transparency: clinician perspective - global health care, llc · ©2015 sutter health all rights...
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© 2015 Sutter Health All Rights Reserved
Transparency: Clinician Perspective
Michael van Duren, MD, MBA
Second National Summit on Health Care Price, Cost and Quality Transparency
March 16, 2015Washington, DC
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How do Clinicians Change Behavior?
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How do Clinicians Change Behavior?
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Adult Learning: “Top down” vs. AHA!
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© 2015 Sutter Health All Rights Reserved
Adult Learning: “Top down” vs. AHA!
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© 2015 Sutter Health All Rights Reserved
Adult Learning: “Top down” vs. AHA!
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URGENT CARE
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Abdominal Pain Average Cost For Ancillary Services
8 Prices displayed are not actual, but standardized.
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Abdominal Pain Percent of Patients with CT Scans
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10Prices displayed are not actual, but standardized.
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Reduced Spend = 396 Less CTsReduced Spend = 396 Less CTs
Radiation Reduced = 3960 mSvRadiation Reduced = 3960 mSv
Prices displayed are not actual, but standardized.
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HOSPITALISTS
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CBC, Metabolic
panel
“Repeat daily until discharge”
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Project Start
Date
9/8/2014
Project Start
Date
9/8/2014
Reduced Spend = $69,570Reduced Spend = $69,570
Percent of Labs Ordered as Repeating
Prices displayed are not actual, but standardized.
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© 2015 Sutter Health All Rights Reserved
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Project Start
Date
9/8/2014
Project Start
Date
9/8/2014
Reduced Spend = $69,570Reduced Spend = $69,570
Percent of Labs Ordered as Repeating
Prices displayed are not actual, but standardized.
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© 2015 Sutter Health All Rights Reserved
Before/After Rate by Individual Doctor
20Prices displayed are not actual, but standardized.
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Project Spread: 6 Hospitals in 4 months
21Prices displayed are not actual, but standardized.
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Hardwired solution: “repeat” button removed
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550 fewer blood draws since project start
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For More Information
• Please contact: Michael van Duren, MD, MBAVice President, Variation Reduction(916) [email protected]