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Economic Analysis and Outcome Assessment
Published in Kelly H. Zou, Lobna A. Salem, Amrit Ray, Real-World Evidence in a Patient-Centric Digital Era, 2023
Jean-Pascal Roussy, Kelly H. Zou
The use of economic evaluations and PROs are key levers to achieving value-based healthcare (Tsevat et al., 2018). However, on this journey to balance patient access to promising technologies with the need for system efficiency, additional factors must be considered in decision making beyond the quantitative assessment of clinical and economic value. An area of growing importance is the patient involvement in the health technology assessment (HTA) process (Groenewoud et al., 2019; Mühlbacher, 2015). This allows patient experience to be captured in order to validate the outcomes that matter to specific patient groups or sub-groups and to identify educational or other patient needs.
Managed Care Organizations Leverage Health Information from Multiple Sources to Drive Value
Published in Salvatore Volpe, Health Informatics, 2022
Professional fees occupy 20 percent of the overall health care spend, grow at a rate of 5.4 percent per year, and have outpaced global healthcare spending.3 The payment of value-based health care dollars must promote plan-aligned provider behavior. Additionally, provider work effort is directly related to service reimbursement rates. The clear and frequent communication to provider regarding the financial benefit of this high-value care is critical to large-scale adoption.4
Intelligent Health Needs Gas and Guardrails
Published in Tom Lawry, Hacking Healthcare, 2022
Today, we're used to a health system that takes care of people after they are already sick. Traditional fee-for-service models today pay providers based on the number of healthcare services they deliver. The “value” in value-based healthcare is derived from measuring health outcomes against the cost of delivering the outcomes.9
Uncovering the experiences of engaging in an inpatient occupation-based group program: The LifeSkills group
Published in Scandinavian Journal of Occupational Therapy, 2023
Kaitlyn Spalding, Amelia Di Tommaso, Louise Gustafsson
Value-based healthcare has been defined as the health outcomes that matter to patients relative to the costs or resources required [1]. More than ever, health policy makers are focussing on an evidence-based approach to decision-making, where greater consideration is given to the balance between clinically relevant outcomes and patient-reported outcomes [2]. By understanding these significant outcomes, organisations are taking steps to ensure healthcare is consistently reviewed and redesigned to meet the ever changing needs of the population [3]. Consumer engagement, that is the active participation of patients in their own healthcare planning, service delivery and evaluation is an important element for value-based healthcare, and as such interventions should be informed by high quality research and consumer feedback [4].
Transitioning from hurting to healing: self-management after distal radius fracture
Published in Disability and Rehabilitation, 2022
Brocha Z. Stern, Janet Njelesani, Tsu-Hsin Howe
Musculoskeletal conditions are a leading global cause of disability and need for rehabilitation [1–3]. Their burden demands attention to value-based health care: optimizing patient-centered outcomes relative to the costs of care [4]. Musculoskeletal outcomes and care have traditionally emphasized the absence of pathology and remediation of impairments. However, there is growing appreciation of the limitations of biomedical models in explaining musculoskeletal recovery [5,6]. As per the World Health Organization’s tripartite model [7], perspectives of health have evolved to include consideration of physical, mental, and social domains. The role of individual psychological factors has been examined after musculoskeletal trauma [8]. However, there remains a need for more cohesive non-biomedical perspectives to frame experiences of recovery that extend beyond pathology. Self-management is one such holistic lens that aligns with value-based health care through its emphasis on patient engagement [9].
A Nurse Navigator Led Community-Based Cardio-Oncology Clinic
Published in Oncology Issues, 2021
Rachael Zirkelbach, Kerry Skurka, Vijay U. Rao
Over the next few months, in conversations with Franciscan Health Indianapolis leadership about developing and implementing a cardio‐oncology program, key stakeholders from the hospital and its two affiliated practices identified the following strengths: An interdisciplinary program with two passionate physician champions—one in cardiology and one in oncology.Improved alignment of oncologists and cardiologists as part of Franciscan's multi‐specialty physician network.Administrators with experience in leading cardiology, imaging, and oncology service lines.Experienced nurse navigators in breast, colorectal, and lung tumor sites who could help shape a new nurse navigator role, if needed.A healthcare system transitioning from fee‐for‐service to value‐based healthcare, identifying quality changes to make along the way to ensure success in the transition.A robust cancer survivorship program with emphasis on long‐term wellness and outcomes.