Wasteful medical care — such as repetitive lab tests and expensive medications with cheaper alternatives —

浪费医疗服务-例如重复的实验室检查和昂贵的药物以及更便宜的替代品-

costs

成本

the U.S. between $600 billion and $1.9 trillion annually, research shows.

研究显示，美国每年的收入在6000亿美元到1.9万亿美元之间。

In one year, Tacoma, Wash.-based MultiCare Health System reduced clinical waste directly tied to physician ordering by about $2.5 million, according to Arun Mathews, MD, regional chief medical officer at the 13-hospital system.

13家医院系统的区域首席医疗官阿伦·马修斯（ArunMathews）医学博士表示，在一年内，总部位于华盛顿州塔科马的MultiCare医疗系统将直接与医生订购相关的临床废物减少了约250万美元。

The average American loses between $1,800 and $5,700 every year due to excess healthcare costs, according to 2019 data. These unnecessary expenses stem from clinical inefficiencies, missed prevention opportunities, overuse, administrative waste, excessive prices, and fraud and abuse.

2019年的数据显示，由于医疗费用过高，美国人平均每年损失1800美元至5700美元。这些不必要的费用来源于临床效率低下，错过预防机会，过度使用，行政浪费，价格过高以及欺诈和滥用。

To address this issue, MultiCare's investment arm collaborated with IllumiCare, a health IT company. After analyzing laboratory and pharmaceutical expenses, IllumiCare identified cost-saving opportunities related to physician orders for antibiotics and lab tests.

为了解决这个问题，MultiCare的投资部门与健康IT公司IllumiCare合作。在分析了实验室和药物费用后，IllumiCare确定了与医生订购抗生素和实验室测试相关的成本节约机会。

Most of these opportunities were tied to hospitalists, 'which made a lot of sense for us,' Dr. Mathews said, 'because our hospitalists managed between 80% to 90% of our total inpatient contacts in our hospitals.'

马修斯博士说，这些机会大多与住院医生有关，“这对我们很有意义，因为我们的住院医生管理着我们医院住院病人总数的80%至90%。”

The health system integrated an EHR-agnostic tool from IllumiCare, called

卫生系统集成了IllumiCare的EHR不可知工具，称为

CDS Hooks

CDS挂钩

, into Epic applications. The clinical decision support tool 'hovers' above patient records and provides context-specific suggestions to reduce wasteful medical care, according to Dr. Mathews.

，进入Epic应用程序。马修斯博士表示，临床决策支持工具“悬停”在患者记录上方，并提供针对具体情况的建议，以减少浪费的医疗保健。

MultiCare also worked with its hospitalists to develop a quality metric focused on shared savings and clinical stewardship. Tying the metric results directly to each practitioner significantly boosted engagement.

MultiCare还与其医院医生合作，制定了一个专注于共享储蓄和临床管理的质量指标。将指标结果直接与每个从业者联系起来，可以大大提高参与度。

'That's when we saw the hockey stick engagement with the tool occur,' Dr. Mathews told

马修斯博士告诉我们，“就在那时，我们看到曲棍球棒与工具发生了接触。”

Becker's

贝克尔的

. 'Physicians with appropriately aligned incentives, I think we're able to practice better medicine — more thoughtful medicine.'

“医生有适当的激励措施，我认为我们能够实践更好的医学-更周到的医学。”

Over the course of a year, MultiCare reduced wasteful spending by about $2.5 million. On a more granular level, the system is now saving $81 per discharge, and each accepted alert from CDS Hooks saves an average of $179.14.

在一年的时间里，MultiCare减少了约250万美元的浪费支出。在更细粒度的层面上，该系统现在每次放电节省81美元，每个接受CDS挂钩的警报平均节省179.14美元。

The next phase of the project will focus on radiology.

该项目的下一阶段将侧重于放射学。

'I think not only is it the right thing to do for our patients, it's the right thing to do from a larger healthcare economic standpoint,' he said. 'Fundamentally, I think it's good medicine. Anytime we can avoid an unnecessary CT scan where we irradiate our patients with 120 x-rays worth of ionizing radiation, anytime we can avoid unnecessary blood draws, that's fundamentally a good thing — because those things have clinical consequences as well.'.

他说，我认为这不仅是为我们的患者做的正确事情，而且从更大的医疗保健经济角度来看也是正确的事情从根本上说，我认为这是一种良药。任何时候，我们都可以避免不必要的CT扫描，用120条x射线照射患者，任何时候我们都可以避免不必要的抽血，这从根本上来说是一件好事，因为这些事情也会产生临床后果。”。