Improving Clinical Effectiveness by Engaging Physicians
- 20 October 2021
- journal article
- research article
- Published by Massachusetts Medical Society in NEJM Catalyst
- Vol. 2 (11)
- https://doi.org/10.1056/cat.21.0190
Abstract
Initiatives aimed at optimizing value and decreasing waste are traditionally carried out at a system level. Consequently, physician involvement may not be a key driver of the process, which can affect project outcomes and sustainability. To improve physician alignment with systemwide goals and create a culture of accountability, leaders at Riley Hospital for Children at Indiana University Health engaged medical directors by requiring them to carry out at least one clinical effectiveness project a year and present at one of the monthly meetings. The new position of medical director of clinical effectiveness helps oversee this. Within the first year, 26 new clinical effectiveness projects were started, and 75% of medical directors identified a project. This led to an estimated savings or revenue generation of more than $3 million. Another 25 projects were started during the second year, with an additional estimated savings or revenue generation of more than $13 million.Keywords
This publication has 10 references indexed in Scilit:
- Reducing Medical Waste to Improve Equity in CareAmerican Journal of Public Health, 2020
- Culture, teamwork and engagement: 40 years of finding the right ingredientsCurrent Opinion in Cardiology, 2020
- Why Not? Persuading Clinicians to Reduce OveruseMayo Clinic Proceedings: Innovations, Quality & Outcomes, 2020
- Waste in the US Health Care SystemJAMA, 2019
- Regional Variation in Standardized Costs of Care at Children’s HospitalsJournal of Hospital Medicine, 2017
- Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Costs and Outcomes and Association With Reduced Cost and Improved QualityJAMA, 2016
- Elimination of Routine Contact Precautions for Endemic Methicillin-ResistantStaphylococcus aureusand Vancomycin-ResistantEnterococcus: A Retrospective Quasi-Experimental StudyInfection Control & Hospital Epidemiology, 2016
- Degowning the controversies of contact precautions for methicillin-resistant Staphylococcus aureus: A reviewAmerican Journal of Infection Control, 2015
- Variability in Processes of Care and Outcomes Among Children Hospitalized With Community-acquired PneumoniaThe Pediatric Infectious Disease Journal, 2012
- Eliminating Waste in US Health CareJAMA, 2012