BACKGROUND: Frontline physicians face increasing pressure to improve the quality of care they deliver while simultaneously decreasing healthcare costs. Although hospitals and physicians are beginning to implement initiatives targeting this new goal of healthcare value, few of them have a well-developed infrastructure to support this work. METHODS: In March 2012, we launched a high-value care (HVC) program within the Division of Hospital Medicine at the University of California, San Francisco. The HVC program is co-led by a physician and the division's administrator, and includes other hospitalists, resident physicians, pharmacists, and administrators. The program aims to (1) use financial and clinical data to identify areas with clear evidence of waste in the hospital, (2) promote evidence-based interventions that improve both quality of care and value, and (3) pair interventions with evidence-based cost awareness education to drive culture change. RESULTS: We identified 6 ongoing projects during our first year. Preliminary data for our inaugural projects are encouraging. One initiative, which targeted decreasing nebulizer use on a high-acuity medical floor (often using metered-dose inhalers instead) led to a decrease in rates of more than 50%. CONCLUSIONS: The HVC program is proving to be a successful mechanism to promote improved healthcare value and clinician engagement.
BACKGROUND: Frontline physicians face increasing pressure to improve the quality of care they deliver while simultaneously decreasing healthcare costs. Although hospitals and physicians are beginning to implement initiatives targeting this new goal of healthcare value, few of them have a well-developed infrastructure to support this work. METHODS: In March 2012, we launched a high-value care (HVC) program within the Division of Hospital Medicine at the University of California, San Francisco. The HVC program is co-led by a physician and the division's administrator, and includes other hospitalists, resident physicians, pharmacists, and administrators. The program aims to (1) use financial and clinical data to identify areas with clear evidence of waste in the hospital, (2) promote evidence-based interventions that improve both quality of care and value, and (3) pair interventions with evidence-based cost awareness education to drive culture change. RESULTS: We identified 6 ongoing projects during our first year. Preliminary data for our inaugural projects are encouraging. One initiative, which targeted decreasing nebulizer use on a high-acuity medical floor (often using metered-dose inhalers instead) led to a decrease in rates of more than 50%. CONCLUSIONS: The HVC program is proving to be a successful mechanism to promote improved healthcare value and clinician engagement.
Authors: Daniel M Alyesh; Milan Seth; David C Miller; James M Dupree; John Syrjamaki; Devraj Sukul; Simon Dixon; Eve A Kerr; Hitinder S Gurm; Brahmajee K Nallamothu Journal: Circ Cardiovasc Qual Outcomes Date: 2018-06
Authors: Sarah E Richards; Jason F Shiffermiller; Adam D Wells; Sara M May; Subhankar Chakraborty; Kelly J Caverzagie; Micah W Beachy Journal: J Grad Med Educ Date: 2014-12
Authors: John C Probasco; Annette Lavezza; Andre Cassell; Tenise Shakes; Angie Feurer; Holly Russell; Hilary Sporney; Margie Burnett; Chepkorir Maritim; Victor Urrutia; H Adrian Puttgen; Michael Friedman; Erik H Hoyer Journal: Neurohospitalist Date: 2017-09-12
Authors: Steven C Chatfield; Frank M Volpicelli; Nicole M Adler; Kunhee Lucy Kim; Simon A Jones; Fritz Francois; Paresh C Shah; Robert A Press; Leora I Horwitz Journal: BMJ Qual Saf Date: 2019-03-15 Impact factor: 7.035
Authors: Nina Zipfel; Paul B van der Nat; Benno J W M Rensing; Edgar J Daeter; Gert P Westert; A Stef Groenewoud Journal: BMC Health Serv Res Date: 2019-09-06 Impact factor: 2.655