De­spite chal­lenges, ex­em­plary lead­er­ship, in­no­va­tion spur hos­pi­tals’ high per­for­mance


This year, our ex­clu­sive re­search for the 100 Top Hos­pi­tals sup­ple­ment by Mod­ern Health­care high­lights grow­ing suc­cess in hos­pi­tal-driven im­prove­ment be­yond the walls of the in­pa­tient set­ting. The re­search demon­strates that low­erthan-ex­pected phar­ma­ceu­ti­cal uti­liza­tion is as­so­ci­ated with bal­anced, hos­pi­tal-wide high per­for­mance, fewer un­planned read­mis­sions of any type mea­sured, and lower Medi­care spend­ing per ben­e­fi­ciary.

Th­ese re­sults are a bell­wether of the fruits of col­lab­o­ra­tion and in­no­va­tion across the con­tin­uum of care. To achieve what’s known as lower phar­ma­ceu­ti­cal in­ten­sity, lower read­mis­sions as well as lower Medi­care spend­ing per ben­e­fi­ciary, the hos­pi­tal must do the right thing at the right time in the right set­ting to achieve the right out­come and right cost for the pa­tient through­out the en­tire episode of care.

A strong com­mit­ment from lead­ers and ef­fec­tive com­mu­ni­ca­tion of the im­per­a­tive to in­crease value is re­quired to achieve the re­sults we have iden­ti­fied. The lat­est find­ings sug­gest that hos­pi­tals scor­ing high on the 100 Top Hos­pi­tals na­tional bal­anced score­card are build­ing strong col­lab­o­ra­tion among physi­cian, phar­macy, sup­ply-chain and qual­ity-im­prove­ment lead­ers to re­duce un­nec­es­sar­ily ex­pen­sive care, stream­line de­liv­ery sys­tems to en­sure timely care, se­lect post-dis­charge care ju­di­ciously and begin to man­age episode-of-care out­comes.

Value is slowly in­creas­ing and progress is be­ing made to­ward the triple aim, de­spite the stunning chal­lenges that hos­pi­tal lead­ers face. Boards, CEOs, other se­nior ex­ec­u­tives and man­agers through­out th­ese or­ga­ni­za­tions are si­mul­ta­ne­ously cut­ting costs, trans­form­ing their busi­ness mod­els and de­liv­ery sys­tems, yet still op­er­at­ing with an ad­verse pay­ment sys­tem in place. The re­sults demon­strate that strong lead­er­ship truly mat­ters.

Jean Chenoweth is se­nior vice pres­i­dent of per­for­mance im­prove­ment and the 100 Top Hos­pi­tals pro­grams at Tru­ven Health An­a­lyt­ics.

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