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The Shift Towards Value Based Care


The Shift Towards Value Based Care
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Redefining German Health Care


Redefining German Health Care
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Author : Michael E. Porter
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-01-25

Redefining German Health Care written by Michael E. Porter and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-25 with Business & Economics categories.


The German health care system is on a collision course with budget realities. Costs are high and rising, and quality problems are becoming ever more apparent. Decades of reforms have produced little change to these troubling trends. Why has Germany failed to solve these cost and quality problems? The reason is that Germany has not set value for patients as the overarching goal, defined as the patient health outcomes achieved per euro expended. This book lays out an action agenda to move Germany to a high value system: care must be reorganized around patients and their medical conditions, providers must compete around the outcomes they achieve, health plans must take an active role in improving subscriber health, and payment must shift to models that reward excellent providers. Also, private insurance must be integrated in the risk-pooling system. These steps are practical and achievable, as numerous examples in the book demonstrate. Moving to a value-based health care system is the only way for Germany to continue to ensure access to excellent health care for everyone.



Redefining Health Care


Redefining Health Care
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Author : Michael E. Porter
language : en
Publisher: Harvard Business Press
Release Date : 2006-04-24

Redefining Health Care written by Michael E. Porter and has been published by Harvard Business Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-04-24 with Business & Economics categories.


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.



The Core Elements Of Value In Healthcare


The Core Elements Of Value In Healthcare
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Author : Paveljit Bindra
language : en
Publisher: Aupha/Hap Book
Release Date : 2018

The Core Elements Of Value In Healthcare written by Paveljit Bindra and has been published by Aupha/Hap Book this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.


Instructor Resources: Test bank, PowerPoint slides, and case studies with discussion questions and teaching notes. When you go shopping, do you simply go to the store with the intention of buying as many items as you can? Or do you select items based on the quality and satisfaction they will deliver for the money you spend? For most people, the quality of a product, relative to its cost, is most important. The field of healthcare today is making a similar distinction, placing a heightened emphasis on the delivery of value as opposed to sheer volume. So what exactly does it mean to deliver value in healthcare? For decades, providers in the United States operated according to a model of volume-based care, under the general assumption that more care was better. In recent years, however, important developments in policy and payment and innovations in disease management, complex case management, population health, predictive analytics, and decision support have contributed to a paradigm shift toward value-based care. Organizations are now striving to eliminate waste, deliver higher-quality care at a lower cost, and increase patient satisfaction. The Core Elements of Value in Healthcare provides a comprehensive introduction to value in healthcare as it relates to policy, delivery, finance, economics, strategy, public health, population health, operations, compliance, managed care, accountable care, and preventive medicine. The concepts of this book are reinforced through case examples and detailed discussion questions that encourage readers to apply the key principles as they learn. Drawing from his experience as a physician, a hospital executive, and the founder of a medical group and health plan, Dr. Paveljit S. Bindra examines value from a variety of perspectives. Specific areas of focus include the following: Clinical innovationsAlignment structuresPayment reformQuality improvementInformation technologyThe Core Elements of Value in Healthcare equips readers with the knowledge to address disparate elements in the healthcare value chain, and it demonstrates how effective coordination of these elements can enhance the quality of care, reduce costs, and improve patient satisfaction and outcomes.



The Shift Towards Value Based Care


The Shift Towards Value Based Care
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Author : Pascalia Okoiti Kisiangani
language : en
Publisher: IPR Journals and Book Publishers
Release Date : 2023-08-29

The Shift Towards Value Based Care written by Pascalia Okoiti Kisiangani and has been published by IPR Journals and Book Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-08-29 with Health & Fitness categories.


TOPICS IN THE BOOK Determinants of Maternal and Child Health Care Service Utilization among Mothers of Mount Elgon Constituency Bungoma, Kenya Factors Influencing Male Involvement in Safe Motherhood among Communities in Kwale and Kilifi in Coastal Kenya Socio-Cultural Characteristics on Male Involvement in Safe Motherhood among Communities in Kwale and Kilifi in Coastal Kenya Using Novel Nutritional Assessment Tool to Assess the Nutritional Status of the Elderly in Mazenod: The Case of Old Age Pension Scheme in Lesotho Factors Influencing Low Birth Weight (LBW) among Mother-Neonate Pairs and Associated Health Outcomes at Coast General Hospital Mombasa County Kenya Factors Influencing Health Workers’ Performance in Public Health Facilities in the Devolved System of Government: A Case of Embakasi East Sub-County, Nairobi County



Evidence Based Medicine And The Changing Nature Of Health Care


Evidence Based Medicine And The Changing Nature Of Health Care
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2008-09-06

Evidence Based Medicine And The Changing Nature Of Health Care written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-06 with Medical categories.


Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.



Affordable Excellence


Affordable Excellence
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Author : William A. Haseltine
language : en
Publisher: Brookings Institution Press
Release Date : 2013

Affordable Excellence written by William A. Haseltine and has been published by Brookings Institution Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Business & Economics categories.


