How healthcare's biggest trends influenced ProMedica Toldeo Hospital's decision to adopt the SEDASYS® System


Healthcare is in the midst of significant transformation. Hospitals and health systems are seeking ways to adapt and thrive in this new environment.

During a May 14th webinar hosted by Becker's Hospital Review, Mark D. Dixon, RPh MHA, FACHE, president of The Mark Dixon Group, and Joseph Sferra, MD, vice president of surgical services and general surgeon at ProMedica Toledo (Ohio) Hospital, discussed the biggest trends in healthcare and how this led to the hospital's adoption of the SEDASYS Computer-Assisted Personalized Sedation System.

Healthcare reform, a significant impetus behind the upheaval in today's market, whether maligned or celebrated has set in motion changes unlikely to recede. Five of the largest trends set in motion are:

•    Consumerism. Deductibles are higher than ever and patients are increasingly cognizant of their growing financial responsibility."Patients are beginning to shop for their care," said Mr. Dixon. Savvy providers are experimenting with price transparency tools and cost-control strategies in an effort to attract the proactive healthcare consumer.
•    Population health. From risk stratification to patient engagement, healthcare providers are actively pursuing population health strategies.
•    Accountable care organizations. ACOs, closely linked with the goals of population health, are proliferating across the country. Providers are banding together to provide low-cost, high-quality care, an aim that only grow in importance as reimbursement becomes tied to outcomes and value.
•    Physician employment. The enormity of changes in healthcare are becoming more difficult for independent physicians to face alone. Some are turning to an employment model, while others are banding together to form larger groups.
•    Industry consolidation. Consolidation happening not only at the physician level, but at the hospital and health system, as well. Independent hospitals are joining larger systems and larger systems are even experiencing mergers.

"There are going to be winners and losers in all of this," said Mr. Dixon. Winners will operate under a cost-efficient model, eliminate unnecessary care, focus on people and processes and still grow.

ProMedica Toledo Hospital is a not-for-profit healthcare network serving 27 counties in Ohio and Michigan. The hospital is actively employing physicians and working to integrate non-employed physicians. Pressure from consumerism has not gone unnoticed.

The SEDASYS® System became a logical choice for the hospital as leadership considered the current and future healthcare environment.

Understandably, many at ProMedica Toledo hospital were skeptical and hesitant to embrace the technology. "Sedasys is disruptive. Adoption required a lot of conversation," said Dr. Sferra. "Once we got traction and it rolled out, it started to take off." Anesthesiologists were supportive of the technology given its safety features and high patient satisfaction. Additionally, the presence of the SEDASYS® System allows the anesthesia department to focus on providing anesthesia services in high demand and complex procedures.

Since adopting the SEDASYS® System at the beginning of this year, ProMedica Toldeo Hospital has performed 500 procedures with the technology. The hospital hopes to reach 2,000 procedures by the end of the year. The SEDASYS® System is approved for ASA physical status one and two adult patients undergoing routine endoscopy procedures. The System monitors a patient’s response to the propofol being delivered, limits drug dosing based on a patient’s responsiveness, automatically reduces or stops drug delivery, changes the oxygen rate when needed, and quickly alerts the clinical team if the patient experiences trouble breathing or a decrease in blood oxygen levels—all in real time. The controlled delivery of propofol allows for patients to be comfortable while minimally to moderately sedated and recover rapidly. Patients and Clinicians have expressed high levels of satisfaction.

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