April 2021 | Volume 1
MOVING INTELLIGENT CHANGE FORWARD
INNOVATION DIGEST
Paying for value is an ongoing theme in this space. In the race to find an efficient solution, there is a risk of overlooking critical input from patients and families. Artificial Intelligence, EHRs, big data, etc. promise fast, precise, searchable information about value. One problem: much of that data is built on faulty premises about what factors matter in terms of outcomes and impacts on patients and those that care for them. And, we’ve seen problems with AI and EHRs in terms of whether factors that matter to unique populations, particularly communities of color, are well-represented. It’s true that technology can unlock some of our challenges in speeding evidence to practice. The article on antibiotic stewardship is a reminder that changing practice takes more than journals full of data, tech-supported solutions, and clinical endorsement by experts in the field. Engaging patients to learn what has impact on their treatment and quality of life outcomes most, and redefining how we measure and use such insight, is the key to true progress in the quest for value.
Broad Institute launches $300 million effort to harness AI to fight diseases
The Broad Institute of MIT and Harvard is launching a new, $300 million initiative that applies advanced computer science to some of the hardest problems in medicine — an endeavor it said could uncover new ways to fight cancer, infectious disease, and other illness.
Assessment of the Appropriateness of Antimicrobial Use in US Hospitals
A new paper from CDC estimates that more than half of antibiotics prescribed in hospitals for selected prescribing events were not consistent with recommended prescribing practices. This analysis is one of the largest to assess appropriateness of prescribing and sets a baseline for future analyses to measure the impact of antibiotic stewardship programs on hospital prescribing. 
How Sharing Clinical Notes Affects the Patient-Physician Relationship
Tom Delbanco, MD, will never forget his “aha!” moment, even though it was nearly 50 years ago.
The patient sitting across from him had been referred to Delbanco for evaluation of hypertension. But Delbanco thought the man’s symptoms suggested he consumed more alcohol than he’d acknowledged.
Reducing Low-Value Care and Improving Health Care Value
Low-value care, defined as the use of a health service for which the harms or costs outweigh the benefits, is a pervasive and enduring problem in the US. Enacting policies that limit reimbursement for low-value services is an important step in mitigating such care.
Could coronavirus derail the decades-long shift to value-based care?
As the coronavirus sickens tens of thousands of Americans while pressuring the bottom lines of medical providers, analysts worry the pandemic could also hit pause on the decades-long march toward value-based care, as hospitals and doctors look to recoup revenue in the short-term instead of putting more dollars at risk.
Legislators: Bring all stakeholders to the table to lower drug costs
No one is happy with the price of drugs nor how we pay for them: not patients, not the lawmakers who represent them, not physicians, not insurance payers and not drug developers. We are at a point where all stakeholders are fed up, and there’s bipartisan consensus that “something needs to be done.” The time is ripe for change.
Researchers Consider Potential Links Between Digital Health and Low-Value Care
Members of an AcademyHealth thematic working group explore potential connections between digital health care strategies and low-value care. Authors identify three types of low-value care that digital health may generate, and offer policy solutions.

Passion + Quality = Change That Matters
  
I embrace the powerful opportunities in our evolving health care landscape. I founded Momentum Health Strategies to be a catalyst for change through continuous learning, diverse engagement and thoughtful policy and practice initiatives. I deliver innovative, strategic thinking and a passion for improving the patient experience. My personal drive and dedication to high-quality results will help you navigate the competitive terrain you face and convert your vision to action.

Momentum Health Strategies

Jennifer L Bright, MPA
(703) 628 - 0534
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