Edwin

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Primary care engagement
Edwin
Posted on April 8, 2019 at 12:45 pm
Increased isolation with growth of hospitalist model

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On May 1, 2019, Edwin commented on Demonstrating Value-based IT when Leadership has one foot in the Volume-based canoe and one foot in the Value-based canoe? :

Interesting topic as my organization moves further into VBC and tries to get a handle on how we use data. I don’t have any great answers. But trying to get buy in from leadership to spend on IT might require getting some of your respected clinical leaders to lobby for IT spend based on patient outcomes. Might even start out anecdotal and work toward more data driven arguments to be made.

On May 1, 2019, Edwin commented on Physician Compensation; Is complexity the enemy of good? :

I don’t think anyone has figured this out for sure.

My two pieces of advice are that any metrics tied to data need to be VERY clear and understood by both sides. I also think the more frequently the metric is fed to the physicians the more effective they are. Reporting quarterly is probably not enough.

May the quality/service components meaningful. I think many models don’t have set at a high enough percentage to be meaningful. I think at least 10% is needed.

On May 1, 2019, Edwin commented on Value-Based Care: Too Small To Scale? :

On point #2.
We have tried keeping feet in both worlds but have found that to be very difficult and sends all kinds of mixed messages to providers and departments. Currently using ACO to try to push the entire organization to VBC since it will cover so many patients.

On point #3.

We had a previous partnership with a clinic that was joining an ACO run by an outside company that specializes in setting up ACOs comprised of multiple systems to scale to about 100,000 covered patients. The outside company also takes some of the risk.

On May 1, 2019, Edwin commented on New medical center concept :

I’m wondering if there would be a role for outpatient therapies like physical or occupational therapy. Seems there is a lot of space and these require decent amounts of space.

It seems staying with in known areas would be safer.

On May 1, 2019, Edwin commented on Dyad Leadership :

Our dyads have very intentionally sat down and mapped out who has responsibility for what. At our executive leadership team they also occasionally start a meeting reminding each other to “stay in their lanes”.