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Value-Based Approaches to Spine Care: Sustainable Practices in an Era of Over-Utilization
by Rajiv K. Sethi Anna K. Wright Michael G. VitaleUnsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials.Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
Value Based Health Care
by Dlugacz Yosef D.Value-Based Health Care Linking Finance and Quality Yosef D. Dlugacz Value-Based Health Care? Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike. Praise for Value-Based Health Care "Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment. " -Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety "Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . . given the national debate over access, cost, and quality, the book could not be more timely. " -Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research "Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform. " -Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State
Value-Based Health Care in Orthopaedics
by Eric C. Makhni Benedict U. Nwachukwu Kevin J. BozicProviding an expert overview of the current structure of health care and how it affects today’s orthopaedic surgeons, Value-Based Health Care in Orthopaedics addresses the healthcare system’s transition from a fee-for-service model to value-based health care. This transition aligns the incentives of all stakeholders, including payers, purchasers, clinicians, and most importantly, patients, by prioritizing health over care, and facilitating competition based on health outcomes and cost. Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Eric C. Makhni, MD, MBA, FAAOS, Benedict Nwachukwu, MD, MBA, and Kevin J. Bozic, MD, MBA, FAAOS, this unique, authoritative text covers essential information not often covered in medical school or orthopaedic residency training—offering a comprehensive discussion of the principles of value-based health care as applied to orthopaedics.
Value-based Radiology: A Practical Approach (Medical Radiology)
by Carlos Francisco Silva Oyunbileg Von Stackelberg Hans-Ulrich KauczorThis cutting-edge guide to value-based radiology provides readers with the latest information on all aspects of the subject. Healthcare delivery is experiencing a rapid transition towards a value-based model, the underlying idea being that providers are paid on the basis of patient’s health outcomes rather than the total services delivered. Radiology departments are facing many challenges as they attempt to improve operational efficiency, performance, and quality in order to keep pace with this transition. In the first part of this book, readers will find information on the theoretical basis and general concepts of value-based radiology. The second part focuses on value-based practice in specific areas of radiology: neuro/head and neck, thoracic, abdominopelvic, musculoskeletal, breast, cardiovascular, and pediatric. All topics are discussed by prominent experts in a clearly organized and well-illustrated form that will help readers to gain the most from each chapter. The book will be a valuable resource for radiologists and healthcare managers working in public or private institutions, as well as an excellent quick reference guide for all other physicians interested in the topic.
Value by Design
by Eugene C. Nelson Paul B. Batalden Marjorie M. Godfrey Joel S. LazarValue by Design is a practical guide for real-world improvement in clinical microsystems. Clinical microsystem theory, as implemented by the Institute for Healthcare Improvement and health care organizations nationally and internationally, is the foundation of high-performing front line health care teams who achieve exceptional quality and value. These authors combine theory and principles to create a strategic framework and field-tested tools to assess and improve systems of care. Their approach links patients, families, health care professionals and strategic organizational goals at all levels of the organization: micro, meso and macrosystem levels to achieve the ultimate quality and value a health care system is capable of offering.
Value Driven Healthcare and Geriatric Medicine: Implications for Today's Changing Health System
by James S. PowersValue driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.
Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation
by Institute of Medicine of the National AcademiesThe United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S. healthcare costs continue to increase. The growing ranks of the uninsured, an aging population with a higher prevalence of chronic diseases, and many patients with multiple conditions together constitute more complicating factors in the trend to higher costs of care. A variety of strategies are beginning to be employed throughout the health system to address the central issue of value, with the goal of improving the net ratio of benefits obtained per dollar spent on health care. However, despite the obvious need, no single agreed-upon measure of value or comprehensive, coordinated systemwide approach to assess and improve the value of health care exists. Without this definition and approach, the path to achieving greater value will be characterized by encumbrance rather than progress. To address the issues central to defining, measuring, and improving value in health care, the Institute of Medicine convened a workshop to assemble prominent authorities on healthcare value and leaders of the patient, payer, provider, employer, manufacturer, government, health policy, economics, technology assessment, informatics, health services research, and health professions communities. The workshop, summarized in this volume, facilitated a discussion of stakeholder perspectives on measuring and improving value in health care, identifying the key barriers and outlining the opportunities for next steps.
