Value Based Approaches To Spine Care
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| Author | : Rajiv K. Sethi |
| Publisher | : Springer Nature |
| Total Pages | : 206 |
| Release | : 2019-12-17 |
| Genre | : Medical |
| ISBN | : 3030319466 |
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.
| Author | : Michael E. Porter |
| Publisher | : Harvard Business Press |
| Total Pages | : 540 |
| Release | : 2006-04-24 |
| Genre | : Business & Economics |
| ISBN | : 1422133362 |
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.
| Author | : Donald R Murphy, Dr |
| Publisher | : |
| Total Pages | : 328 |
| Release | : 2013-12-28 |
| Genre | : Backache |
| ISBN | : 9780615888576 |
Clinical Reasoning in Spine Pain, Volume I: Primary Management of Low Back Disorders Using the CRISP Protocols, by internationally recognized clinician, author, and researcher Dr. Donald R. Murphy is a book for chiropractors, physical therapists, medical doctors, and other professionals as well as students who study, treat, and care for people with low back disorders. Unlike most medical texts, granular detail is replaced with a practical, evidence-based approach designed for real-world application. It gives clinicians and students a concise means to integrate disparate findings, organize clinical data, form a diagnosis, and design an effective management strategy. Murphy explains his unique approach to patient care with the Clinical Reasoning in Spine Pain(tm) (CRISP(tm)) protocols, an evidence-based, patient-centered, and relationship-oriented approach to diagnosis and management.
| Author | : Jeffrey A. Rihn |
| Publisher | : JAYPEE BROTHERS PUBLISHERS |
| Total Pages | : 257 |
| Release | : 2012-12-15 |
| Genre | : Medical |
| ISBN | : 9350906147 |
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.
| Author | : Gunnar Andersson |
| Publisher | : |
| Total Pages | : 274 |
| Release | : 2008 |
| Genre | : Medical |
| ISBN | : |
This study measures the incidence and prevalence of musculoskeletal conditions and projects trends, presenting the latest national data illuminating the physical and economic costs. Several professional organizations concerned with musculoskeletal health and the mission of the U.S. Bone and Joint Decade collaborated to tabulate the data, to educate health care professionals, policy makers and the public.--Publisher's description.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 273 |
| Release | : 2007-02-17 |
| Genre | : Medical |
| ISBN | : 0309102162 |
The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.
| Author | : Norbert Boos |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 1162 |
| Release | : 2008-09-24 |
| Genre | : Medical |
| ISBN | : 3540690913 |
Spinal disorders are among the most common medical conditions with significant impact on health related quality of life, use of health care resources and socio-economic costs. This is an easily readable teaching tool focusing on fundamentals and basic principles and provides a homogeneous syllabus with a consistent didactic strategy. The chosen didactic concept highlights and repeats core messages throughout the chapters. This textbook, with its appealing layout, will inspire and stimulate the reader for the study of spinal disorders.
| Author | : Craig Liebenson |
| Publisher | : LWW |
| Total Pages | : 0 |
| Release | : 2019-09-02 |
| Genre | : Medical |
| ISBN | : 9781496339409 |
Presents a practical overview of spinal rehabilitation combining McKenzie, Janda, Contract-Relax and Stabilization approaches into one common treatment protocol.
| Author | : National Academy of Engineering |
| Publisher | : National Academies Press |
| Total Pages | : 340 |
| Release | : 2011-07-14 |
| Genre | : Medical |
| ISBN | : 0309120640 |
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.
| Author | : Adam L. Wollowick |
| Publisher | : Springer Nature |
| Total Pages | : 416 |
| Release | : 2023-06-26 |
| Genre | : Medical |
| ISBN | : 3031272536 |
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.
