Understanding value-based healthcare

Author(s)

    • Moriates, Christopher
    • Arora, Vineet
    • Shah, Neel

Bibliographic Information

Understanding value-based healthcare

Christopher Moriates, Vineet Arora, Neel Shah

(Lange)

McGraw-Hill Education, c2015

Available at  / 2 libraries

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Note

Includes bibliographical references and index

"Costs of care"--Cover

Description and Table of Contents

Description

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Provide outstanding patient care while navigating the complexities of healthcare reform with this comprehensive, engagingly written guide A Doody's Core Title for 2017! Read what your colleagues are saying about Understanding Value-Based Healthcare: "The book is a masterful primer for all clinicians-especially those of us hoping to navigate the transition from volume-based healthcare to value-based healthcare without running aground." Atul Gawande, MD, MPH. Surgeon, Professor, and author of Being Mortal and The Checklist Manifesto "This book is an instant classic. It masterfully summarizes and makes accessible a mountain of relevant health care delivery research. And it gives front-line clinicians and other health care leaders a raft of practical ideas to help make care dramatically safer, more patient-focused, and more affordable." Donald Berwick, MD President Emeritus and Senior Fellow, Institute for Healthcare Improvement "What is value? Why is it so hard to achieve in healthcare, when it is the standard in most other industries? How can we overcome the obstacles and achieve a value-based system? With dozens of real-life stories of encounters with our broken health system, this book offers valuable insights into these questions and more. It is a must-read for everyone from student to frontline clinician to system leader who wants to contribute to the successful transformation to value-based care." Vivian Lee, PhD, MD, MBA CEO, University of Utah Healthcare Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .

Table of Contents

I. Introduction to Value in Healthcare 1. The Current State of Healthcare Costs and Waste in the United States 2. Paying For Healthcare in the United States: The Private and Public Insurance Systems 3. Charges, Costs, and Payments: The Challenges of Understanding Healthcare Pricing 4. Defining Value: Connecting Quality and Safety to the Costs of Care 5. A Changing Landscape: The History of Cost Consciousness and Value in Healthcare Delivery 6. Ethics of Cost Conscious CareII. Types and Sources of Waste 7. Variation in Resource Utilization and the Dartmouth Atlas 8. Stents, Robots, and the Role of Technology Diffusion 9. From the Pharmacy to the Supply Closet: Variable Costs and Single-use Equipment 10. Operative Times and the Management of Surgical Turnover 11. Too Many Hospital Beds: Fixed Costs and Excess Capacities 12. Imbalanced Workforce: Lots of Specialists, Few Primary Care Providers 13. Comparative Health Systems: Free markets vs. Coordinated Economies 14. Societal Spending Thresholds: How Do We Know When Expensive Care is Worth It 15. Barriers to Providing High Value Care III. Solutions and Tools 16. A Framework for Approaching Value in Healthcare 17. Cost-effectiveness Analysis and Other Tools To Guide Appropriate Care 18. Shifting Incentives: Moving Reimbursement from Volume to Value 19. The Role of Regulation and Oversight 20. Learning From Other Industries: Applying Lean and Other Waste Reduction Strategies To Healthcare Organizations 21. Screening and Prevention: Balancing Benefits with Harms and Costs 22. High Value Medication Prescribing: One Size Does Not Fit All 23. The Role of Medical Educators: Teaching About Cost Awareness and Evidence-Based Medicine 24. The Role of Patients: ePatient Movement and Consumer Driven Healthcare 25. Implementing Value-Based Initiatives: A New Challenge for Healthcare Systems

by "Nielsen BookData"

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