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

© 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


How do Clinicians Change Behavior?

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How do Clinicians Change Behavior?

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Adult Learning: “Top down” vs. AHA!


URGENT CARE

7


Abdominal Pain Average Cost For Ancillary Services

8 Prices displayed are not actual, but standardized.


Abdominal Pain Percent of Patients with CT Scans

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10Prices displayed are not actual, but standardized.


11

Reduced Spend = 396 Less CTsReduced Spend = 396 Less CTs

Radiation Reduced = 3960 mSvRadiation Reduced = 3960 mSv

Prices displayed are not actual, but standardized.


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



19

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



Before/After Rate by Individual Doctor



Project Spread: 6 Hospitals in 4 months



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]

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

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