On episode 9 of PSQH: The Podcast, host Jay Kumar talks to Chris Klomp, CEO of Collective Medical, about care coordination and quality improvement.
Some of the quality measures driving the VBP calculations and determining reimbursement payments are hospital-acquired infection rates, patient experience scores, readmissions, mortality and complication rates, and efficiency. Although CMS’ actions reduced the burden on hospitals by offering a suspension of reporting while lessening the impact of the VBP program, this did not lessen the expectation for hospitals to provide quality care.
On episode 7 of PSQH: The Podcast, host Jay Kumar talks to Rachel Mandel, MD, MHA, about using Lean management principles to improve patient safety and quality.
Individuals often erroneously equate a nation’s economic stability with the quality of its healthcare. However, this is not always true, and definitely not in the case of Canada. The average waiting time for patients in Canadian EDs ranges from three to four hours. More preposterously, this “average” accounts for only a minority of the population. When asked up front, most patients claimed that they’d had to wait for at least five hours before consulting a physician.
Burnout is taking a significant toll in the healthcare sector. It is estimated that a doctor commits suicide every day. Research indicates that nearly half of physicians nationwide are experiencing burnout symptoms. A study published in October 2018 found burnout increases the odds of physician involvement in patient safety incidents, unprofessionalism, and lower patient satisfaction.
Mate has worked at IHI in several roles for a decade, most recently serving as IHI’s chief innovation and education officer. He also has worked at Partners in Health and the World Health Organization. He earned his medical degree at Boston Medical School and trained at Brigham and Women’s Hospital.
Despite leading the world in healthcare spending at more than $3.5 trillion of expenditures annually, the United States lags other high-income countries in many health outcomes such as maternal mortality.
It may be a long time coming, but what’s very much needed is a mechanism for identifying, by individual facility, specific systemic sources of patient stress. We might call this a Systemic-Stress EMM (SSEMM) audit. “EMM” denotes eradication, minimization, and mitigation. Depending on a source and its context, one of these three tactics will be more feasible than the other two.
Effective July 1, Mate will succeed current president and CEO Derek Feeley, who announced in January that he was leaving the organization to spend more time with his family in Scotland. Mate is currently the IHI’s chief innovation and education officer.
Within the biomedical model, health professionals are probably among the most careful professionals in our society. They are not supposed to make mistakes, to have unforeseen events, or to be exhausted and worried; there is a strong emphasis on perfection, whether in diagnosis or treatment. In this demand for perfection, centrality operates through the health professional’s power over the patient in a relationship between the expert and the layperson.