Antibiotic stewardship in the retail clinic setting: Implementation in 1100 clinics nationwide.

In light of increasing antibiotic resistance and a slowed antibiotic development pipeline, stewardship is more urgent than ever. To date, most stewardship guidelines and best practice recommendations for implementation focus on local or regional health care organizations. CVS MinuteClinic has implemented a consistent, evidence-based stewardship approach in its >1100 clinics in 33 states.

Understanding performance and behavior of tightly coupled outpatient systems using RFID: initial experience.

Understanding how clinical systems actually behave in an era of limited medical resources is critical. The purpose of this study was to determine if a radiofrequency-identification-based indoor positioning system (IPS) could objectively and unobtrusively capture outpatient clinic behavior. Primary outcomes were flowtime, wait time and patient/clinician face time.

A physician leadership development program at an academic medical center.

To achieve care integration required for efficient high-quality care, physicians are increasingly organized into large multispecialty groups. The success of these groups depends in large part on the ability of leadership to successfully navigate the shifting reimbursement, regulatory, and quality and safety terrain, while simultaneously providing their physicians with a rewarding practice environment. The knowledge and management tools required for such leadership are not taught in medical school or residency and are rarely acquired as a product of day-to-day physician activities.