Value Based Approaches To Spine Care
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Value Based Approaches To Spine Care
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Author : Rajiv K. Sethi
language : en
Publisher: Springer Nature
Release Date : 2019-12-17
Value Based Approaches To Spine Care written by Rajiv K. Sethi and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-17 with Medical categories.
Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
Value Based Approaches To Spine Care
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Author :
language : en
Publisher:
Release Date : 2020
Value Based Approaches To Spine Care written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020 with Spine categories.
Beginning with a review of current trends in health care delivery leading to more value-based platforms, this unique and up-to-date book then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
Defining The Value Of Spine Care
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Author : Jeffrey A. Rihn
language : en
Publisher: JAYPEE BROTHERS PUBLISHERS
Release Date : 2012-12-15
Defining The Value Of Spine Care written by Jeffrey A. Rihn and has been published by JAYPEE BROTHERS PUBLISHERS this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-15 with Medical categories.
The book "Defining the Value of Spine Care" discuses the concepts of value-based spinal care to the spine care provider. The spinal care coverage and payment are linked increasingly to the value of care. Hence the spine care provider can easily understand the concepts of value in the context of spinal care, outcome measures and cost measures. Initial chapters provide detail information on understanding the value of spine care and definition of common terminology. This is followed by the use of process measures in measuring the quality of spine care and disease-specific health-related quality of life measures in lumbar degenerative disease and cervical degenerative disease. It also discusses the numerical rating scales, the quality-adjusted life year, decision tree analysis and simulation modeling in spine care, etc. The last few chapters explain about value-based evaluation of new spine-related technology, determining value with outcome measures in perspectives from each of the stakeholders of spine care delivery, developing value-based guidelines for the treatment of spinal disorders and comparative effectiveness research in spine care using SPORT. Spine care providers need to measure the quality and value of the treatment and provide tools necessary for understanding the task.
Quality Spine Care
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Author : John Ratliff
language : en
Publisher: Springer
Release Date : 2018-10-26
Quality Spine Care written by John Ratliff and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-10-26 with Medical categories.
Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care. Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to “high quality care.” Most physicians email inboxes are inundated with offers of recognition for being a “Top Doc” for a nominal fee. Some payers offer incentives to patients who chose to be treated at “Centers of Excellence” or similar facilities; the definition of “Excellence” may be unclear. There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour. Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care. Features: 1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community. 2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems’ quality reporting is novel and will be thought provoking for readers. 3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement 4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices 5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
Orthospinology Procedures
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Author : Kirk Eriksen
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2007
Orthospinology Procedures written by Kirk Eriksen and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Medical categories.
This text presents the current and updated teaching of the Orthospinology procedure. Written by the author of the landmark text Upper Cervical Subluxation Complex, this new book is a step-by-step, thoroughly illustrated guide to the Orthospinology procedure for correcting subluxations. The book details the X-ray analysis methods used to quantify the subluxation and determine an effective correction vector. Subsequent chapters present steps for ensuring the precision of the X-ray analysis, performing specific adjustments, assessing the effectiveness of the adjustment, and fine-tuning the correction to the individual patient. More than 300 photographs and drawings clarify complex points.
Spondylolisthesis
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Author : Adam L. Wollowick
language : en
Publisher: Springer Nature
Release Date : 2023-06-26
Spondylolisthesis written by Adam L. Wollowick and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-06-26 with Medical categories.
Now in a fully revised and expanded second edition, this comprehensive text remains the definitive source for information related to the care of adult and pediatric patients with spondylolisthesis. It presents a complete analysis of this common yet intricate spinal condition, including basic science, diagnosis, non-surgical management, surgical techniques (including minimally invasive options and biologics) and outcomes. The management of the various types of spondylolisthesis requires a thorough understanding of both fundamental principles and subtle nuances, which are highlighted here in three sections. Part I details the basic principles, diagnosis and non-surgical management of spondylolisthesis, including anatomy and biomechanics, clinical evaluation of both adult and pediatric patients, and imaging and classification. Part II covers surgical management with a step-by-step discussion of strategies, techniques and tips that are necessary to apply standard procedures to this specific disorder. Procedures that are covered here include decompression, spinal fusion from various approaches, and the latest minimally invasive and endoscopic techniques. Part III discusses the outcomes and complications of surgical treatment, as well as interoperative neuro-monitoring and value considerations. Written and edited by top clinicians in the field, Spondylolisthesis remains an invaluable resource for orthopedic and neurological spine surgeons, rehabilitation physicians, residents, fellows, and any caregiver who treats the spine.