"Today Singapore ranks sixth in the world in healthcare outcomes well ahead of many developed countries, including the United States. The results are all the more significant as Singapore spends less on healthcare than any other high-income country, both as measured by fraction of the Gross Domestic Product spent on health and by costs per person. Singapore achieves these results at less than one-fourth the cost of healthcare in the United States and about half that of Western European countries. Government leaders, presidents and prime ministers, finance ministers and ministers of health, policymakers in congress and parliament, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think-tanks should know how this system works to achieve affordable excellence."--Publisher's website.



Fundamentals Of Clinical Data Science


Fundamentals Of Clinical Data Science
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Author : Pieter Kubben
language : en
Publisher: Springer
Release Date : 2018-12-21

Fundamentals Of Clinical Data Science written by Pieter Kubben and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-12-21 with Medical categories.


This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.



Integrating Social Care Into The Delivery Of Health Care


Integrating Social Care Into The Delivery Of Health Care
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-01-30

Integrating Social Care Into The Delivery Of Health Care written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-30 with Medical categories.


Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.



Reverse Innovation In Health Care


Reverse Innovation In Health Care
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Author : Vijay Govindarajan
language : en
Publisher: Harvard Business Press
Release Date : 2018-06-19

Reverse Innovation In Health Care written by Vijay Govindarajan and has been published by Harvard Business Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-19 with Business & Economics categories.


Health-Care Solutions from a Distant Shore Health care in the United States and other nations is on a collision course with patient needs and economic reality. For more than a decade, leading thinkers, including Michael Porter and Clayton Christensen, have argued passionately for value-based health-care reform: replacing delivery based on volume and fee-for-service with competition based on value, as measured by patient outcomes per dollar spent. Though still a pipe dream here in the United States, this kind of value-based competition is already a reality--in India. Facing a giant population of poor, underserved people and a severe shortage of skills and capacity, some resourceful private enterprises have found a way to deliver high-quality health care, at ultra-low prices, to all patients who need it. This book shows how the innovations developed by these Indian exemplars are already being practiced by some far-sighted US providers--reversing the typical flow of innovation in the world. Govindarajan and Ramamurti, experts in the phenomenon of reverse innovation, reveal four pathways being used by health-care organizations in the United States to apply Indian-style principles to attack the exorbitant costs, uneven quality, and incomplete access to health care. With rich stories and detailed accounts of medical professionals who are putting these ideas into practice, this book shows how value-based delivery can be made to work in the United States. This "bottom-up" change doesn't require a grand plan out of Washington, DC, agreement between entrenched political parties, or coordination among all players in the health-care system. It needs entrepreneurs with innovative ideas about delivering value to patients. Reverse innovation has worked in other industries. We need it now in health care.



Hbr S 10 Must Reads On Strategy For Healthcare Featuring Articles By Michael E Porter And Thomas H Lee Md


Hbr S 10 Must Reads On Strategy For Healthcare Featuring Articles By Michael E Porter And Thomas H Lee Md
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Author : Harvard Business Review
language : en
Publisher: Harvard Business Press
Release Date : 2018-05-15

Hbr S 10 Must Reads On Strategy For Healthcare Featuring Articles By Michael E Porter And Thomas H Lee Md written by Harvard Business Review and has been published by Harvard Business Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-15 with Business & Economics categories.


Prepare for an uncertain future with a solid vision and innovative practices. Is your healthcare organization spending too much time on strategy--with too little to show for it? If you read nothing else on strategy, read these 10 articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization’s strategy development and execution. Leading strategy experts, such as Michael E. Porter, Jim Collins, W. Chan Kim, and Renee Mauborgne, provide the insights and advice you need to: Understand how the rules of corporate competition translate to the healthcare sector Craft a vision for an uncertain future Segment your market to better serve diverse patient populations Achieve the best health outcomes--at the lowest cost Learn what disruptive innovation means for healthcare Use the Balanced Scorecard to measure your progress This collection of articles includes "What Is Strategy?" by Michael E. Porter; "The Five Competitive Forces That Shape Strategy," by Michael E. Porter; "Health Care Needs Real Competition," by Leemore S. Dafny and Thomas H. Lee; "Building Your Company's Vision," by Jim Collins and Jerry I. Porras; "Reinventing Your Business Model," by Mark W. Johnson, Clayton M. Christensen, and Henning Kagermann; "Will Disruptive Innovations Cure Health Care?" by Clayton M. Christensen, Richard Bohmer, and John Kenagy; "Blue Ocean Strategy," by W. Chan Kim and Renee Mauborgne; "Rediscovering Market Segmentation," by Daniel Yankelovich and David Meer; "The Office of Strategy Management," by Robert S. Kaplan and David P. Norton; and "The Strategy That Will Fix Health Care," by Michael E. Porter and Thomas H. Lee.