This morning at the Association of MD/MBA Programs (AMMP) 8th Annual Conference, Peter Slavin, MD, MBA (President of Massachusetts General Hospital and Professor of Health Care Policy at Harvard Medical School) gave a great presentation about health care management this morning.
He started his presentation by emphasizing the importance of work/life balance. We all need to be reminded of that, don't we?
So, here are some of the key management challenges:
- Quality/patient safety
- Public policy
1) Medical Management: CMS Demonstration Project at MGH
- 3-year demonstration project that began in 8/1/06 to reduce costs under the Medicare fee-for-service program
- Part of a broader effort to redesign Medicare
- Care coordination for those who are consuming the vast majority of health care resources
- Goals: improve quality of care, patient/provider satisfaction, and reduce costs
- 19 primary care practices with 190+ PCPs, 2,500 Medicare patients, total annual cost was $68M
- Mass customization: services to fit patient needs (end-of-life management, psych/social interventions, transitions of care)
- 90% of patients enrolled, 100% retention of case managers
- Data shows: lower costs, fewer admissions, lower mortality, greater use of hospice
- Extended for 3 more years by the CMS and expanding into additional Harvard hospitals.
- Real-time screening
- Mutational profiling in lung and colorectal cancers, seeing a broad range of mutations
- Feb 21, 2010 in the Boston Globe front page: "MGH death spurs review of patient monitors"
- Root cause analysis revealed 3 root causes
- Established short-term and long-term responses
- Health care reform thoughts?
- Rotations in medical management for residents (and medical students)?
- Greatest challenges? (work/life balance)
- Thoughts about accountable care organizations?