Better, Faster, and More Affordable.ppt

Better, Faster, and More Affordable C. Craig Blackmore, M.D. Virginia Mason Medical Center Seattle, WA Leading Change in Health Care Virginia Mason’s VisionTo Be the Quality Leader and Transform Health Care 1. Quality leader requires efficient, effective systems. 2. Transforming health care requires collaboration. Source: The Leapfrog Group, 2010. Marketplace Collaboratives Innovation and Transparency The Market-Relevant Quality Bundle Stakeholder Accord on Defining Quality Evidence-based care: what works 100% patient satisfaction 3. Same-day access Rapid return to function Affordable price for buyer and seller Building Quality into a Value Stream Evidence is translated into standard practice. Each step is designed to be value-added. Variation is limited with mistake-proofing. Tasks are assigned to the appropriate provider. Value stream includes entire patient experience. Headache Value StreamBefore and After Redesign Value added Non-value added Variable value Redesign creates: 1. Evidence-based care 2. High patient satisfaction 3. Same-day access 4. Rapid return to function 5. Lower cost for buyers and sellers Measuring Evidence-Based Medicine Reporting with Transparency Reduction in imaging ? Headache: -23% Low back pain: -25% Sinusitis: -25% Mistake-proofing implemented What We’ve Learned Accord on definition of quality is fundamental. An integrated system facilitates alignment. Quality is a systems attribute. Collaboration facilitates transparency. Controlling health care costs requires Providers producing quality, Health plans reimbursing for quality, and Purchasers choosing to buy quality. An Approach for Caring for Particular Types of Patients A Presentation by Chet Burrell President and CEO CareFirst BlueCross BlueShieldOwings Mill, MD December 16, 2010 Participation 12 percentage points upon enrollment Participation 12 percentage points upon enrollment Participation 12 percentage points upon enrollment * * Incenti