“We’re help­ing hos­pi­tals and doc­tor’s of­fices to solve health and safety prob­lems whereas we only pre­vi­ously helped iden­tify those prob­lems.”

Modern Healthcare - - Special Feature -

Two peren­ni­als

ilies and to un­der­stand ways in which the de­liv­ery sys­tem does great stuff and ways in which the de­liv­ery sys­tem is chal­lenged and could be more ef­fec­tive,” Got­tlieb says.

It’s a sen­ti­ment echoed by Ber­wick.

“There’s a lot of ques­tions out there about how health­care can be sus­tain­able and how much it can im­prove and how we’re go­ing to get out of the Amer­i­can health­care dilemma, the cost and qual­ity prob­lem,” Ber­wick says. “Clin­i­cians know that they have the an­swer: that’s to make care bet­ter.”

Only two physi­cians have been in­cluded in all of the seven an­nual rank­ings: Dr. Gary Got­tlieb, pres­i­dent and CEO of Part­ners Health­Care Sys­tem in Bos­ton, and Dr. Ed­ward Mur­phy, pres­i­dent and CEO of the Car­il­ion Clinic in Roanoke, Va.

Mur­phy, who is ranked No. 17 and will step down at Car­il­ion in June, urged the fed­eral of­fi­cials im­ple­ment­ing var­i­ous com­po­nents of the health­care law to ease its im­pacts on health­care providers through “ sus­tain­able clar­ity” and by al­low­ing enough flex­i­bil­ity for clin­i­cians to de­ter­mine how to reach the goals of the law. Specif­i­cally, he urged them to fi­nal­ize the law’s reg­u­la­tions and in­ter­pre­ta­tions as quickly as pos­si­ble, as op­posed to al­low­ing

His sec­ond rec­om­men­da­tion was that the gov­ern­ment aim to hold providers ac­count­able for re­sults “but give them lots of flex­i­bil­ity to in­no­vate.”

That ap­proach would speed up the health­care sys­tem’s nu­mer­ous needed im­prove­ments, he says.

Part­ners Health­Care’s Got­tlieb, who is No. 18, up from No. 21 last year, em­pha­sizes the re­spon­si­bil­ity on physi­cian lead­ers to par­tic­i­pate in the re­design of health­care to im­prove qual­ity and cut costs.

“No­body is bet­ter po­si­tioned than physi­cians in lead­er­ship po­si­tions to be both em­pa­thetic to the needs of pa­tients and fam-

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