Clinical

  • 10/27/16
    The U.S. is in the midst of a national crisis. In the past two decades we have seen increasing use, abuse and deaths associated with opioid medications. Here are a few disconcerting trends*: Prescribing opioids is on the increase. Approximately 20 percent of patients receive an opioid prescription for non-cancer-related symptoms or pain-related diagnosis in America. This 20 percent translates to approximately 259 million prescriptions or an equivalent of one bottle of opioids for every adult...more...
  • 10/26/16
    An alphabet soup of regulations, guidelines and standards, all competing for resources, some financial and almost all involving human capital to implement and execute, are coming at clinicians and hospital administrators faster than the F-18s that fly over my neighborhood in Virginia Beach. The speed and pace of change in our industry have managers’ and staffs’ heads spinning. The first challenge is staying on top of the information that is coming fast and furious while also...more...
  • Guest blog
    09/21/16
    Health care spending in the U.S. exceeds $3 trillion per year and 10 percent of the population – the chronically ill – accounts for approximately 60 percent of that cost. Those patients are distinguished by their complex medical conditions that often require costly interventions. As noted in a previous Vizient blog, more than two-thirds of Medicare beneficiaries have multiple chronic diseases and a staggering 93 percent of total Medicare spending goes toward beneficiaries with...more...
  • Sg2, a Vizient company
    09/21/16
    Since 2013, microhospitals have continued to pop up across the country. Leading organizations, such as Baylor Scott & White Health in Texas, SCL Health in Colorado and Dignity Health based in California, have built microhospitals to expand their footprint. Just this month, St. Vincent Health in Indiana announced its plans to open four microhospitals in the Indianapolis area. Likewise, Saint Joseph Mercy Health System in Ann Arbor, MI, is planning to open a microhospital concept that will...more...
  • 09/14/16
    In 1989, the National Weather Service retired its coastal warning display system in favor of electronic communication and other technological advances. For more than 100 years prior, colored pennants, flags and lights were used to warn mariners of impending storms. In the 19th century, those warnings often came as the result of sailors having beaten a path to port ahead of storms they had seen with their own eyes.more...
  • Sg2, a Vizient company
    09/01/16
    It is no secret that CMS intends to keep pushing the health care industry toward value-based reimbursement through its evolving payment models. The proposed rule for the Medicare Access and CHIP Reauthorization Act (MACRA) offers a new method of paying clinicians for the value of care they provide. It proposes implementing this change through a framework consisting of two paths: the Merit-based Incentive Payment System (MIPS) or advanced Alternative Payment Models (aAPMs).more...
  • 08/23/16
    A recent article in Modern Healthcare reported on the enthusiasm over outpatient joint replacement surgery for younger and healthier patients. The arguments in favor of the shift for a subset of carefully selected patients are compelling. Quicker recoveries, faster return to normal activities, and reduced exposure to infections and other risks associated with hospitalization make a strong case for the change of venue.more...
  • 08/12/16
    Spurred on by the overwhelming participation rates in the Bundled Payments for Care Improvement Initiative (BPCI) as well as their uncontested ability to impose a mandate on hospitals in selected areas through the Comprehensive Care for Joint Replacement program (CJR), CMS last week announced plans for a more extensive foray into the bundled payments arena. more...
  • 08/02/16
    In The Hound of the Baskervilles, Sir Arthur Conan Doyle’s intrepid sleuth observes that “the world is full of obvious things which nobody by chance ever observes.” Many of us who have spent our professional lives in health care have an intuitive belief that genuine multispecialty medical groups deliver care more efficiently than when physician services are fragmented among multiple, largely independent medical groups.more...
  • Sg2, a Vizient company
    07/14/16
    Rather than any early knockout in one of his epic matches, eulogies last month for boxing legend Muhammad Ali memorialized his three-decade, very public fight against Parkinson’s disease. The once fleet-footed heavyweight champion’s chronic condition, in the words of former president Bill Clinton, “made his life bigger, not smaller” as he championed greater awareness and resources for the condition.more...