“Episode 136: Innovating to Reduce Costs with David Westfall Bates, MD from Brigham and Women’s Hospital (Boston)”
by Stacey Richter

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David W. Bates, M.D., M.Sc.

Chief, Division of General Internal Medicine, Brigham and Women’s Hospital

Medical Director of Clinical and Quality Analysis, Partners HealthCare

Dr. David Bates is an internationally renowned expert in patient safety, using information technology to improve care, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. He is a Professor of Medicine at Harvard Medical School, and a Professor of Health Policy and Management at the Harvard School of Public Health, where he co-directs the Program in Clinical Effectiveness. He directs the Center for Patient Safety Research and Practice at Brigham and Women’s Hospital. He served as external program lead for research in the World Health Organization’s Global Alliance for Patient Safety and is the immediate past president of the International Society for Quality in Healthcare (ISQua) and the editor of the Journal of Patient Safety. He has been elected to the Institute of Medicine, the American Society for Clinical Investigation, the Association of American Physicians and the American College of Medical Informatics, and was chairman of the Board of the American Medical Informatics Association. He has published over 700 peer-reviewed papers and has an h-index of 115, which ranks him among the 400 most cited biomedical researchers of any type.



00:00 The Prospect Study.
03:35 Facilitating Engagement and Minimizing Harm.
04:40 “Sometimes it’s the right thing not to do some of the things on the checklist, but sometimes we’re just too busy.”
05:00 Patients and Care Partners contributing to the overall Quality of Care.
06:00 Choosing to focus on Patient and Caregiver Engagement.
07:00 “Healthcare is so multifactorial there are many, many ways to make it better.”
08:20 The Nature of Innovation.
14:20 Narrowing focus.
16:00 David discusses Clinical Imperative.
16:40 Defining Costs.
17:35 Working with ValueScope to address Patient Costing.
20:00 An example of Patient Cost.
25:00 Social Determinants.
26:00 High Cost Patient Management.
26:50 Using the LACE Risk Stratification tool.
29:20 Achieving gains with Caregivers.
29:40 “What are the Key Barriers to Care?”
31:00 SCAMPs – Standardized Clinical Assessment and Management Plans.
34:45 You can learn more by emailing David directly at dbates@partners.org.

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