Surgical Anatomy Of The Lateral Transpsoas Approach To The Lumbar Spine E Book
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Author : R. Shane Tubbs
language : en
Publisher: Elsevier Health Sciences
Release Date : 2019-11-20
Surgical Anatomy Of The Lateral Transpsoas Approach To The Lumbar Spine E Book written by R. Shane Tubbs and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-11-20 with Medical categories.
Surgical anatomy of the lateral transpsoas approach to the lumbar spine E-Book
Benzel S Spine Surgery
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Author : Michael P Steinmetz
language : en
Publisher: Elsevier Health Sciences
Release Date : 2021-05-18
Benzel S Spine Surgery written by Michael P Steinmetz and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-05-18 with Medical categories.
Written and edited by world-renowned experts in the field, Benzel’s Spine Surgery: Techniques, Complication Avoidance and Management, 5th Edition, provides expert, step-by-step guidance on the evaluation and management of disorders of the spine. This definitive, two-volume work explores the full spectrum of techniques used in spine surgery, giving you the tools you need to hone your skills and increase your knowledge in this challenging area. Clearly organized and extensively revised throughout, it features contributions from both neurosurgeons and orthopaedic surgeons to present a truly comprehensive approach to spine disease. Offers a thorough overview of the effective management of patients with spinal disorders, including fundamental principles, biomechanics, applied anatomy, instrumentation, pathophysiology of spinal disorders, surgical techniques, motion preservation strategies, non-surgical management, and complication avoidance and management, as well as controversies. Focuses on both pathophysiology and surgical treatment of spine disease, with an increased emphasis on minimally invasive surgery. Contains new features such as key points boxes at the beginning of chapters and algorithms to help streamline the decision making process. Covers today’s hot topics in spine surgery, such as health economics, artificial intelligence, predictive analytics, new less invasive techniques including endoscopic spine surgery, and the future of spine surgery. Provides expert coverage of key topics including biomechanics of motion preservation techniques, spinal injuries in sports, biologics in spine fusion surgery, anterior sub-axial cervical fixation and fusion techniques, complex lumbosacropelvic fixation techniques, and many more. Features more than 1,500 high-quality illustrations, as well as new procedural videos on en bloc spondylectomy, minimally invasive endoscopic posterior cervical foraminotomy, cervical total disc replacement, minimally invasive lumbar decompression of stenosis, and more.
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.
Operative Techniques Spine Surgery
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Author : Alexander R. Vaccaro
language : en
Publisher: Elsevier Health Sciences
Release Date : 2024-06-11
Operative Techniques Spine Surgery written by Alexander R. Vaccaro and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-11 with Medical categories.
Part of the superbly illustrated Operative Techniques series, Spine Surgery, 4th Edition, brings you up to speed with must-know surgical techniques in today’s technically demanding spine surgery. Step-by-step, evidence-based guidance walks you through both common and uncommon situations you’re likely to see in your practice, including trauma-related cases. Concise, detailed text accompanies the excellent visuals to provide a comprehensive, practical tool ideal for orthopaedic and neurosurgery residents, fellows, and practicing surgeons. Focuses on individual procedures, each presented in an easy-to-follow format for quick reference. Combines brief bulleted descriptions of surgical procedures with crisp, clear illustrative drawings and images, clinical pearls, and just the right amount of relevant science. Contains seven all-new chapters: Adolescent Idiopathic Scoliosis: Lenke Classification and Surgical Indications; NOMS Framework: Approach to the Treatment of Spinal Metastatic Tumors; Antepsoas Approach for Lumbar Interbody Fusion; Robotically-Assisted Spinal Surgery: Setup and Workflow; Virtual Reality/ Augmented Reality in Spinal Surgery: Setup and Workflow; Endoscopic Discectomy and Foraminotomy; and Awake Spinal Surgery. Includes surgical videos available online that demonstrate how to perform state-of-the-art procedures.