This is the Last Word section of the Leadership report Collaborating for Results.
Return to the full report.
Prioritize around the patient. Begin with what everyone can agree on: We are here to serve the patient. Citizen's Memorial Healthcare prioritized EHR decisions around improving quality. Adverse drug events immediately declined. Cash flow also improved.
Build momentum. Virtua CEO Richard Miller ignited a cultural transformation by saying: "Do we want to be average, or do we want to be a great organization?"
Engage all stakeholders. The involvement of various stakeholders will vary. Gundersen Lutheran's IT team met with physicians before going live with CPOE-and simply listened. "We couldn't implement a system that was going to slow the physicians down," says CIO Deb Rislow, RN.
Lay ground rules. Rules and social norms will vary from "no finger-pointing" to "data transparency." Another example: Gundersen Lutheran has summed up expected behaviors of physician leaders in a formal compact.
Create necessary structures. St. John Providence Health System has eight teams actively working to decrease readmissions. Oversight is provided by a system-level leader who holds weekly meetings with each team, coordinates data collection, and shares successes.
Use proven tools and approaches. Cross-discipline teams may benefit from training in Six Sigma or other quality improvement approaches. Sometimes a simple tool is all that is needed. Finance leaders at CHRISTUS St. John used a matrix to show clinical leaders how managed care contracts impact the hospital revenue stream.
Instill accountability and reward successes. As part of a balanced scorecard initiative, all units across CHRISTUS Health are continually measured in four key areas. In addition, a special award recognizes best practices in each quadrant of the balanced scorecard.
Provide education and support. Gundersen Lutheran has developed a comprehensive training program for physician leaders. All physician vice presidents and department chairs are also paired with administrative partners.
Determine the business model. Maintaining financial stability requires an ROI-or at least a break-even strategy. Months after opening a medical home clinic, Swedish Medical Center saw a rapid increase in no-pay patient volume. The clinic must now cap the number of no-pay patients.
Embrace collaborative technologies. CHRISTUS Health CEO, Tom Royer, MD, uses his blog Wireside Chat with Dr. Tom to continually emphasize the health system's shared mission and objectives.
Return to the Leadership report, Collaborating for Results.
Somnia: Bending the Healthcare Cost Curve Toward Improved Anesthesia Value
PMMC: Navigating Revenue Cycle Management Challenges as Value Based Purchasing Emerges
Burgess: Simplify the Business of Healthcare
J.P. Morgan: Managing Cybersecurity and Protecting Patient Data
Brian DiPietro, Managing Director, Commercial Bank Technology, JPMorgan Chase & Co., discusses the importance of evaluating your cybersecurity protocols to help prevent malicious data breaches.
TransUnion Healthcare: Smarter Revenue Cycle Solutions
Gerry McCarthy, President of TransUnion Healthcare, discusses industry trends contributing to higher bad debt and what to do about them. Gerry is responsible for the strategic direction of the healthcare business and expanding its footprint in the healthcare market overall. He has more than 20 years of experience in healthcare information technologies.
Deloitte: Creating Value with Effective Care Management
Scott Kolesar, principal and senior leader in Deloitte Consulting LLP's Value Based Care practice, and David Wennberg, MD, MPH, adjunct associate professor of The Dartmouth Institute and former chief executive officer, Northern New England Accountable Care Collaborative, discuss the challenges and competencies involved in creating a care management organization.
American Express: Streamlining Supplier Payments and Boosting Revenue
Andrew Jamison, vice president in the Global Corporate Payments division of American Express, discusses trends and opportunities in supplier payments.
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.