The Transformation of Health Care and the Role of the University: Perspectives from the Wisconsin Medical Society Susan Turney, MD, MS, FACMPE, FACP EVP/CEO Wisconsin Medical Society Wisconsin Medical Society Strategic Plan Focus Areas: • • Health Insurance Coverage and Access Quality/Clinical Outcomes Need the University’s help with measuring population health determinants affecting our strategic plan focus areas What Can the University Do to Transform Health Care? • Increase physician advocacy • Provide evidence-based data on best care • Create economic modeling to better understand the cost impact with health system redesign • Assess technology’s impact on quality and cost Physicians in academic medical centers and universities are generally not as active in advocacy-related activities as those in more traditional private sector practices. Transformation of Health Care 1. Knowledge explosion 2. Technology explosion Practitioners can’t keep up. Academic Rigor • • • • • Study design Theory driven hypotheses Transparent methodology Ethics/Independent Review Board Vetting process in peer-reviewed journals The Perfect is the Enemy of the Good Set Research Priorities • Conduct world class research on things that matter to practitioners • Attract research funding so that more evidence can be obtained about what works for whom Economic Modeling Cost Effectiveness Analysis (CEAs) • Pay-for-performance • Episodes of care comparisons • Consumer driven health plans Technology Assessment • • • • Clinical decision support Clinical data integration HIT design Patient safety and quality Translating From Journals to Bedside • Translational research is the University’s role • Need to decrease the 17 year lag from recognized controlled trials to practice • Direct how HIT will facilitate the process The University Can Transform Health Care By: • • • • Promoting Physician Advocacy Providing Evidence-based Data Creating Economic Modeling Assessing Technology In order to seek one's own direction, one must simplify the mechanics of ordinary, everyday life. Thank you Questions/Comments
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