BookRajiv K. Sethi, Anna K. Wright, Michael G. Vitale, editors.
Contents:
Intro
Preface
Contents
Contributors
1: Macro Trends in Healthcare Delivery
The Spiraling Cost of Healthcare
Models of Value-Based Reimbursement
Accountable Care Organization (ACO)
Bundled Payment of Care Improvement (BPCI)
Patient-Centered Medical Home (PCMH)
Summary of VBR Models
Other Macroeconomic Trends
Price Controls and Decreases in Reimbursement
Consolidation
New Technology
Telehealth
Smart Pharmaceuticals and Devices
Genetics
Wearable Devices
Big Data and Artificial Intelligence
Conclusion: Finding Signal in the Noise 3: The Bree Collaborative Bundle for Lumbar Fusion: Evolution of a Community Standard for Quality
Identifying and Managing Uncomplicated Back Pain: The Spine Clinic
Engagement with Employers and the Marketplace Collaborative Model
Redesigning the Care Pathway for Uncomplicated Back Pain
Improved Quality and Timeliness of Care for Uncomplicated Back Pain
Financial Consequences for Providers
Lessons Learned from Starbucks, the Marketplace Collaborative, and Spine Clinic
Replicating the Spine Clinic Model
Lessons Learned from Intel's Collaborative and the Spine Clinic Beyond Spine Clinic: Contributions from Spine Surgery and Orthopedics
The Robert Bree Collaborative: Putting It All Together
Bree Collaborative Work Group on Lumbar Fusion
The Evidence Table
Cycle One: Standards for Appropriateness for Lumbar Fusion
Cycle Two: Fitness for Surgery
Cycle Three: Best Practice Surgery
Cycle Four: Rapid Return to Function
The Multidisciplinary Conference
The Personal Care Partner
Quality Measures
The Warranty Against Avoidable Remissions
Response of Health-Care Stakeholders to Surgical Bundles
Employers
Health Plans Providers
Summary
References
4: Multidisciplinary Evaluation Improves the Value of Lumbar Spine Care
Multidisciplinary Conferences
Multidisciplinary Clinics
Discussion
Conclusions
References
5: Using Lean Process Improvement to Enhance Safety and Value
What Is Standard Work?
The Toyota Production System and Its Application in Healthcare
What Is the Virginia Mason Production System? How Does This System Root Out Variability?
Cultural Aspects of Hierarchy in Medicine and Surgery (the Old Standard Way)