April 6, 2017

ACO roundup: A versatile clinic thinks outside the box

Daily Briefing
  • How one hospital cut ED hold hours by nearly 80 percent. To combat overcrowding and unnecessary visits, Sunrise Hospital & Medical Center integrated its ED physicians and hospitalists—with dramatic results. To tackle the problem, Sunrise integrated its ED and hospital medicine teams under one medical director, recruited additional providers, developed team-based models for observational patients, and created a designated observation unit. The initiative cut hold hours in the ED by 79 percent, decreased length of stay by one day, and sped up discharges.

  • Health information exchanges improve efficiency, quality in the ED. According to a first-of-its-kind study in SSRN of more than 80,000 ED admissions, physician use of a health information exchange (HIE)was associated with a 7 percent reduction in length of stay and a 4.5 percent reduction in 30-day readmissions. The number of consultations by multiple doctors also decreased by 12 percent. Christina Galanis, president and CEO of HealthlinkNY, which ran the HIE used in the study, called the research "groundbreaking." However, Hospitals & Health Networks notes that the study only observed 326 doctors and called for greater research on the topic. 

  • Versatile clinic reduces care silos. The South Philadelphia Community Health and Literacy Center combines a Children's Hospital of Philadelphia (CHOP) pediatric primary care clinic, Department of Public Health community health center, the Free Library of Philadelphia–South Philadelphia Library, and a playground and recreation center under one roof. Since combining their services, each partner has reported higher volumes compared to their previous locations, according to Steve Wilmot, senior director of practice management services at CHOP. The center also provides opportunities for joint wellness initiatives, which partners discuss monthly. And CHOP recently awarded the center a $175,000 grant to hire a preventive health care navigator to focus on adolescent health services and wellness, among other areas.

From Advisory Board:

  • Taking on overdiagnosis waste and harm. Join us on April 18 at 1 P.M. ET for a discussion with MemorialCare's James Leo and Helen Macfie on when to challenge the default inclination of treating many to benefit few.

Register for the webconference

  • Combating physician burnout. The unrelenting pace of change in today’s health care landscape is leading to record levels of physician burnout. Join us on April 18 at 3 P.M. ET to learn how to identify the key drivers of burnout at your organization and mitigate further detriment to your physicians, your patients, and your business.

Register for the webconference

Register for the webconference

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