FirstLook at Yale New Haven Health System
Leading with quality results in value improvement:
The “Quality First” Approach

Quick Overview

Hosted by: Yale New Haven Health System

Yale New Haven Health System in New Haven, CT, drove success-yielding changes within the organization through clinical redesign in each service line that led to achieving a cost-savings of $150 million over a four-year period.

Availability: In stock

Pubcode: HMK11172016
Price: $499
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FirstLook at Yale New Haven Health System - On-Demand

Quality Drives Margin

On-demand versions of FirstLook can be accessed immediately within your HealthLeaders Media store account under "My Purchases" in your VIDEOS section.

Leading with quality results in value improvement.

Presented on: November 17, 2016

HealthLeaders Media introduces FirstLook – an all new in-depth, behind-the-curtain video case study that dives deep into how heath system innovators are exceeding their annual operating margin as revenue trends deteriorate.

Realizing they needed to improve quality and build scale, Yale New Haven Health System, based in New Haven, CT, drove success-yielding changes within the organization through clinical redesign in each service line.

Knowing that 83% of their costs were on the clinical care side, and using data at the patient level with cost accounting and quality variation indicators (QVI™), clinical leaders were able to deploy predictive analytics to determine the biggest opportunities that would dramatically reduce variation and improve care delivery.

How? The organization developed QVI methodology, which featured 27 summary categories of negative clinical outcomes. This provided a comprehensive list of avoidable complications and variations the organization could impact. Yale also leveraged its multiyear investment in their common electronic medical record system by building workflow changes for specific patient populations, allowing real-time compliance monitoring at the physician/clinician practitioner level. In addition, Yale used their cost-accounting system at the patient level to measure the cost of variation.

This multiyear cost-value program led to achieving a cost-savings of $150 million over a four-year period by eliminating variation and waste.

By tapping clinical champions who were passionate about patient care, Yale drove change.

This inventive approach disclosed a key discovery: instead of providing more care generating more money, the reverse was actually true: complications and adverse events increased cost and decreased margin.

Listen at on your schedule to Yale New Haven Health System executives as they unveil the strategic initiatives that drove them to expansive cost-savings.

Join us to discover:

  • How using data at the patient level can determine areas of improvement
  • An understanding of how margin improves with quality 
  • Ways to approach standardization and reducing variation and waste
  • How YNNH drove change through clinical redesign in each service line

Learning Objectives

Join us for this informative event to discover:

  • How using data at the patient level can determine areas of improvement
  • An understanding of how margin improves with quality 
  • Ways to approach standardization and reducing variation and waste
  • How YNNH drove change through clinical redesign in each service line

About the Host:

Yale NewHaven HealthYale New Haven Health System, the largest and most comprehensive healthcare system in Connecticut, is recognized for advanced clinical care, quality, service, cost-effectiveness, and commitment to improving the health status of the communities it serves. YNHHS includes three hospitals – Bridgeport, Greenwich and Yale New Haven hospitals, several specialty networks, and Northeast Medical Group, a non-profit medical foundation with several hundred community-based and hospital-employed physicians. www.ynhhs.org.

Yale New Haven Hospital (YNHH), part of Yale New Haven Health System, is a nationally recognized, 1,541-bed, not-for-profit hospital serving as the primary teaching hospital for the Yale School of Medicine. Yale New Haven was founded as the fourth voluntary hospital in the U.S. in 1826, and today, the hospital’s two New Haven-based campuses include Yale New Haven Children's Hospital, Yale New Haven Psychiatric Hospital, and Smilow Cancer Hospital. YNHH has a combined medical staff of about 4,500 university and community physicians practicing in more than 100 specialties. YNHH’s York Street campus and associated ambulatory sites are Magnet-designated by the American Nurses Credentialing Center. www.ynhh.org.

Interesting Yale stats:

  • Overall cost per equivalent case contained at a 1.4% growth rate from 2012 to 2015, as the organization achieved sustained cost-savings of over $150 million driven by physician-led projects to improve quality and lower resource utilization
  • Dropped mortality by 30% and associated cost by 14% for the targeted patient populations
  • Intermediate care areas across the system achieved:
    • drop in non-hospice mortality rates from 2.63% in second quarter 2014 to 1.41% by second quarter 2016
    • reduced length-of-stay a high of 5.87 in the second quarter of 2015 to a low of 5.08 in the first quarter of 2016
    • decreased rapid response team calls from 200 in January 2015 to 173 in December 2015
    • increased survival rate after a CPA event of 92 percent from January to December 2015
  • Achieved $1.4 million of non-salary savings in nine months and projects to save $3.5 million in cost-savings from hip and knee replacement procedures in the federal Bundled Payments for Care Improvement program over the next two years

The Speakers

  • Richard D’Aquila, President, Yale New Haven Hospital
  • Thomas Balcezak, MD, Chief Medical Officer, Senior Vice President, Patient Safety and Quality, Yale New Haven Hospital
  • Stephen Allegretto, Vice President, Analytic Strategy & Financial Planning, Yale New Haven Health 
  • Michael Ivy, MD, Senior Vice President, Medical Affairs, and Chief Medical Officer, Bridgeport Hospital
  • Sheila Coonan, MN, RN, Patient Service Manager, Nursing Resource Operations Center, Yale New Haven Hospital
  • Keith Churchwell, MD, Vice President and Executive Director, Heart and Vascular Services, Yale New Haven Hospital
  • Mary O’Connor, MD, Director, Center for Musculoskeletal Care, Yale School of Medicine and Yale New Haven Health