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Healthcare

In Harvard Business Review, Parkland CEO Touts Ways System Has Cut Costs

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Dr. Fred Cerise, the CEO of Parkland Health & Hospital System, recently a penned an editorial in The Harvard Business Review highlighting how the safety net system has coordinated care and instituted strategies that, he says, have saved taxpayers money.

The piece is part of a series that explores “how pioneering providers are making change happen.” Cerise writes that the Centers for Medicare and Medicaid Services pay less for an episode of care at Parkland than it does at any other hospital. He attributes this to the facility’s dedication to coordinating care, from the electronic health records to quality measures to the shift between primary care physicians and the patient’s specialists.

He writes:

Effective coordinated care must be team-based and span inpatient and outpatient settings. For example, our physician-led diabetes program sets standards of care throughout the institution, from establishing multidisciplinary group visits for outpatient chronic-care management to implementing standardized protocols for titrating inpatients’ insulin dosing to manage blood-sugar levels. This effort has reduced the average number of episodes of critically low blood sugar among all inpatients from 13 per month to less than one per month. We improve care for patients like these (with diabetes and many other conditions) by using electronic decision support, tracking outcomes, and sharing the data with providers.

Cerise also writes about what he terms “population-driven innovation,” using as an example the system’s initiative to train patients to give themselves intravenous antibiotics without the need of a home nurse, saving more than $40 million. Head here to read his whole piece.

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