Walking through the who, what, where, and why of clinical decisions and Clinical Decision Support? Why we should care and what can we do? I’m also going to talk about uncertainty, the three T’s (Time, Trust and Talk) and the two C’s (Control and Connection).
Have I written about the Quadruple Aim of healthcare?
1. Improving the patient experience of care,
2. Improving the health of populations,
3. Reducing the per capita cost of health care, and
4. Improving the work life of clinicians and staff.
I live to compete in this quadrathlon. While my focus is the first and fourth – experience of patients and work life of clinicians and staff – the finish line is the second – improving the health of populations. I fear that wild success in experience, cost, and work life might not result in improving the health of populations. Improving the health and well-being of neighborhoods, counties, teens, professional athletes, diabetics, etc. may not be the sum of improving the health of each individual in those populations.
In 2007, I worked for St. Peter’s Recovery Center in Guilderland, NY. My boss, Bob Doherty, had the vision, the foresight, and the stones to engage a whole community to improve the care of persons most disabled by substance abuse. He convened the homeless shelters, religious communities, law enforcement, social services, ambulance companies, emergency rooms, and other community services to take on this intractable puzzle together. Brilliant! Read More