Stories

Improving the value of the End-of-life care in the Emergency Department through the Conversation Facilitation

Posted by on Apr 27, 2015 in Blog, News, Stories | 2 comments

Improving the value of the End-of-life care in the Emergency Department through the Conversation Facilitation

By Kei Ouchi, MD “I need a doctor in here!” As I walk into the resuscitation room in the emergency department (ED), I see Mr. G, a cachectic elderly gentleman barely holding onto his breath. After a rapid assessment, it is clear that he is tiring and cannot maintain breathing on his own for much longer. “We need to secure his airway” – with my command, the resident applies an oxygen mask, cracks open the airway box and prepares to intubate Mr. G, a respiratory therapist rushes in to assist the resident, and two nurses insert IV lines and gather medication. As the team gets ready...

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I am not an Economist

Posted by on Apr 13, 2015 in Blog, News, Stories | 0 comments

I am not an Economist

By Marty Muntz, MD, FACP I am not an economist. This is how I start my high-value care session during the internal medicine clerkship orientation day at MCW, and it is absolutely true.  It doesn’t take an economist, though, to realize that healthcare is too expensive.  Healthcare spending as a percentage of GDP has increased from around 7% in 1970 to almost 18% in 2010.   An estimated 30% of the $2.8 trillion spent healthcare is wasteful.  And we can blame whomever we want.  Trial lawyers?  Insurance companies?  Pharmaceutical sales?  Even patients?  Certainly there is more than...

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The Missing Narrative on Making Healthcare Affordable

Posted by on Apr 6, 2015 in Blog, News, Stories | 0 comments

The Missing Narrative on Making Healthcare Affordable

By Neel Shah, MD, MPP and Jordan Harmon, MHA We founded Costs of Care in May of 2009 with (we admit it) a highly literal, and seemingly uncreative name. As it turned out, our name, buoyed by exceptional timing, may be responsible for catapulting Costs of Care onto the national scene. In May 2009, healthcare reform was at the top of the new President’s agenda and the phrase “costs of care” was being searched on the Internet thousands of times per day. Before long, our registered domain name—CostsOfCare.org—floated to the top of the Google search rankings. Within months, our fledgling...

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SOAP-V: Applying High-Value Care During Patient Care

Posted by on Mar 30, 2015 in Blog, News, Stories | 0 comments

SOAP-V: Applying High-Value Care During Patient Care

By Eileen M. Moser, MD, MHPE; Sara Fazio, MD; Grace Huang, MD; Susan Glod, MD; Clifford Packer, MD “It’s important to teach the principles of cost-conscious, high-value care, but how do we enable our medical students to actually practice it?” This question gripped our group of clinician educators gathered at the Millennium Conference on Teaching Value-Added Care (HVC) in 2013. Students needed authentic opportunities to apply HVC knowledge and practice HVC skills. Additionally, our own institutions needed to prepare for the shift from fee-based care to value-based care. We had a big...

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Five Insights From the 2015 MIT Bioinnovations Conference

Posted by on Mar 23, 2015 in Blog, Stories | 0 comments

Five Insights From the 2015 MIT Bioinnovations Conference

By Jonathan Gordon On February 20th, I had the privilege of taking part in the 2015 MIT Bioinnovations conference. Dr. Neel Shah kicked off the conference, whose theme was “Redefining Value in Healthcare,” and I joined the panel on “Trends in Healthcare Payment Models: Accountable Care Organizations.” I joined population health leaders from Partners, McKesson, Putnam Associates and The Activity Exchange to discuss the current potential and future of accountable care organizations (ACOs). Over the course of the hour, a couple of key themes emerged: Health is much more than just what...

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