premier healthcare alliance wrote about this effort in Executive Insight. She explains that Premier’s Hospital Engagement Network (HEN)  is working with 450 hospitals in 39 states, testing different interventions to reduce hospital readmissions, creating specific processes that are working to improve the quality of care, as well as the speed of recovery.  

Nearly 350 hospitals in Premier's QUEST collaborative have been working together for nearly 5 years to reliably deliver efficient, effective and caring experience for every patient. QUEST hospitals achieve these goals by sharing data and defining consistent measures of top performance. These standards are set by evaluating the outcomes of top performers.

You can read more about Premier’s collaborative learning networks by clicking here.

Tonya will be spotlighting the Premier Quality Collaboration story at the ASQ World Conference, which takes place in Indianapolis, May 6-8, 2013.


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