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Development of a hospital-based program focused on improving healthcare value
Christopher Moriates1, Michelle Mourad, Maria Novelero
1Division of Hospital Medicine, University of California, San Francisco, San Francisco, California.
Journal of Hospital Medicine
|July 2, 2014
Summary
A new high-value care (HVC) program successfully reduced waste and improved healthcare value. This initiative engaged clinicians and demonstrated significant cost savings, such as a 50% decrease in nebulizer use.
Area of Science:
- Healthcare Management
- Health Services Research
Background:
- Physicians face pressure to enhance care quality and reduce healthcare costs.
- Hospitals and physicians are implementing healthcare value initiatives.
- Limited infrastructure exists to support healthcare value work.
Purpose of the Study:
- To establish a High-Value Care (HVC) program within a Division of Hospital Medicine.
- To identify and reduce waste in hospital care.
- To promote evidence-based interventions that improve care quality and value.
Main Methods:
- Launched a High-Value Care (HVC) program in March 2012.
- Co-led by a physician and administrator, including hospitalists, residents, and pharmacists.
- Utilized financial and clinical data to identify waste, promoted evidence-based interventions, and provided cost-awareness education.
Main Results:
- Identified 6 ongoing projects in the first year.
- Preliminary data shows encouraging results.
- One initiative reduced nebulizer use by over 50% by promoting metered-dose inhalers.
Conclusions:
- The HVC program is an effective mechanism for improving healthcare value.
- The program successfully promotes clinician engagement.
- The initiative demonstrates a successful approach to reducing healthcare costs while maintaining quality.
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