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Simple Changes Boost Productivity
Simple changes in physician practices may pay off big in practice productivity, quality, and satisfaction. Many physician leaders regard large integrated multispecialty clinics as the most rational solution for solving small-practice woes; in other words, work together in large systems or die. Fitzhugh Mullan, MD, author of Big Doctoring in America: Profiles of Primary Care and a family doctor on the board of editors of Health Affairs, describes these physician leaders as “system doctors,” because they are medical directors of large health systems.
In his book The Innovator’s Dilemma, Clayton M. Christensen, a professor at the Harvard Business School, says that “disruptive solutions” can undermine even the best managed organizations, even large medical groups. A disruptive solution is a new technological invention, product, or service that eventually overturns the existing dominant technology or product in the market.
A good example of a disruptive innovation (also called disruptive technology) is EClinical Works, LLC, a software company in Westborough, Mass., that develops electronic health record (EHR) programs. In head-to-head competition with three larger EHR companies—GE Health, AllScripts, and NextGen—for small group practices in three Massachusetts communities, 170 of 180 physician practices picked EClinical Works as their vendor of choice.
The reason was quite clear. The three larger ....
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