Foundation Presents Whitepaper on Physician Opinion on Optimizing Hospital-based Care to GMCB

Vermont Medical Society Education and Research Foundation Director Cy Jordan, M.D., presented a whitepaper today (Dec. 5, 2013) to the Green Mountain Care Board that made specific recommendations on physician opinion for optimizing hospital-based care in the state of Vermont. 

A number of physicians who contributed to the whitepaper joined Dr. Jordan in discussing its findings and recommendations with the Board.  The full report, including executive summary, is available here.  A PowerPoint delivered to the GMCB is available here.   

The Board asked the Foundation to develop the whitepaper as a way to receive qualitative research aimed at eliciting physician opinion on topics relevant to the Board’s activities, including health resource planning, the measurement of health care outcomes, and payment reform.

“The Green Mountain Care Board realizes the wealth of knowledge practicing physicians have about the Vermont’s health care system, and to their credit, the Board is very interested in their input and ongoing evaluation,” said Dr. Jordan, the foundation’s director.  “Many Vermont physicians recognize that the health care reform efforts underway are an opportunity to rethink the way they do business and re-build a system of care that better serves their patients.  This report captures their thoughts on how to go about doing that.”   

The 60-page whitepaper is the result of detailed interviews with 17 physicians who collectively direct and provide inpatient care at the majority of the state’s hospitals.

The whitepaper makes nine physician recommendations for optimizing hospital care in Vermont: 

  1. Construct a health resource allocation plan for the state as a whole;
  2. Health care reform should be patient centered;
  3. Plan three levels of hospital resources: Community based care; Regional centers of excellence; and Tertiary care.
  4. Care for patients at the right level of care through coordination of resources;
  5. View the direct patient care workforce as the key resource for health care reform;
  6. Push hard for a seamless integrated information technology;
  7. Encourage more meaningful and efficient accountability measurement;
  8. Align payment reform with providing high quality care; and, 
  9. Include direct care givers in ongoing policy discussions and evaluation efforts.

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