America's Healthcare Transformation: Strategies and Innovations (9780813572222): Robert A. Phillips, Susan A. Abookire, David W. Bates, Sarah Slight, Mark R. Chassin, Erin S. DuPree, Alberta T. Pedroja, William S. Weintraub, Sandra A. Weiss, Kasaiah Makam, Arthur "Tim" Garson, Jason Gorevic, Tine Hansen-Turton, Kenneth Patric, Janet J. Teske, Arnold Milstein, Elizabeth Malcolm, Steven R. Steinhubl, Ju Young Kim, Alicia D.H. Monroe, Nana Ekua Coleman, Julia D. Andrieni, Mauro Ferrari, Hanh H. Hoang, Philip Greenland, Kunal N. Karmali, Gary S. Kaplan, Henry H. Ting, Kasey R. Boehmer, Victor M. Montori, Thomas W. Feeley, Nikhil G. Thaker, James L. Field, Thomas H. Lee, Deirde Mylod, Sharyl Wojciechowski, Amir Rubin and Marc L. Boom

ABOUT THIS BOOK

A revolution in American medicine is in full swing, with the race from fee-for-service to fee-for-value at the front line in an epic battle that will transform healthcare delivery for decades to come. In America’s Healthcare Transformation, eminent physician leader Robert A. Phillips brings together key thought leaders and trail-blazing practitioners, who provide a wide-ranging exploration of the strategies, innovations, and paradigm shifts that are driving this healthcare transformation.

The contributors offer a panoramic look at the dramatic changes happening in the field of medicine, changes that put the patient at the heart of the process. Among other subjects, the essays evaluate innovative high quality and low cost care delivery solutions from around the United States and abroad, describe fundamental approaches to measuring the safety of care and the impact that guidelines have on improving quality of care and outcomes, and make a strong case that insurance reform will fundamentally and irreversibly drive delivery reform. In addition, America’s Healthcare Transformation reviews the role of health information technology in creating safer healthcare, provides a primer on the development of a culture of safety, and highlights ground-breaking new ways to train providers in patient safety and quality. Finally, the book looks at reports from Stanford Health Care and Houston Methodist which outline how successful behaviorally based strategies, anchored in values, can energize and empower employees to deliver a superior patient experience.

Drawing on the wisdom and vision of today’s leading healthcare innovators, America’s Healthcare Transformation provides a roadmap to the future of American healthcare. This book is essential reading for all health care providers, health care administrators, and health policy professionals, and it will be an invaluable resource in the effort to improve the practice of medicine and the delivery of healthcare in our communities and nation.

AUTHOR BIOGRAPHY

ROBERT A. PHILLIPS, MD, PhD is the Executive Vice President and Chief Medical Officer of Houston Methodist and President and CEO of the Houston Methodist Specialty Physician Group in Houston, Texas. He is also a Hypertension Section Editor of the Journal of the American College of Cardiology, and founding president of American Population Health Society.

REVIEWS

"America's Healthcare Transformation claims that we are in the midst of a fundamental transformation of the practice of medicine and the $3 trillion annual health care industry. Indeed, this claim is persuasively and seamlessly documented by the contents of the book describing 5 domains: patient safety and quality; health care delivery redesign; emerging paradigms in the practice of medicine; health care delivery reform; and the patient experience."

— Journal of Public Health Management and Practice

"Based on his own experience in leading effective change in one of America’s premier academic hospitals, Dr. Phillips has brought together leaders from many disciplines to provide guidance on steering medical institutions through the current turbulent changes in U.S. healthcare. By focusing on the key elements in the evolving transformation of healthcare – safety and quality; the redesign of healthcare delivery; new models of medical practice; methods of reimbursement; and the patient experience – the book provides a comprehensive overview of where we are, how we got here, and where we still need to go to assure that our healthcare system meets the needs of all patients with the highest quality and in the most compassionate, effective, and efficient manner. As such, it has much to offer a wide range of individuals, from the lay public and those interested in healthcare policy, to those charged with leading operational change in their own institutions on a daily basis.”

— Barry S. Coller, M.D., Physician in Chief and Vice President for Medical Affairs, The Rockefeller University

