transparency: clinician perspective - global health care, llc · ©2015 sutter health all rights...

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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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Adult Learning: “Top down” vs. AHA!

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Adult Learning: “Top down” vs. AHA!

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URGENT CARE

7

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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

9

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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

12

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CBC, Metabolic

panel

“Repeat daily until discharge”

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16

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17

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18

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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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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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

22

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23

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) 402-7492vandurenm@sutterhealth.org