Teaching Residents Systems-Based Practice Through a Hospital Cost-Reduction Program: A "Win–Win" Situation

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 "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 an iSTAT® machine rather than the central laboratory. Predicted cost savings were $50,000 per month. Because residents are primary users resources, authors engaged them process implementation system redesign. Description: identified barriers use solutions overcome those barriers. Evaluation: As a result resident solutions, iSTAT(r) went from 40% potential tests being ordered on 98%, estimated $549,780 year hospital. Conclusion: Involving hospita...