TABLE OF CONTENTS

Part I: Patient Safety and Quality
1.Organizing Performance Management to Support High Reliability Healthcare
Erin S. DuPree, MD, FACOG
Chief Medical Officer and Vice President; Joint Commission Center for Transforming Healthcare
Mark R. Chassin, MD, FACP, MPP, MPH
President and Chief Executive Officer; The Joint Commission
2.Elimination of Unintended Variation in Patient Care
Gary S. Kaplan, MD, FACP, FACMPE, FACPE
Chairman and CEO; Virginia Mason Health System
3.Fundamental Approaches to Measuring and Improving Patient Safety
Sarah P. Slight, MPharm, PhD, PGDip
School of Medicine, Pharmacy, and Health; Wolfson Research Institute
David W. Bates MD, MSc
Senior Vice President for Quality and Safety; Chief Quality Officer; Brigham and Women’s Hospital; Brigham and Women’s Physicians Organization
4.The Organizational Culture that Supports Patient Safety
Alberta T. Pedroja, PhD, CPHQ, HACP
ATP Healthcare Services, LLC
5.The Role of Health Information Technology in Patient Safety
Sarah P. Slight, MPharm, PhD, PGDip
School of Medicine, Pharmacy, and Health; Wolfson Research Institute
David W. Bates MD, MSc
Senior Vice President for Quality and Safety; Chief Quality Officer; Brigham and Women’s Hospital; Brigham and Women’s Physicians Organization
6.Training Physician Leaders in Patient Safety and Quality - Progress and Challenge
Susan A. Abookire, BSEE, MD, MPH, FACP
7.Use of Registries and Public Reporting to Improve Healthcare
Kasaiah Makam, MD
Center for Heart and Vascular Health; Christiana Care Health System
Sandra Weiss, MD
Center for Heart and Vascular Health; Christiana Care Health System
William S. Weintraub, MD, MACC
John H. Ammon Chair of Cardiology; Center for Heart and Vascular Health; Christiana Care Health System
Part II: Healthcare Delivery Redesign
8.Achieving Higher Quality and Lower Costs Via Innovation in Health Care Delivery Design
Elizabeth Malcolm, MD, MSHS
Director of Implementation and Evaluation, Clinical Excellence Research Center; Instructor in Medicine; Stanford University School of Medicine
Arnold Milstein, MD, MPH
Professor of Medicine; Director of the Clinical Excellence Research Center; Stanford University School of Medicine
9.Population Health Management: The Lynchpin of Emerging Healthcare Delivery Models
Julia D. Andrieni, M.D.
Vice President, Population Health and Primary Care, Houston Methodist;
President, Houston Methodist Physicians Alliance for Quality
10.Healthcare Delivery Redesign:Team-Based Care
Nana E. Coleman, MD, EdM
Assistant Professor of Pediatrics; Baylor College of Medicine; Section of Critical Care Medicine; Texas Children’s Hospital
Alicia D.H. Monroe, MD
Provost and Senior Vice President for Academic and Faculty Affairs; Professor, Family and Community Medicine; Baylor College of Medicine
11.Medicine Unplugged: Can mHealth Transform Healthcare?
Ju Young Kim MD, PhD
Scripps Translational Science Institute; Clinical Associate Professor, Seoul National University Bundang Hospital
Steven Steinhubl, MD
Director of Digital Medicine; Scripps Translational Science Institute
12.Telemedicine: Virtually Redefining the Delivery of Care
Jason Gorevic, Chief Executive Officer, Teladoc
13.Grand-Aides: Leveraging the Workforce for More Effective and Less Expensive Care
Arthur Garson, Jr., MD, MPH
Chairman, Grand-Aides USA and International; Director, Health Policy Institute; Texas Medical Center
14.Convenience Care and the Rise of Retail Clinics
Tine Hansen-Turton, MGA, JD, FCPP, FAAN
Chief Executive Officer, National Nursing Centers Consortium; Executive Director, Convenient Care Association
Kenneth Patric, MD, DABFM
Chief Medical Officer; The Little Clinic
Janet J. Teske, DNP
Director, Aurora QuickCare Clinics
Part III: Emerging Paradigms in
the Practice of Medicine
15.Using Guideline-Based Medicine to Improve Patient Care
Kunal N. Karmali, MD, MS
Departments of Preventive Medicine and Medicine; Feinberg School of Medicine; Northwestern University
Philip Greenland, MD
Harry W. Dingman Professor; Departments of Preventive Medicine and Medicine; Feinberg School of Medicine; Northwestern University
16.Precision Medicine: Expanded and Translational
Hanh H. Hoang, PhD
Research Operations Manager; Office of Strategic Research Initiatives; Houston Methodist Research Institute
Mauro Ferrari, PhD
Ernest Cockrell Jr. Presidential Distinguished Chair; President and Chief Executive Officer, Houston Methodist Research Institute; Senior Associate Dean and Professor of Medicine, Weill Cornell Medical College
17.Evidence-Based Medicine and Shared Decision-Making
Kasey R. Boehmer, MPH
Knowledge and Evaluation Research Unit; Mayo Clinic
Victor M. Montori, MD, MSc
Knowledge and Evaluation Research Unit; Mayo Clinic
Henry H. Ting, MD, MBA
Senior Vice President; Chief Medical Officer for Quality and Patient Safety; New York-Presbyterian Hospital and Healthcare System
Part IV: Healthcare Reform and New Payment Methods
18.The Rise of Consumerism and How Insurance Reform Will Drive Healthcare Delivery Reform
James L. Field, MBA, DBA
President of Research and Insights Division; The Advisory Board Company
19.Creating the Healthcare Transformation from Volume to Value
Nikhil G. Thaker, MD
Division of Radiation Oncology; The University of Texas MD Anderson Cancer Center
Thomas W. Feeley, MD
Helen Shafer Fly Distinguished Professor of Anesthesiology; Head, Institute for Cancer Care Innovation; The University of Texas MD Anderson Cancer Center; Harvard Business School
Part V: Patient Experience, Engagement,
and Services
20.Innovations in Patient Experience
Deirdre Mylod, PhD
Executive Director, Institute for Innovation; Senior Vice President, Decision Analytics & Research; Press Ganey Associates
Thomas H. Lee, MD
Chief Medical Officer; Press Ganey Associates
Sharyl Wojciechowski, MA
Patient Experience Knowledge Manager; Press Ganey Associates
21.Behavioral Economics and Stanford Health Care’s C-I-CARE Patient Experience
Amir Dan Rubin
Executive Vice President, Optum / UnitedHealth Group; Former President and CEO, Stanford Health Care
22. Impact of an Engaged Workforce on Patient Care: Our Culture of I CARE
Marc L. Boom, M.D., M.B.A.
President and CEO; Houston Methodist