To Healthcare Leaders Who Want Their Organization to Succeed:
- Do you really know what your top physicians are thinking?
- Are your practices fully aligned with their mission, vision, and values?
- Just how well are you dealing with the most expensive device: your physician’s ordering practices
We all pay for it, but few are aware of its extent. An us-versus-them relationship between physicians and hospital leaders affects healthcare quality, safety, reimbursement, and expenses. Generally, doctors are at odds with hospital executives because of differences in outlook and training and because of perverse financial incentives. People who make an extra effort to improve patient care are not uniformly recognized or rewarded. Physicians lose time, hospitals lose money, and patients suffer adverse outcomes.
Doctors significantly influence hospital revenue, expenses, and clinical outcomes by their daily decision making, but their allegiance is to their professional and economic well-being, not to the hospital. Waste and inefficiency threaten the viability of our healthcare non-system.
Working smarter, not harder is the answer. Effective, enlightened dialogue between physicians and hospital executives enables them to serve their common interests. Hospitals where Dr. Cohn has helped physicians and hospital leaders work more interdependently have saved hundreds of thousands of dollars, which they have reinvested in improved facilities and processes. For example:
At a West coast hospital, cardiologists challenged orthopedists to consolidate their vendors. An orthopedic physician champion studied the data and convinced his colleagues that no differences in clinical outcomes existed with different implantable devices. He persuaded his colleagues to cut their vendors from 8 to 2, saving the hospital $4.2 million over 3 years. The hospital used “virtual gain-sharing,” asking the orthopedic surgeons what equipment they needed, and spent $365,000 on a new fracture table and imaging system. The result was a win for the surgeons, for the hospital, and for patients and their families.