HEALTH REFORM: What Works (The Real Reality TV)
After The Speech -- and the Outburst -- and some of the usual political chatter, ABC‘s Nightline went inside the Mayo Clinic to show Americans what President Obama is talking about when he says we'll have "delivery system reform" and integrated care. It's one of at least three in-depth television pieces we've seen recently (more below on PBS and CBS) that illustrate how we can get high quality, patient-centered care at a lower cost.
Mayo is a household word. People know it's world-class care. What they may not know, and what Nightline showed, is that Mayo isn't excessively expensive. It isn't inaccessible to ordinary Americans. And it isn't built around the most esoteric and exotic and high tech specialist solutions. Yes they have them there, state of the art, best in class, and all that. But Mayo is built on primary care. On teamwork. On care coordination. On health information technology. On putting patients first.
And, we were happy to see, it's got some bright young doctors who are very gung-ho on health reform. As newly minted MD Mike Wilson (unless he's changed his last name since last night) put it, "I think it's finally come to the point where we realize something has to be done about this health care system."
Mayo is not alone. More hospitals and health care systems are moving toward a more integrated approach, improving quality -- while lowering costs. Changing our payment system to reward, not stifle, such innovation is part of health reform too.
PBS for instance recently profiled the Billings Clinic in Montana (part of our Health Care CEOs for Health Reform). They looked at how quickly patients get treated, how closely the doctors work together, and how Billings strives to keep elderly patients out of the hospital, sometimes with telemedicine that lets them be monitored at home, heading off crises before they happen ... and require another trip to the ER.
DR. JORGE NIEVA, oncologist, Billings Clinic: Care here is very patient-centered. Patients get brought here, and we try to arrange for them to see everybody that they need to see in a very rapid period of time. It's a collaborative model. It's a model where I can always call up the doctor down the hall or walk across the hall and get him to see somebody the same day, if they need to be seen that day for a serious illness or diagnosis.
CBS profiled Virginia Mason in Seattle, another member of the Health Care CEOs group. One thing Virginia Mason has become well known for (and we've written about it before) is working closely with Seattle-area businesses to figure out what their workers need. One result: improved treatment of back pain. Patients get treated more quickly -- and more inexpensively. And they get well faster. They showed one patient who was in the clinic getting physical therapy within two hours of her initial call. No waiting days or weeks for a specialist. No unnecessary expensive imaging. Good treatment. Fast treatment. Cost-effective treatment.


