Category Archives: Performance Metrics

7 June 2016

The Physician Burnout Epidemic, Part 2: How Physician Leaders Can Help Combat Burnout

In Part 1 of this series we reviewed the root causes of the alarming increase in physician burnout. Part 2 focuses on the important role physician leaders can and must play in helping to not only stem but also reverse the pervasive tide of dissatisfaction and burnout among doctors affiliated with health systems, hospitals and large physician services companies.

Research has shown that physician leaders have a major impact on burnout in those who report to them. In the April 2015 issue of Mayo Clinic Proceedings, researchers Tait D. Shanafelt, M.D. and colleagues shared the results of their study evaluating the impact of organizational leadership on the professional satisfaction and burnout of individual...

24 May 2016

MACRA Gets Real: What It Really Means for Doctors

MACRA – the Medicare Access and CHIP Reauthorization Act of 2015 – was signed into law more than a year ago. Yet it’s only recently (April 27, 2016) that the Centers for Medicare and Medicaid Services (CMS) finally released the first major proposed regulation under the law. The proposed rule on the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) Incentive lays out the two payment track options under MACRA (referred to collectively by the CMS as the Quality Payment Program or QPP).

MACRA fundamentally changes how Medicare pays physicians and other clinicians who participate in the program. A key feature is the permanent repeal of the CMS’s unpopular...

19 May 2016

The Physician Burnout Epidemic, Part 1: Root Causes of This Alarming Trend

Physician burnout is a huge – and growing – problem, not just for doctors, but also for the entire healthcare system and the population it serves. In a recent survey by Studer Group of more than 350 practicing physicians, a staggering 90 percent of respondents said they have experienced symptoms of burnout at some point in their career. And 65 percent of those who have experienced burnout said they have considered leaving medicine.

A Disturbing Trend With Serious Implications

Physician burnout has increased dramatically in recent years. According to a 2015 Medscape article that compared the responses of respondents to both the 2013 and 2015 surveys for the Medscape Physician Lifestyle...

6 May 2016

Physician Spotlight: Gerald A. Maccioli, MD, FCCM

Dr. Maccioli serves as Sheridan’s Chief Quality Officer. Before joining Sheridan in 2015, he practiced Anesthesiology and Critical Care Medicine for more than 27 years. He served as Director of the American Society of Anesthesiologists (ASA) for North Carolina and as Chair of the ASA Section on Education and Research. He also served as President of the Society of Critical Care Anesthesiologists. As the Chair of the American Medical Association (AMA) Committee of Innovators, Dr. Maccioli played an influential role in developing comprehensive, progressively responsible healthcare reform strategies. He continues to serve on the AMA’s Quality Improvement Advisory Committee (QIAC) as well as the Committee on Practice...

22 April 2016

Spotlight on Sheridan’s Comprehensive Teleradiology Solutions

Sheridan’s recently released FRESH ES/CTS Newsletter for Q1 2016 features FAQs with Chief Glenn Kaplan, M.D. about our teleradiology solutions. FRESH ES stands for Final Reads Electronically from Sheridan Healthcare Eco-System. This technology platform allows radiologists to view cases from multiple hospitals across the country, including relevant prior studies, and render a preliminary or final interpretation. The latest version enables radiologists to stream images rather than downloading the full DICOM data set. Among its many benefits, FRESH ES integrates the workflow between hospital-based radiologists and referring physicians, greatly increases efficiency, and enables significantly improved diagnostic...

25 March 2016

Designing the Future of Emergency Medicine

The best emergency departments are those that consistently look for ways to optimize and streamline processes so that clinicians can reach patients as quickly as possible and care for them successfully. Mirroring these dynamic EDs, the emergency medicine field as a whole will need to look for ways to improve the delivery of care. As baby boomers age, systemic capacity for quality patient care will be strained by its sheer cost and volume. In this sense, it will be necessary for doctors to question the current best practices in emergency medicine. There is a mounting need for innovation within every facet of the workflow.

To address this need, Sheridan organized the Innovate Emergency Medicine (iEM) conference...

7 December 2015

Strengthening Radiology: The Importance of Standards

Top executives at health systems realize that establishing radiology standards is a primary concern for their hospitals. Healthcare organizations must aim to develop best practice criteria and establish tangible goals for radiology practices, particularly since there are no national regulatory standards. Ignoring the challenges and maintaining the status quo will not work; the impact of radiology on the quality and cost of care is simply too high.

As mentioned in our previous blog post, it’s clear that the majority of hospitals will not be able to meet all their imaging needs using internal resources alone. To ensure quality across both internal and external radiology resources, clear and stringent...

10 November 2015

Critical Questions for Outsourcing a Newborn Hearing Screen Program

According to the American Academy of Pediatrics, hearing loss is one of the most frequently occurring birth defects. Considering this, states have taken action to ensure children are screened and treated early for hearing loss. Now, nearly all (97%) of newborns leaving hospitals receive hearing screenings.

Because the hearing screen process is relatively routine and simple to conduct, the primary challenge for hospital management is less about process optimization and more an issue of staffing and training. To solve the problem, more hospitals are turning to outsourced service providers that can manage the program with minimal financial commitment.

Entrusting a hearing screening program to a dedicated clinical...

28 October 2015

Collaborative ED/EMS Relationships Can Improve Emergency Department Experiences

Improving the efficiency of triage and intake processes is a high priority for emergency departments, especially since 60-80 percent of inpatient admissions in many hospitals are made in the ED. With the changes made to Medicaid in 2014 and the evolution of diagnostic practices, many are now using the ED as their primary source of medical care. ED overcrowding is a challenge, especially during peak ED times when there may not be enough dedicated staff to respond to high traffic volumes in a timely manner. When this growing demand exceeds the ED’s capacity, the result is more ambulance diversion, extended door-to-provider times (AKA “wall times”) and greater patient dissatisfaction.

Identifying and...

30 September 2015

What Are the Radiology Challenges for Hospitals?

The significant growth in radiology, as we’ve discussed, represents an extraordinary opportunity for hospitals to improve their key metrics while also increasing profitability. These are goals that modern hospitals need to aspire to – but to accomplish them, there are significant challenges that need to be overcome.

Despite the importance of patient care to hospital economics, radiology remains fragmented in its service delivery in terms of efficiency, quality standards, effectiveness of service and even the scalability of its basic delivery model. The American College of Radiology publishes a set of guidelines and appropriateness criteria governing the specialty. The complexity of the specialty...