InCharge HEALTHCARE 2018 changing and physicians are not as averse to talking accountability as before because they have a better understanding of it,” said Breen. “There has been lot of good come from transparency as there is nothing hidden under the rug anymore. It shows where your commitment is and how well you are performing. It incentivizes us to take ownership to staff practices to engage patients in totally different way than have before while lowering costs with greater patient satisfaction.” Semmes Murphy Clinic was a bit ahead of the accountability and transparency curve. The clinic is one of the lead sites for a clinical outcome database that tracks the quality of care for common neurosurgeries that was formed in 2012. “Our physicians took the lead in our joining this database and it allowed us to get ahead of the game. We knew reform was coming and this let us start gathering data to begin to develop benchmarks,” said Lewis. “This database has established risk-adjusted national benchmarks for cost and quality of neuro procedures. It can also demonstrate comparative effectiveness of procedures we do. We have then been able to present data to insurance companies and the public on how the practice is performing.” “Patients must be at the center of things, it will fail if not,” said Breen, “What do we want for ourselves and families, it is a journey. Every generation comes at healthcare needing something different and with very different expectations and demands. I think in 200 years to will not be like it is today across all lines. Transformation isn’t immediate, it is a process.” Fortunately, Memphis has an abundance of leaders who have taken on an intimidating challenge and are making important strides in overcoming major hurdles as well as settling into the norm of change. While we all may be pining for relief from regulation, it is probably a fruitless endeavor. As Breen says, the parade is marching down the street, we may change our position in the procession, but we are not stopping it.
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Memphis Medical News InCharge 2018