Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


NMGMA10 Minute Takeaway


 
Dr. Paul Gentuso, chief medical officer for Heritage Medical Associates, discusses the journey to quality with NMGMA members.

Driving Quality in Healthcare While Avoiding the Ditch

The second Tuesday of the month, practice managers and industry service providers gather for an educational Nashville Medical Group Management Association (NMGMA) meeting to hear from experts on a variety of topics to improve the efficiency and success of medical practices. In March, Paul J. Gentuso, MD, FACP, CPE, chief medical officer for Heritage Medical Associates, discussed the importance of driving quality in healthcare while managing to avoid the ditch.

Using an extended metaphor, Gentuso noted driving can be safe and easy when the road is newly paved, well-lit, well-marked and provides a wide, straight stretch for travel. Similarly, he continued, travel conditions also positively impact the trip when there are calm winds, a sunny day, low traffic and pleasant passengers. Unfortunately, Gentuso said, poor road and travel conditions have the opposite effect and can make driving quite dangerous.

The same types barriers that make driving dangerous also make the quality journey difficult. Gentuso outlined some of the factors that can take the trip off track:

  • Poorly Lit Road: "What's difficult about the conditions of driving quality?" asked Gentuso. "It can be difficult to see the way forward," he continued of changing regulations, insurance parameters and governmental administration priorities.
  • Unmarked Roadway: "Even knowing the way, it can be hard to stay on track and stay between the lines," he continued of switching between fee-for-service, value-based, shared savings and other constructs depending on the patient and carrier.
  • Potholes: Gentuso noted missing the mark on risk-based contracts, shared savings and episodes-of-care payments represent potholes that are only increasing in size and frequency.
  • Long & Winding Road: "We have to recognize preventive care is a long-term investment," he noted, adding changing HEDIS and Star measurements, along with varying recommendations, add curves to the road.

Similarly, he said 'road conditions' including heavy traffic from retail clinic competition and new payer/provider combos, along with slippery conditions that include vaccine and PPE shortages and rising overhead, all add to the distractions. On top of that, wind sheers from pandemics and constant calls for change are enough to rattle any driver.

Despite those dangers, Gentuso said there are many proactive steps practice administrators and providers can take to improve road conditions. "Let's move past what's bad and move on to what we can do," he stated. "Light the way: Study, learn, be a student ... you go to meetings like this and learn about healthcare," Gentuso noted.

"Mark the way: That's how you know the way forward. Get a good contract. Talk until you and the payer have a shared vision," he advised. When the larger rules don't work, he advocated for changing them though the legislative process, voting and advocacy.

Population management helps fill in the potholes, he said. "The potholes in healthcare are when we forget we should take care of every one of our patients every day." Educational materials, engaging family members, calling to check on patients and getting them scheduled for missed appointments and screenings all help fill in those cracks.

He also said it's critical to make the path straight so patients don't have to struggle to see a provider or get a question answered. "Remove the barriers to scheduling and access ... that's how you get people taken care of," he said. Gentuso added good patient portals and appropriate use of telemedicine are two steps to address those barriers.

To improve driving conditions, Gentuso said practices should strive for low overhead, lean staffing and high fill rates. "I know a bloated clinic when I see one ... rooms are empty and people are bored," he said. "If you aren't keeping your practice filled, you aren't maximizing the practice of medicine," he pointed out.

Gentuso also advised practices should "avoid heavy traffic." He noted, "Find your niche and avoid the places where you can't compete. Find what you do and do it well. You can't be all things," he said. "For example, Heritage doesn't do retail clinics." Finally, he said, it's critical to attend to the happiness of all passengers by keeping an eye on medicine's quadruple aim. For patients, he said safety should be the highest priority with best practices, accountability and peer review serving as their seatbelt.

Although driving quality isn't an easy task, Gentuso said there are steps and resources to make the journey less treacherous so that everyone arrives safely at the destination.

Upcoming Meetings

April: There was no scheduled NMGMA in April so that members could attend the 2020 Tennessee MGMA Spring Conference. The statewide meeting, however, has been cancelled.

May: Stephen A. Dickens, JD, FACMPE, vice president of Medical Practice Services with SVMIC, is scheduled to present 'Leadership is a Choice' on May 12 for NMGMA. At press time, the meeting was still scheduled, but those interested in attending are encouraged to check the nashvillemgma.org website for any changes in light of current social distancing measures.

WEB:

Nashville MGMA

Heritage Medical

 
Share:

Related Articles:


Recent Articles

Study Challenges Idea That Lower BMI Shields Smokers from Fat-associated Health Risk

A lower body mass index (BMI) does not protect smokers from fat-associated health risks, according to a Vanderbilt University Medical Center (VUMC) study published in PLOS Medicine.

Read More

Nearly One-Third of Tennessee Parents are Worried Their Child has an Undiagnosed Mental Health Condition, New Poll Finds

One-third of Tennessee parents with children ages 6-17 are worried their child has an undiagnosed mental health condition, a new poll from the Vanderbilt Center for Child Health Policy found.

Read More

COVID-19 - Where We Stand

As the city moves deeper into reopening, leaders address the need for ongoing precautions and realities of vaccine development.

Read More

AMA Issues New Privacy Principles

From a fitness tracker to healthy eating app, data is everywhere ... but it isn't all protected by HIPAA. The AMA has created a set of privacy principles that put patients in charge of their information.

Read More

Paycheck Protection Program Flexibility Act

Deadlines and information on PPP and provider relief fund.

Read More

"What's Up Doc?" Dealing with a Delayed Patient Volume Bounce

Read More

Financing the Deal

The Nashville Health Care Council's annual "Financing the Deal" panel discussion is always highly anticipated. This year's virtual event was as popular as ever with a focus on deal-making trends and strategies.

Read More

Lending a Hand

Mentorship, wisdom offered to start-ups through Nashville Entrepreneur Center.

Read More

Health Care Council Explores the Road to Economic Recovery

Read More

Nashville-Based Startups Launch New Charity Initiatives

Charity-tech brands GeekCause, Generous, Givful and Kindful have jointly announced a range of new initiatives to support the important work of nonprofits during the COVID-19 pandemic.

Read More

Email Print
 
 

 

 


Tags:
Driving Quality, Healthcare Quality, Heritage Medical Associates, Nashville Medical Group Management Association, NMGMA, Patient Safety, Paul Gentuso
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: