This episode is a discussion with two leaders from Group Health Cooperative, a consumer-governed, nonprofit health care system based in Seattle, Washington. My guests are Claire Trescott, MD, Primary Care Medical Director, and Alicia Eng, Vice President of Primary Care. We will be talking about their use of Lean principles in the design and management of their “Medical Home” approach to primary care and wellness. You can read a PDF of a Health Affairs article that describes the benefits to patients and caregivers.
About Medical Home (from Group Health):
The Group Health Research Institute conducted a two-year study of the Factoria Medical Home Pilot. Results of that study were published in the May 2010 issue of the journal Health Affairs.
The study compared the medical home prototype at Factoria to care at Group Health's other medical centers, and found that:
- The quality of care was higher at Factoria; patients reported better experiences and clinicians said they felt less “burned out.”
- Patients had 29 percent fewer visits to the emergency room and 6 percent fewer hospitalizations, resulting in a net savings of $10 per patient per month.
- Patients with chronic conditions managed them more successfully, and followed medical orders better with the aid of everyone on the medical home team.
- For every dollar Group Health invested, mostly to boost staffing, it recouped $1.50.
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