Partnerships like this exist across the country, but most are local; for example, a community hospital offers access to physicians at the academic medical center nearby. It works for both organizations: the AMC widens its reach and the community hospital is able to keep patients in its system.
Despite efforts by the likes of Mayo Clinic and Cleveland Clinic who have transplanted their models to different geographic areas, healthcare has largely remained a locally delivered service. Even massive healthcare systems like Catholic Healthcare West or Kaiser generally allow individual hospitals to operate relatively independently. It’s been my view, up to this point, that healthcare would remain local, a national presence being rare.
It’s actually pretty interesting to think about how local healthcare has actually remained, especially when compared to counterparts in other industries. National chains have been developing since McDonalds started doing it in the 1950s.
But partnership agreements like the one between Holy Cross and Mass General could change that. Who wouldn’t choose, if they could, the Mayo Clinic for neurosurgery? Or the Cleveland Clinic for heart treatment? Or Johns Hopkins for a urology procedure? Each of these institutions are ranked first in those respective specialties according to US News.
The point is that Holy Cross and Mass General are onto something. Think of your local community hospital offering the expertise of the nation’s best. It really could be a collection of partnerships with the best around the country. It is especially likely if a particular hospital trails the local competition: the other guy is pretty good at heart care, but we’ve teamed with the Cleveland Clinic to bring you great heart care.
Of course there many obstacles to overcome, namely whether local physicians would be interested in such a model.
“…more than half of us are the agents of our own demise.”
Check out Thomas Goetz’s book “The Decision Tree.”
If someone would just tell us what works:
a recent Brown University study found that, although higher co-pays keep older people from going to their physicians’ offices as often as they might, the practice also leads to more hospitalizations.
Healthcare in America.
The U.S. spent $2.472 trillion on health care last year, according to a paper out today in the journal Health Affairs. That’s $282 million an hour. Health spending as a percent of GDP — a key metric that shows how much of all U.S. spending goes to health care — rose from 16.2% in 2008 to 17.3% in 2009, far higher than any other industrialized country. That’s the largest one-year increase since 1960, when the feds started closely tracking national health expenditures.
|The Daily Show With Jon Stewart||Mon – Thurs 11p / 10c|
The absolute first question I’d ask a potential surgeon: “Do you use the checklist?”
“Do cool stuff that lasts.”
Atul Gawande (from a Salon interview on checklists and life):
My teams once asked me what our mission statement is. All I could come up with is to do cool stuff that lasts. That’s all I got.