NEJM Catalyst

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NEJM Catalyst Practical innovations in health care delivery:

Ideas, solutions, and case studies to improve patient care and drive value in health organizations.

Health care delivery is undergoing a major transformation around quality, cost, and access. NEJM Catalyst brings health care executives, clinician leaders, and clinicians together to share innovative ideas and practical applications for enhancing the value of health care delivery. NEJM Catalyst brings insightful articles and real-life examples from a network of top thought leaders, experts and advisors to provide:

Practical innovations in health care delivery;

Impeccable quality and impact;

Active contributions from renowned authorities, thought-leaders, and advisors;

Independent and impartial curation; and

An exchange of ideas among executives and clinicians. NEJM Catalyst is produced by NEJM Group, a division of the Massachusetts Medical Society, located in Waltham, Massachusetts.

A study focused on the cradle-to-grave emissions produced by the production, use, and disposal of seven high-volume syri...
10/15/2026

A study focused on the cradle-to-grave emissions produced by the production, use, and disposal of seven high-volume syringes, used at three hospital locations, identifies high variation and several opportunities to reduce their environmental impact through the application of E-liability carbon accounting. Read more: https://nej.md/4cN1dWF

In a new episode of Leadership Conversations, Namita Seth Mohta, MD, of NEJM Catalyst speaks with Geisinger Health leade...
10/14/2026

In a new episode of Leadership Conversations, Namita Seth Mohta, MD, of NEJM Catalyst speaks with Geisinger Health leaders Keith Boell, MD, Greg Burke, MD, and David B. Nash, MD, MBA, on how health care organizations can rebuild trust and advance quality by strengthening safety, patient experience, accountability, and collaboration.

An article in this month's issue outlines how the Mayo Clinic investigated social science insights and operationalized t...
10/13/2026

An article in this month's issue outlines how the Mayo Clinic investigated social science insights and operationalized them at its Rochester hospital, yielding improvements in both inpatient experiences and interdisciplinary teamwork.

To meaningfully measure and improve value for patients across the entire care pathway, health care delivery must be orga...
10/12/2026

To meaningfully measure and improve value for patients across the entire care pathway, health care delivery must be organized around care maps rather than fragmented across separate specialty departments, each responsible for only a small part of the patient journey. Organizing health care delivery around patients is therefore central to enhancing patient value. Read more: https://nej.md/4xuqBrV

In response to persistent challenges in maternity care delivery, a health insurer serving Brazil’s supplementary private...
10/11/2026

In response to persistent challenges in maternity care delivery, a health insurer serving Brazil’s supplementary private care sector and its affiliated hospital began the development of a coordinated Pregnancy and Childbirth Program grounded in value-based health care principles in January 2022. Learn more: https://nej.md/4jhFfiy

Patients with congenital heart disease (CHD) face substantial challenges in managing their chronic illness. Common and o...
10/09/2026

Patients with congenital heart disease (CHD) face substantial challenges in managing their chronic illness. Common and often unmet needs include neurocognitive challenges, mental health conditions, multiorgan disease, school and work impairment, and financial constraints.

To improve the day-to-day lives of patients and advance success (beyond survival, residual disease, and reintervention rates), providers must systematically assess and address the repercussions of having CHD.

A case study from Boston Children’s Hospital describes the adaptation and piloting of the International Consortium for Health Outcomes Measurement (ICHOM) CHD standard set of specific patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) among CHD patients in the hospital's outpatient cardiology setting.

These measures cover the domains of mental health, physical health, neurodevelopment, education, employment, reproduction, and financial impact. The authors report on technology solutions developed to encourage engagement in PROs/PROMs and share early data trends.

The carbon emissions from assets owned by health systems are a small fraction of their total carbon footprint. The emiss...
10/08/2026

The carbon emissions from assets owned by health systems are a small fraction of their total carbon footprint. The emissions produced by their suppliers of products and services — such as electricity and transportation — are typically more than 10 times a hospital’s direct emissions.

A study focused on the cradle-to-grave emissions produced by the production, use, and disposal of seven high-volume syringes, used at three hospital locations, identifies high variation and several opportunities to reduce their environmental impact through the application of E-liability carbon accounting.

Insights Report: As health care organizations look to technology to support more systems and solve more problems, comple...
10/07/2026

Insights Report: As health care organizations look to technology to support more systems and solve more problems, complex care programs appear to be falling short on innovation. Reliance on feeds tracking admission, discharge, and transfer data (51%), as well as an electronic health record–integrated care management platform (50%), are the top technologies cited by survey respondents. More advanced analytics and tools were further down the list.

Shared accountability around metrics was fundamental to aligning cross-institutional support of the University of Michig...
10/06/2026

Shared accountability around metrics was fundamental to aligning cross-institutional support of the University of Michigan Health and Trinity Health Ann Arbor partnership known as Michigan St. Joes. Program outcomes were evaluated across three domains: governance, operational, and patient metrics.

A study in Brazil concludes that participation in a coordinated, value-based health care-oriented maternity program was ...
10/05/2026

A study in Brazil concludes that participation in a coordinated, value-based health care-oriented maternity program was independently associated with improved perinatal outcomes and reduced high-acuity health care utilization. Read the study: https://nej.md/4jhFfiy

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