NICHOLAS WOLTER, MD and CEO, Billings Clinic (Billings)
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“My biggest concern is getting really good at population health. By that, I mean the ability to take care of high-cost patients with multi-disease states and deliver more value. This takes a number of navigators. Instead of an occasional visit, far more often, there’s really a lot of care going on by the team. There’s a growing trend to try to find tele-approaches to help monitor patients in their homes. We haven’t started that, but we’re looking at it.
It takes investment, culture change and physicians working in a different way with other team members, but it is our most important item at Billings Clinic. Last spring, we did work with PricewaterhouseCoopers to look at our infrastructure. We’ve also been updating grants to look at how to become a better team that supports physicians. In addition, we’ve been working with Danville, Pa.-based Geisinger Healthcare to get their advice.
We manage 11 critical access hospitals, and soon, four are joining us in more formal ways. We’re trying to look at how we manage these in a more regional, geographic way, including looking at patients as they go back and forth.”
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