Dr. William Wynn Jones M.B.B.S., M.Sc., FRCA, MRCP, PgCert
At the time William joined the programme he was a senior anesthetic registrar in North West London with a strong clinical interest in obstetric anesthesia and perioperative medicine. Immediately prior to taking up the fellowship post he served as a specialist advisor to the Chief Medical Officer of HCA Healthcare UK. At HCA he led the development of a new healthcare management training program and helped develop the value based and clinical outcome analytic capabilities within the group. As a junior registrar, William initiated and led a national infant nutrition health-marketing project with NHS London and the Department of Health. He was previously a clinical fellow on the National Medical Director’s Fellowship under Sir Bruce Keogh, based at the Association of British Healthcare Industries and was additionally seconded during that time to NHSE, specialized commissioning, and the South London Academic Health Science Network. He has also undertaken fellowships in the medical device industry exploring device design, evaluation and value based pricing. He holds a Master’s degree in Health Economics, Policy and Management from the LSE and he completed his Medical Degree at King’s College London. He is a member and fellow of the Royal College of Physicians and Anesthetists respectively.
As his experience to date demonstrates, William is keen to develop a dual set of capabilities as a clinician and a medical administrator. His specific administrative interest is in the role of value based reimbursement in driving care improvement and enhancing integration. He wanted to join the program with the intention of understanding the value based movement in the United States and its future implications for the organization and delivery of care within the United Kingdom.
During his fellowship, William was based at the Centre for Surgery and Public Health, Harvard medical school. His research considered the impact of bundled payments on integration within clinical pathways for episodes of surgical procedural care. Promoting ‘cross-continuum integration’ and ‘shared accountability for clinical outcomes’ was a particular focus of the Patient Protection and Affordable Care Act. Bundled payments, widely introduced into Medicare under the act, were intended to improve care by incentivizing both of these elements. William’s projects sought to assess the role of reimbursement reform, in the form of bundled payments, on the provision and organization of care for common surgical pathways. He undertook two projects 1) the quantitative evaluation of the preexisting variation that exists within care for unbundled patient pathways, specifically focusing on the payment implications in the under 65s; 2) the qualitative exploration of the behaviors of providers with respect to the organization of care subsequent to the introduction of mandatory bundled payments within surgical, procedural care.
William’s quantitative research demonstrated that substantial national geographic payment variation exists within the under 65 population for surgical procedural care following price standardization and appropriate adjustment. His qualitative research suggests that mandatory bundled payments are beneficial to incentivizing behaviors which lead to improved integration of care along extended pathways of surgical care.
Since his return, William has returned to his busy fulltime training post as an anesthetic registrar in North West London; he is due to complete his training in the summer of 2019. In his last year of training he will be undertaking a research fellowship in obstetric anesthesia at Chelsea and Westminster Hospital under the mentorship of Dr. Steve Yentis. His research focus will be on the effects of the introduction of maternity (bundled) pathway payments on the organization of care. He aspires to become a dual senior administrator and active clinician within the NHS