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MODELS OF CARE: Geographic unit-based teams case study

Redesign of the care model for inpatient units at Brooklyn Hospital Center (NY, 464 beds)  is described in this article.  Previously, hospital medicine teams would round on patients scattered about the hospital.  After the redesign, geographic unit-based teams were created.  How staff handled the transition to the new model and interactions with the bed board system are discussed.  Workstations on wheels (WOWs) were added to rounds.  Provider and patient satisfaction were found to improve after implementation of the new model.

Source: Pendharkar, S., Malieckal, G., and Gasperino, J. (2019, May 10). Unit-based models of care. The Hospitalist.  Click here for full text:  https://www.the-hospitalist.org/hospitalist/article/200713/mixed-topics/unit-based-models-care  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

BACK PAIN: Inside look at Mass General Hospital’s service

This article is primarily about how to redesign the care model in a health care system from a fee-for-service model to an accountable care model.  However, it is chock full of interesting statistics based on the experience of Massachusetts General Hospital (Boston).  Here are some of these statistics.

  • Costs associated with outpatient care of back pain: 35% injections, 21% physical therapy (PT), 20% diagnostic imaging, 13% office visits.
  • Average visits made by back pain patients: 2.8 visits over 2 years
  • Average PT visits made by back pain patients: 4 visits over 2 years
  • Average injections received by back pain patients: 3 injections over 2 years
  • Average imaging studies on back pain patients: 0.7 imaging studies over 2 years
  • 90 percent of inpatient admissions of nonsurgical back pain come through the emergency department

One of the significant changes that Mass General has made related to patients with nonsurgical back pain has been to send them to observation instead of admitting them for inpatient care.

Source: Gilligan, C.  Care redesign.  American Society of Anesthesiologists Newsletter;78(1):14-16, Jan. 2014.  Click here for access to this article: https://www.asahq.org/sitecore/content/Home/For%20Members/Publications%20and%20Research/Newsletter%20Articles/2014/January%202014  Posted by AHA Resource Center (312) 422-2050, rc@aha.org