Teaching residents systems-based practice through a hospital cost-reduction program: A "win-win" situation

被引:22
作者
Englander, R
Agostinucci, W
Zalneraiti, E
Carraccio, CL
机构
[1] Connecticut Childrens Med Ctr, Dept Clin & Family Support Serv, Hartford, CT 06106 USA
[2] Univ Connecticut, Sch Med, Dept Pediat, Hartford, CT 06112 USA
[3] Univ Maryland, Sch Med, Dept Pediat, Baltimore, MD 21201 USA
关键词
D O I
10.1207/s15328015tlm1802_10
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background: The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project challenges residency programs to teach and evaluate competence in 6 domains, including systems-based practice (SBP). One element of SBP is to "practice cost-effective health care... that does not compromise quality." Institutional cost-reduction efforts included targeting laboratory fees by using point-of-care testing with air iSTAT (R) machine rather than in the central laboratory. Predicted cost savings were $50,000 per month. Because residents are primary, users of laboratory resources, the authors engaged them in the process and implementation of system redesign. Description: The residents identified barriers to use of the iSTAT (R) and solutions to overcome those barriers. Evaluation: As a result of resident solutions, use of the iSTAT (R) went from 40% of potential iSTAT (R) tests being ordered on the iSTAT (R) to 98%, with all estimated $549,780 per year in savings to the hospital. Conclusion: Involving residents in hospital cost-reduction efforts allows both teaching and evaluation of competence in SBP while realizing significant cost savings.
引用
收藏
页码:150 / 152
页数:3
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