What the Health!

2 minute read

“I had had two eye surgeries prior to developing a cataract. I was living in a small town and was told by my optometrist during a routine eye exam about the cataract. He stated I would need an eye surgeon who was extremely skilled to operate on that eye. I had no confidence in the two doctors I consulted locally who did not seem qualified.

Part 2 – Healthcare cannot be High Performance without quality-based physician-patient matching

So how do we get to true quality transparency that takes into account access, equity, patient experience and patient safety? It’s Quadruple Aim - the hard way. It may not be in my lifetime when we will wrangle real quality data out of providers, but keep in mind that the audience for this data must understand risk adjustment, facility characteristics and the fact that medicine is messy by nature and bad things happen to the best doctors. Fortunately, CMS is penalizing hospitals for readmissions and you don’t see as many mishaps in the operating room after Atul Gawande’s Checklist Manifesto became infused into common practice for surgery. But quality needs to be recognized as paramount when matching patients with physicians.

Part 1 – Employers are embracing High Performance Healthcare, but what is it?

In 2017, the Joint Commission Journal on Quality and Patient Safety published a paper attempting to define a High-Performance Healthcare System[1] by surveying published literature on the subject. They didn’t come up with a consistent definition, but reported that articles they reviewed cited these criteria: quality (93% of articles), cost (67%), access (35%), equity (26%), patient experience (21%) and patient safety (18%).

1 minute read

Medicare Advantage is a large growth area where revenue opportunity abounds. Wondering what may be keeping your organization from achieving success with Medicare Advantage STAR ratings? It’s your member experience, starting with how your members access quality healthcare.