Value in Health Care Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary (2010) / Chapter Skim
Currently Skimming:
8 Common Themes and Opportunities for Action
8 Common Themes and Opportunities for Action
Pages 215-224
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 215... ...
COMMON THEMES A number of common themes emerged during workshop discussions. These converging ideas explored the urgency to obtain greater value from our investments in health care, the ideas and actions that need to be considered as stakeholders pursue the value proposition, the diversity of perspectives on value, and the possibility of implementation and change (Box 8-1)
|
From page 216... ...
• Elements: Identifying value in health care is more than simply the right care for the right price. • Basics: Improving value requires reliable information, sound decision principles, and appropriate incentives.
|
From page 217... ...
Representatives from health product innovators and manufacturers have spoken of value improvement as products that are better for the individual patient, are more prof itable, and contribute to product differentiation and innovation. • Elements: Identifying value in health care is more than simply the right care for the right price as it requires determination of the addi tional elements of the applicability and circumstances of the benefits considered.
|
From page 218... ...
• Limits: The ability to attain system value is likely inversely related to the level of system fragmentation. Transforming health care to a more direct focus on value is frequently noted as an effort that requires broad organizational, financial, and cultural changes -- changes ultimately not attainable with the level of fragmentation
|
From page 219... ...
• Providers: Provider-level value improvement efforts depend on culture and rewards focused on outcomes. Workshop presentations identified several examples of some encouraging results from vari ous programs in terms of progress to improve provider sensitivity to, and focus on, value from health care.
|
From page 220... ...
• Tools: Continually improving value requires better tools to assess both costs and benefits in health care. Despite the broad agree ment on the need to get better value from all the elements of the healthcare process and the commitment to make this a priority, we heard that the analytical tools and capacity to evaluate both of the
|
From page 221... ...
System-Level Efforts Health information technology Since promoting health information technology was the most commonly mentioned priority as a prerequisite for sustained progress toward greater value in health care (improving quality, monitoring outcomes, clinical decision assistance, developing evidence, tracking costs, streamlining paperwork, improving coordination, facilitating patient engagement) , how might Roundtable members and the Electronic Health Record Innovation Collaborative help accelerate its adoption and use?
|
From page 222... ...
Provider-Level Efforts Identification of high-value services Might the members of the Roundtable's Best Practices Innovation Collaborative consider criteria for identifying high-value services in their respective arenas, as well as innovative approaches to their delivery? Care organization incentives What issues and incentives are needed to expand the development of a medical home model most conducive to more efficient and better-coordinated care?
|
From page 223... ...
Value-based payment or reimbursement structures How might better information be developed for tailoring payment for care to the likely value of the outcome, and once available, what strategies will be most effective in developing the information and incentives necessary for its promotion? Manufacturer-Level Efforts Purchasing models focused on outcomes Since it was proposed by a representative of the manufacturing sector that consideration be given to the development of product purchase models that focus on actual outcomes (i.e., results achieved)
|
From page 224... ...
Capacity for comparative effectiveness research What additional issues need to be engaged to improve prospects for the successful development of a deeper national capacity for comparative effectiveness research? Analytics for value assessment What are the most important analytical challenges to assessing value and how might they best be engaged, especially with healthcare costs reaching near crisis levels in the context of a weak economy?
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.