Value Management in Healthcare: How to Establish a Value Management Office to Support Value-Based Outcomes in Healthcare
by null Nathan William TierneyOur current healthcare system is broken. The Organisation for Economic Co-operation and Development (OECD) predicts healthcare costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients, all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book Redefining Health Care: Creating Value-Based Competition on Results. In it, they present their analysis of the root causes plaguing the healthcare industry and make the case for why providers, suppliers, consumers, and employers should move toward a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The updated second edition of this book discusses two major issues driving the importance of value-based care. The first is the emergence of artificial intelligence, which has the potential to significantly impact and enhance value-based healthcare in several ways such as delivering personalized medicine, predictive analytics for patient outcomes, and improving population health management. The second issue is why value-based care continues to struggle in scaling. While value-based healthcare has shown promise in improving patient outcomes and controlling costs, there have been challenges in implementation such as transitioning from the traditional fee-for-service model, data interoperability issues, and limited standardization of health outcomes. These challenges do not necessarily mean that value-based healthcare has failed. Instead, they highlight the complexities of the work involved and the need to follow a process as provided in this book. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. With updated material and case studies, this book defines the practice of value-based healthcare as value management. The book explores Mr. Porter’s value equation (Value = Costs/Outcomes), which is central to value management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the value realization framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery.
The Value of Genetic and Genomic Technologies: Workshop Summary
by Institute of Medicine of the National AcademiesKnowing one's genetic disposition to a variety of diseases, including common chronic diseases, can benefit both the individual and society at large. The IOM's Roundtable on Translating Genomic-Based Research for Health held a workshop on March 22, 2010, to bring together diverse perspectives on the value of genetic testing, and to discuss its use in clinical practice.
Value of Information for Healthcare Decision-Making (Chapman & Hall/CRC Biostatistics Series)
by Anna Heath Natalia Kunst Christopher JacksonValue of Information for Healthcare Decision-Making introduces the concept of Value of Information (VOI) use in health policy decision-making to determine the sensitivity of decisions to assumptions, and to prioritise and design future research. These methods, and their use in cost-effectiveness analysis, are increasingly acknowledged by health technology assessment authorities as vital. Key Features: Provides a comprehensive overview of VOI Simplifies VOI Showcases state-of-the-art techniques for computing VOI Includes R statistical software package Provides results when using VOI methods Uses realistic decision model to illustrate key concepts The primary audience for this book is health economic modellers and researchers, in industry, government, or academia, who wish to perform VOI analysis in health economic evaluations. It is relevant for postgraduate researchers and students in health economics or medical statistics who are required to learn the principles of VOI or undertake VOI analyses in their projects. The overall goal is to improve the understanding of these methods and make them easier to use.
The Value of Psychotherapy
by Robert L. WoolfolkPsychotherapy as a discipline is very much in flux. From a seasoned scholar, clinician, and teacher, this engaging book offers a thoughtful and current analysis of where the field is now and where it may be headed. Robert L. Woolfolk illustrates how the growing medicalization of mental health care--in particular, the attempt to fit psychotherapy to the templates of evidence-based medicine--have challenged psychotherapists to reaffirm the value of their work. The book explores ways in which certain kinds of efforts to endow "the talking cure" with greater scientific legitimacy can be problematic. Woolfolk makes a strong case for the benefits of psychotherapy not only as a technology for treating disorders, but also as a practice that can promote practical wisdom and human flourishing.
The Value of Systems and Complexity Sciences for Healthcare
by Joachim P. SturmbergThis visionary reframing of health and healthcare uses a complexity science approach to building healthcare systems that are accessible, effective, and prepared for change and challenges. Its holistic map for understanding the human organism emphasizes the interconnectedness of the individual's physical, psychological, cognitive, and sociocultural functioning. Applications of this approach are described in primary, specialist, and emergency care and at the organizational and policy levels, from translating findings to practice, to problem solving and evaluation. In this model, the differences between disease and illness and treating illness and restoring health are not mere wordplay, but instead are robust concepts reflecting real-world issues and their solutions. Based on the Proceedings of the 1st International Conference of Systems and Complexity for Healthcare, topics covered include: * Coping with complexity and uncertainty: insights from studying epidemiology in family medicine * Anticipation in complex systems: potential implications for improving safety and quality in healthcare * Monitoring variability and complexity at the bedside * Viewing mental health through the lens of complexity science * Ethical complexities in systems healthcare: what care and for whom? * The value of systems and complexity thinking to enable change in adaptive healthcare organizations supported by informatics * If the facts don't fit the theory, change the theory: implications for health system reform The Value of Systems and Complexity Sciences for Healthcare will interest and inspire health and disease researchers, health professionals, health care planners, health system financiers, health system administrators, health services administrators, health professional educators, and, last but not least, current and future patients.
