Category Archives: Performance Metrics

23 March 2017

The Role of Professional Development in Physician Engagement

Sheridan’s Chief Quality Officer Gerald Maccioli, MD, MBA, FCCM sees physician engagement as essential for all stakeholders. He spoke with Becker’s ASC Review recently about the value of investing in comprehensive professional development opportunities for physicians to keep them engaged. 

“We all want the quadruple aim—which includes a satisfied population of physicians,” he said in the Q & A. “If engagement isn't developed, you are never going to get to that. It will always be a push and pull rather than a rolling together phenomenon.”

Dr. Maccioli explained that physicians are highly educated problem solvers for whom development and...

9 February 2017

Are the Best Hospitals Led by Physicians?

Healthcare’s increasing complexity in this country and the growing emphasis on patient-centered care and efficiency in delivering clinical outcomes are forcing clinicians get better at balancing the competing imperatives of cost versus quality and technology versus humanity. Those challenges are preparing them to take on leadership roles—a good thing, say the authors of a recent op-ed published in the Harvard Business Review, who make a strong case that the best hospitals are led by physicians.

Many of the Top-Ranked Hospitals Are Led by Doctors

James K. Stoller, MD, a pulmonary/critical care physician at the Cleveland Clinic and chairman of the Education Institute; Amanda Goodall, PhD, senior...

19 January 2017

Integrating Telemedicine Responsibly

Providers and patients alike view telemedicine as an increasingly important healthcare delivery modality. Per a recent article in Medical Economics, “How to balance telemedicine advances with ethics,” the American Telemedicine Association (ATA) reports that more than half of all U.S. hospitals use some form of telemedicine; and IHS Technology predicts the number of patients using telehealth services will jump from fewer than 350,000 in 2013 to 7 million in 2018.

But this modality can also be challenging to implement responsibly.

Telehealth Benefits

The dramatic growth of telemedicine is driven by its ability to further the goals of the “quadruple aim” framework for...

5 January 2017

Our 10 Most Popular Blog Posts of 2016

The most-read posts on the Sheridan blog in 2016 focused on key topics – ranging from the challenges involved in the transition to value-based care and this country’s physician burnout epidemic to exciting technology innovations and trends in clinical practice.

The 10 most popular posts from the past year are:

How to Manage the Burdens of Change on Physicians and Health Care Practitioners, a summary of Chief Quality Officer Dr. Gerald Maccioli’s presentation at the 2016 Health:Further Summit about the overwhelming burdens on providers created by current and planned changes to the U.S. health care landscape and strategies for managing them.

Sheridan’s 2016 Leadership...

3 January 2017

How Patient Satisfaction Scores Affect Physicians and Care

Enhancing patient experience is part of the quadruple aim for value-based care. CMS uses the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure patients’ perceptions of their hospital experiences and compare them across hospitals, locally, regionally and nationally. Those scores have played a role in hospital payment through the Hospital Value-Based Purchasing program since 2012. Now, under MACRA, physicians’ and hospitals’ patient satisfaction scores beginning in 2017 will affect their Medicare reimbursements beginning in 2019. Sheridan is rolling out patient satisfaction scoring for all its physicians and Gerald A. Maccioli, MD, MBA, FCCM, Chief Quality Officer, was...

22 December 2016

Practice Management Changes in 2017

A new Physicians Practice article, “7 Predictions for Practice Management in 2017,” features several respected healthcare experts including Sheridan’s Chief Quality Officer, Gerald A. Maccioli, MD, MBA, FCCM. Their predictions addressed seven areas of anticipated change:

The Affordable Care Act and congressional action New data and deadlines Shifting payments Added regulation Changing insurance scene Technology demands Patient communication

Dr. Maccioli spoke about the modifications to the phase-in year of MACRA made by CMS to address the physician community’s “angst” about the program’s implementation, including technology and operational issues such...

10 November 2016

Online Symptom Checkers List Correct Diagnosis First Only One-Third of the Time

Patients increasingly rely on online sources of medical information, including WebMD and Google. Patients’ increasing engagement in their healthcare is a good thing, but they often come in with an incorrect diagnosis based on online research, as Dr. Catherine Polera, Chief Medical Officer for Sheridan’s Emergency Services division explained in a MedPage Today article. Now physicians can show their patients concrete evidence that a doctor’s diagnosis is far more likely to be correct than that of a computer algorithm.

Researchers at Harvard Medical School and Brigham and Women’s Hospital in Boston recently tested the diagnostic accuracy of trained physicians compared to that of online...

13 October 2016

The AMA’s New Tools to Ease MACRA Transition for Physicians

The American Medical Association (AMA) recently unveiled new tools and resources to support physicians through the daunting process of transitioning to CMS’s new Quality Payment Plan (QPP) under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). These resources include the AMA Payment Model Evaluator, the addition of six new MACRA-specific modules to the AMA STEPS Forward™ collection of practice improvement strategies, and a new ReachMD podcast series titled Inside Medicare’s New Payment System. The AMA developed these new tools to help physicians navigate and prepare for the impending changes to Medicare payment and delivery and to improve their opportunities to succeed when MACRA and the QPP go...

26 September 2016

How to Manage the Burdens of Change on Physicians and Health Care Practitioners

The high cost of U.S. health care continues to grow, thanks to a combination of factors including inefficient care delivery, operational processes and expansion of health care coverage to vulnerable populations. The need to curb these spiraling costs is clear while improving the value of the overall spend. But the shift to value-based care and related health care reform initiatives by both the government and the private sector are burdening health care providers with unreasonably complex, time-consuming and costly record keeping and reporting requirements, thereby encouraging physicians and other practictioners in private or small practices to either join large provider organizations, such as hospitals and physician services...

20 June 2016

Communication and Transparency in Lean Process Improvement

A recent article in Modern Healthcare discussed the importance of data transparency and communication in targeting process improvements effectively. One of the examples highlighted was the Project Zero campaign launched in 2011 by St. Luke’s Health System in Boise, Idaho to eliminate hospital-acquired infection in the orthopedic service line. By allowing orthopedic surgeons to routinely monitor the system's infection rate after knee and hip replacement surgeries, laminectomy procedures and spinal fusion surgeries, St. Luke’s was able to reduce the rate from 1.08 percent to 0.57 percent in two years. In addition to tracking data, effective communication and collaboration were key to success. Dr. Kevin Shea,...