Clinical Variation Solutions: Standardizing Care, Reducing Waste
Numerous studies have identified that approximately 33% of healthcare dollars are wasted due to a number of factors, chief among which is the provision of unnecessary services. These services may be delivered because of revenue potential, market forces driving an “arms race”, fear of malpractice, or due to the lack of clear local standards to drive appropriate utilization.
In the absence of local standards, clinician practice can vary widely based on training, perceptions of patient preferences, and the availability of resources. However, it is our experience at FTI that working with clinicians to develop a systematic approach and standards of care can result in the effective identification, prioritization, and removal of unwanted clinical variation from your health system. Using the best available clinical evidence, FTI collaborates with your clinical leaders to develop standards, vets those standards with frontline clinicians, and embeds the standards into the clinical workflow at the point-of-care.
FTI partners with your IT team to extract data (charge detail and patient demographic files) from your information system, evaluates clinical variation by area (department, physician group, DRG, etc.) using a proprietary approach, and reviews the findings with your team to identify areas of high opportunity. We then embed the methodology and reporting in your operations, develop an approach for addressing outlier groups and individuals, and track progress on an ongoing basis. Perhaps most importantly, FTI will coach and mentor your clinical leadership on how to lead their teams through the changes that are necessary to develop a culture of reliability and accountability. Through this one-on-one, highly collegial, and collaborative process, we will help your clinical leaders to implement the key principles required to ensure the delivery and sustainability of positive outcomes.