Value Stream Mapping for Healthcare Made Easy
by Cindy JimmersonIn no industry is the concept of quality more essential than it is in healthcare, which is why the lean quality principles learned through the example of the Toyota Production System are so applicable. Two fundamental principles of Toyota‘s push for excellence are especially relevant to healthcare: ensuring quality at every step and keeping improve
Value Systems and Social Process (Pelican Ser.)
by Geoffrey VickersTavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1968 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.
Values and Ethics (Elements of Improving Quality and Safety in Healthcare)
by null Alan Cribb null Vikki Entwistle null Polly MitchellEthics involves examining values and identifying what is good, right, and justified – and why. Diverse values and ethical issues run through healthcare improvement, but they are not always recognised or given the attention they need. While much effort goes into understanding whether intervention X effectively leads to change Y, questions such as 'is X ethically acceptable?', 'does Y count as an improvement?', 'should Y be prioritised?', and 'if so, why?' are sometimes neglected. This Element demonstrates the ethical considerations and rich array of values that inevitably underpin both the goals of healthcare improvement (what aspects of quality or what kinds of good are pursued) and how improvement work is undertaken. It outlines an agenda for improvement ethics with the aim of helping those involved in healthcare improvement to reflect on and discuss ethical aspects of their work more explicitly and rigorously. This title is also available as Open Access on Cambridge Core.
Values at the End of Life: The Logic of Palliative Care
by Roi LivneOnce defiant of death—or even in denial—many American families and health care professionals are embracing the notion that a life consumed by suffering may not be worth living. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and the growing acceptance that less treatment may be better near the end of life.
Values-Based Commissioning of Health and Social Care
by Christopher Heginbotham ObeHealth and social care commissioning is a values-driven as well as evidence-driven enterprise. However, whereas there has been an expectation that the evidence-base of commissioning should be made fully explicit, the corresponding values-base has been left largely implicit. The book addresses this subject through a detailed discussion of values and values-based practice, illustrated with case examples, and by developing a critique of existing commissioning. This approach enables commissioners to identify and make explicit the often diverse values of all those involved, whether as commissioners, providers or users of services. It provides a skills base and other support processes for working with differences in values held by all those engaged in making commissioning decisions. This will be essential reading for doctors, both experienced and in training, commissioning managers, professional staff in NHS Foundation Trusts and the private sector and all 'at the sharp' end of practice.
Values-Based Health & Social Care: Beyond Evidence-Based Practice
by Jill McCarthy Pat RoseIs evidence-based practice really best practice? This is a hotly debated question in health and social care circles and the starting point for this book. Engaging firmly in the debate, Values-Based Health & Social Care calls into question the dominance of evidence-based practice and sets out an alternative vision of care which places holism, professional judgement, intuition and client choice at its centre. Bringing together writers from a range of health and social care backgrounds, the book describes the rise of evidence-based practice and explores major criticisms of the approach. It argues that evidence should be seen as part of a broader vision of practice which places equal value on: - a holistic vision of the needs of patients and clients. - professional knowledge and intuition, and - seeing patients and clients as partners in their care. Examples are used throughout the book to help readers link the concepts to practice. The book concludes with suggestions on how to develop a values-based approach in practice and through professional education. Values-Based Health & Social Care sets out key debates surrounding the nature of practice which will be of interest to students and practitioners alike.
Values-Based Interprofessional Collaborative Practice
by Jill E. ThistlethwaiteThe provision of care within the context of the modern health service environment involves a wide range of professionals. The health care team might include general practitioners, nurses, midwives, hospital doctors, physiotherapists, other allied health professionals, as well as receptionists and practice managers. To optimise delivery of care at both individual and population levels, team members must work collaboratively with colleagues in their own profession and others. This book, in the Values-Based Medicine series, adds the dimension of values to the more usual discussions of teamwork, considering interactions between health care professionals and how these might be affected by differences in professional and personal values. Examples of scenarios based on real-life experience promote learning and reflection. Anybody working or training in health care and who aspires to collaborate successfully with their colleagues in other specialties will find this book extremely valuable, as will educators who facilitate learners in teamwork.
Values-Based Leadership in Healthcare: Congruent Leadership Explored
by David StanleyStanley's Values-Based Leadership in Healthcare proposes a bold new theory of leadership to help drive positive change in healthcare organisations. The theory of 'Congruent Leadership' is defined and presented through a series of corporate and clinical case studies and examples, which guide the reader through the possibilities for using their own values to inform best practice. Parallels are drawn between iconic historical figures and events, to show that healthcare professionals can be courageous leaders by following their values and learning from great leaders past and present. To aid understanding each chapter includes scenarios and reflective exercises to help readers grasp the application of theory to practice. By using an accessible frame of reference, Stanley outlines a refreshing alternative to existing theories of leadership and thoughtfully encourages practitioners to act in ethically-informed ways.
