You need physician champions that the medical staff respects, according to Ed Septimus
, MD, medical director for infectious diseases, pharmacy services and occupational health at Memorial Hermann Healthcare System in Houston, which has made evidence-based medicine a core strategy.
Administration/corporate must walk the talk' on this issue, both by example as well as in regard to funding, said Septimus
.Also, they must develop a long-term partnership with physicians.Both the hospital and physicians depend on each other for success.In the past it was more us vs. them.'.
Investing in information systems is critical for success in outcomes management, said Septimus
.Already, the information infrastructure saves time and cost in data collection and lends structure to data for outcomes measurement.
what be next? do not forget about cost data.
added, we be doing a pretty good job of obtaining hospital data, but a much poorer job in tracking outpatient information and long term outcomes.An interactive system with computer order entry and pharmacy, etc., all linked together to avoid prescribing errors, provide feedback and encourage best practices is definitely in the future.
So, how do you know you be getting outcomes management right? Watts summed it up this way : you be on the right track when good information is giving you a platform for timely discussion about prognosis and treatment of the patient ; when there is crisp, accurate, helpful communication with patients or their families ; and when we are being attentive to the cost and utilization issues in rolling out their care..