Evaluating the Impact of Value-based Purchasing
Author : Dennis P. Scanlon
Publisher :
Page : pages
File Size : 18,13 MB
Release : 2002
Category : Employee fringe benefits
ISBN :
Evaluating the Impact of Value-based Purchasing Initiatives
Author : Dennis P. Scanlon
Publisher :
Page : 66 pages
File Size : 48,25 MB
Release : 2002
Category : Employer-sponsored health insurance
ISBN : 9781587631108
Book Description
Registries for Evaluating Patient Outcomes
Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
Page : 385 pages
File Size : 30,26 MB
Release : 2014-04-01
Category : Medical
ISBN : 1587634333
Book Description
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Redefining Health Care
Author : Michael E. Porter
Publisher : Harvard Business Press
Page : 540 pages
File Size : 34,94 MB
Release : 2006-04-24
Category : Business & Economics
ISBN : 1422133362
Book Description
The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.
Evaluating the Medicare Hospital Value-Based Purchasing Program
Author : Lars Johnson
Publisher :
Page : 78 pages
File Size : 31,83 MB
Release : 2014
Category : Health services administration
ISBN :
Book Description
The Patient Protection and Affordable Care Act (ACA) contains numerous provisions intended to improve the quality of health care in the United States. The act established the Medicare Hospital Value-Based Purchasing (HVBP) program, which distributes a small portion of net Medicare fee-for-service dollars to hospitals based on how well they perform on a set of quality measures. Prior evaluations of smaller hospital value-based purchasing programs--primarily the Premier Hospital Quality Incentive Demonstration (PHQID) that began in 2003--found few significant program effects. This study sought to answer two questions about the new Medicare HVBP program: Did the program have an effect on patient quality outcomes, as measured by hospital inpatient mortality rates? And, if the program did have an effect, how much would we expect outcomes to improve if a hospital improved on its quality measures by, say, 10 percent? Using data on all Medicare fee-for-service hospital stays from 2010 through 2012 in the states of Arizona (where the first HVBP performance period began on June 1, 2011) and Maryland (which was exempt from the HVBP program), this study applied a difference-in-differences logit hospital fixed effects analysis and found that HVBP had a statistically significant effect on patient outcomes. Hospital inpatient mortality rates declined an estimated 4.04 percent as a result of the policy. Additionally, it was estimated that if hospitals were to improve their HVBP total performance score by 10 percent, the probability of inpatient mortality in that hospital would fall by 6.6 percent. While there are inherent limitations to difference-in-differences evaluations, and further research should seek to confirm these findings, this initial evidence suggests that large scale value-based purchasing may be an effective strategy to improve the quality of health care, at least for the Medicare population.
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Author : OECD
Publisher : OECD Publishing
Page : 447 pages
File Size : 29,35 MB
Release : 2019-10-17
Category :
ISBN : 9264805907
Book Description
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Measuring Success in Health Care Value-based Purchasing Programs
Author : Cheryl Damberg
Publisher :
Page : 54 pages
File Size : 43,77 MB
Release : 2014
Category : Government purchasing
ISBN : 9780833085511
Book Description
Value-based purchasing (VBP) refers to a broad set of performance-based payment strategies that link financial incentives to health care providers' performance on a set of defined measures in an effort to achieve better value. The U.S. Department of Health and Human Services (HHS) is advancing the implementation of VBP across an array of health care settings in the Medicare program in response to requirements in the 2010 Patient Protection and Affordable Care Act, and policymakers are grappling with many decisions about how best to design and implement VBP programs so that they are successful in achieving stated goals. This report summarizes the current state of knowledge about VBP programs, focusing on pay-for-performance programs, accountable care organizations, and bundled payment programs. The authors discuss VBP program goals and what constitutes success; the evidence on the impact of these programs; factors that characterize high- and low-performing providers in VBP programs; the measures, incentive structures, and benchmarks used by VBP programs; evidence on spillover effects and unintended consequences; and gaps in the knowledge base. The report concludes with a set of recommendations for the design, implementation, and monitoring and evaluation of VBP programs and a discussion of HHS's efforts in this regard.
The Future of Nursing 2020-2030
Author : National Academies of Sciences Engineering and Medicine
Publisher :
Page : pages
File Size : 38,5 MB
Release : 2021-09-30
Category :
ISBN : 9780309685061
Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Impact Evaluation in Practice, Second Edition
Author : Paul J. Gertler
Publisher : World Bank Publications
Page : 444 pages
File Size : 26,3 MB
Release : 2016-09-12
Category : Business & Economics
ISBN : 1464807809
Book Description
The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. Readers will gain an understanding of impact evaluations and the best ways to use them to design evidence-based policies and programs. The updated version covers the newest techniques for evaluating programs and includes state-of-the-art implementation advice, as well as an expanded set of examples and case studies that draw on recent development challenges. It also includes new material on research ethics and partnerships to conduct impact evaluation. The handbook is divided into four sections: Part One discusses what to evaluate and why; Part Two presents the main impact evaluation methods; Part Three addresses how to manage impact evaluations; Part Four reviews impact evaluation sampling and data collection. Case studies illustrate different applications of impact evaluations. The book links to complementary instructional material available online, including an applied case as well as questions and answers. The updated second edition will be a valuable resource for the international development community, universities, and policy makers looking to build better evidence around what works in development.
Crossing the Quality Chasm
Author : Institute of Medicine
Publisher : National Academies Press
Page : 359 pages
File Size : 50,97 MB
Release : 2001-07-19
Category : Medical
ISBN : 0309132967
Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