Values-Based Leadership in Healthcare: Congruent Leadership Explored
by David StanleyStanley's Values-Based Leadership in Healthcare proposes a bold new theory of leadership to help drive positive change in healthcare organisations. The theory of 'Congruent Leadership' is defined and presented through a series of corporate and clinical case studies and examples, which guide the reader through the possibilities for using their own values to inform best practice. Parallels are drawn between iconic historical figures and events, to show that healthcare professionals can be courageous leaders by following their values and learning from great leaders past and present. To aid understanding each chapter includes scenarios and reflective exercises to help readers grasp the application of theory to practice. By using an accessible frame of reference, Stanley outlines a refreshing alternative to existing theories of leadership and thoughtfully encourages practitioners to act in ethically-informed ways.
Values, Ethics and Health Care
by Peter Duncan"This book encourages readers to reflect on the nature and values of health care practice through its challenging but accessible style. It will be a stimulating and thought-provoking read for anyone involved in day-to-day health care." - Professor Jane Wills, London South Bank University "[This book] offers frameworks and guidance that all health care workers will find stimulating and challenging and that all of them will benefit by considering." - Professor Linda Jones, Open University Why is thinking about values and ethics a crucial component of health care training and practice? How can we go about engaging in such thinking? Values, Ethics and Health Care responds to these essential questions. It examines key ethical frameworks and debates within the field of healthcare, locating them firmly in their social and occupational contexts. Guiding students through a range of dilemmas and difficulties encountered in health care practice with case studies and real-life examples, this lively text illustrates how to apply knowledge to professional practice and decision-making. Key features of the book: - Offers a critical and reflective understanding of health care ethics and values - Presents an interprofessional approach - Relates theory to 'everyday' ethics - Includes student-friendly features such as real-life examples, 'thinking about' points and links to further reading. The book will be essential reading for undergraduates taking modules in Values, Ethics and Professional Practice as part of health studies degree programmes. It will also be useful for postgraduates as well as practitioners in the field.
Values, Ethics and Rights for Health and Social Care
by null Phil MussonAn understanding of values, ethics and rights is key to good practice. This book introduces these fundamental topics in an accessible style appropriate for all health and social care students and professionals.This book serves as an indispensable resource for both health and social care students and professionals, providing a comprehensive introduction to the foundational principles of values, ethics, and rights. Offering a clear and accessible approach, it equips readers with the necessary knowledge to maintain exemplary professional standards, especially in demanding situations. Emphasising the significance of these principles as the cornerstone of effective practice, it underscores their importance before delving into clinical skills.The book adeptly navigates through intricate ideas, encompassing crucial aspects such as individual safety, consent, confidentiality, and the maintenance of professional boundaries. Throughout, it includes exercises and opportunities for constructive debate and discussion, ensuring a thorough understanding of these critical concepts.
Values in Health and Social Care: An Introductory Workbook
by Ray Samuriwo Stephen Pattison Andrew Todd Ben HanniganThis innovative workbook enables students and those working in health and social care to deepen their understanding of the values that underpin their practice. Rich in practical exercises and downloadable resources that invite the reader to engage with their own values, it explores how values, though not often reflected on, define the quality of care delivered. Supported by case studies and including a glossary of key terms and concepts, the workbook provides an overview of how values are adopted and adapted in professional contexts across health and social care services. With an emphasis on the ever-evolving nature of values, it examines professional ethics through the lens of legislation, codes of conduct, cost-effectiveness and whole-organisation management. This unique resource allows readers to gain a clearer picture of what their values are and how they can realistically implement them in their work, thus achieving the highest possible quality of care delivery.
Values in Medicine: What are We Really Doing to Patients? (Biomedical Law and Ethics Library)
by Donald EvansWritten by a leading proponent of the philosophy and ethics of healthcare, this volume is filled with thought-provoking and frequently controversial ideas and arguments. Accessibly written, it provides readers with a timely contribution to the current literature on medical ethics, in which the concept of subjectivity is a key issue characterizing current medical humanities. Examining the critical assumption that scientifically-demonstrable facts will remove all uncertainty, the author argues that ethical dimensions of clinical practice do not always arise from undisputed facts, but that they are sometimes to be found at the level of the determinations of the facts themselves. Firmly placing the patient back on centre stage, without underestimating the crucial role which science plays in modern medicine, this volume is an excellent account of ethics and science in healthcare and their proper place in assessing and meeting people’s health needs.