• Leadership e-Bulletin: January 2014

    Jan 27, 2014

    Featured Story

    Emory Develops a Strategy to Align Primary Care Physicians, Zip Code by Zip Code

    By Laura Ramos Hegwer

    To prepare for population health management, Atlanta-based Emory Healthcare needed to strategically grow its network of primary care physicians (PCPs). Emory used a market development approach based on a zip-code analysis to identify where to develop new PCP sites and where to grow existing sites. 

    Emory’s efforts to expand its PCP presence is already paying off. Emory has acquired one strategic PCP practice and is in talks with several other practices. 

    Tools of the Trade

    Shadowing the Money Trail: A Patient-Centered Tool Identifies True Joint Replacement Costs

    By Maggie Van Dyke

    The Bone and Joint Center at Magee-Womens Hospital of UPMC, Pittsburgh, is positioning itself to take advantage of value-based contracting options, such as bundled payment, by using patient and family shadowing and an activity-based costing method, called Time-Driven Activity Based Costing (TDABC), to identify and reduce joint replacement costs. 

    Shadowing is performed by Center staff, student interns, and volunteers who follow patients through an entire cycle of care—beginning 30 days before surgery and ending 90 days after surgery. TDABC compliments the shadowing activity by identifying the costs of resources used as patients move through the care experience. 

    Patient-Centered Medical Homes

    Oregon Medical Home Increases Preventive and Routine Care Appointments

    By M. Sean Rogers, MD

    Bend Memorial Clinic’s (BMC) transition to a patient-centered medical home and its partnership with a local payer in a shared savings model meant the Bend, Ore.-based clinic had to expand its focus beyond treating patients who presented at the clinic with symptoms to helping patients stay on track with routine and follow-up care. With more than 75,000 active patients, BMC uses a web-based system to trigger automated outbound communications?by phone, email, text message, or a blend of all three?notifying patients of necessary preventive and routine care. 

    Leader Profile

    Patient Safety Starts with an Aligned Crew

    Captain Chesley B. “Sully” Sullenberger credits his crew’s ability to work in concert—safely landing U.S. Airways Flight 1549 in the icy Hudson River—to the aviation industry’s top-down commitment to safety. Yet safety-focused captains are also needed in the trenches, he says. In health care, this role typically falls to physicians. “To create and lead teams, physicians have to have certain attitudes and behaviors that build trust,” says Sullenberger.