Reducing waste, gaining efficiencies, and improving quality within academic medical centers requires mobilizing hundreds of physicians across dozens of specialties and departments. Even when physicians want to help “fix healthcare,” they find it challenging to do so given the increasing demands of patient care and administrative complexities.
Leadership, infrastructure, and accountability are required to tackle clinical care redesign efforts that will result in value for patients. Our Clinical Care Redesign and Contracts Committee works to advance care redesign efforts across each clinical department at the Brigham. The Committee includes physician leaders from each department, our Directors of Clinical Care Redesign (DCCRs), who champion our centrally designed care redesign efforts within their own departments by engaging other clinicians and team members. They are also responsible for understanding the external healthcare marketplace, and for helping shape Brigham Clinical Care Redesign Strategy. Throughout the year, we track our progress on key initiatives and invite our DCCRs to share their progress and lessons learned.
Results to date:
We have 17 members of our Clinical Care Redesign and Contracts Committee—our Directors of Clinical Care Redesign—who champion our care redesign efforts within our clinical departments and largest clinical divisions. We have developed a dashboard to track our efforts, which we review with the DCCRs on a quarterly basis.