Institute of Medicine CEO Checklist for High-Value Healthcare
In June, 2012 the Institute of Medicine (IOM) published a checklist for healthcare CEOs as a way of encouraging further efforts towards achieving a simultaneous reduction in costs and elimination of waste.[1] EBMers will find the case studies of great interest. Many of the success stories contain two key ingredients—reliable information to improve decision-making and successful implementation. The full report is available at—
http://www.iom.edu/Global/Perspectives/2012/CEOChecklist.aspx.
Foundational Elements
1. Governance priority—visible and determined leadership by CEO and board
- Culture of continuous improvement—commitment to ongoing, real-time learning
- Infrastructure Fundamentals
2. Information technology (IT) best practices—automated, reliable information to and from the point of care
- Evidence protocols—effective, efficient, and consistent care
- Resource utilization—optimized use of personnel, physical space, and other resources
3. Care Delivery Priorities
- Integrated care—right care, right setting, right providers, right teamwork
- Shared decision making—patient-clinician collaboration on care plans
- Targeted services—tailored community and clinic interventions for resource-intensive patients
4. Reliability and Feedback
- Embedded safeguards—supports and prompts to reduce injury and infection
- Internal transparency—visible progress in performance, outcomes, and costs
References
1. Cosgrove D, Fisher M, Gabow P, et al. A CEO Checklist for High-Value Health Care. Discussion paper. Washington, DC: Institute of Medicine; 2012. http://www.iom.edu/Global/Perspectives/2012/CEOChecklist.aspx (accessed 08/13/2012).
