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ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE

Medical Practice Strategies:  Systems Based Practice - Business Laws Ethics

Janet Lerman, J.D.

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Class 4 - Survival Tips

Providers Can Demonstrate Clinical Excellence  By:

bulletIncidence of preventive services such as mammography and Pap smears
bulletSuccess of operations
bulletReduced complications after surgery
bulletRates of mortality, morbidity and infection
bulletReputation of specialists among peers

The following is a list of ten survival strategies for specialists according to the article by Sam Ho, M.D., "The Evolution of the Specialists," Healthcare Forum Journal:

1.    Demonstrate clinical excellence - measured by the incidence of preventive services such as mammography and Pap smears, success of operations, reduced complications after surgery, rates of mortality, morbidity and infection, and reputation of specialists among peers.  Healthcare plans and purchasers of care want outcomes data such as HEDIS (Health Employer Data and Information Set), consumer report cards, and the demands of the National Committee for Quality Assurance (NCQA) for information to support accreditation.

Healthcare plans and purchasers of care want Outcomes Data such as:

bulletHealth Employer Data and Information Set ( HEDIS) and other demands of the National Committee for Quality Assurance (NCQA) for information to support accreditation
bulletConsumer report cards

2.    Collect and analyze data for continuous quality improvement.  For example, SF-36 forms can be administered in 10 minutes and gives a wealth of information related to a patient's quality of like, a major gauge of the appropriateness and effectiveness of treatment.  SF-36 described in the early 1990s by J.E. Ware, Jr., measures eight dimensions of overall health:  physical functioning, social functioning, role limitations related to emotional or personal problems, mental health, vitality, general health perception and bodily pain.

3.    Be willing to work within guidelines.

4.    Align incentives.

5.    Maximize power of group or team.

6.    Be willing to innovate.

7.    Maintain strong relationships with PCPs and plans.

8.    Understand and accept managed care principles.

9.    Recognize importance of patient satisfaction.

10.   Use technology intelligently.

Survival Strategies for Specialists Include:

bullet Demonstrate clinical excellence 
bullet Collect and analyze data for Continuous Quality Improvement (CQI)
bullet Be willing to work within guidelines
bullet Align incentives
bullet Maximize power of group or team
bullet Be willing to innovate
bullet Maintain strong relationships with PCPs and plans
bullet Understand and accept managed care principles
bulletRecognize importance of patient satisfaction
bullet Use technology intelligently

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