Provide outstanding patient care while navigating the complexities of healthcare reform with this comprehensive, engagingly written guide
Read what your colleagues are saying about Understanding Value-Based Healthcare:
“The book is a masterful primer for all clinicians—especially
those of us hoping to navigate the transition from volume-based healthcare to
value-based healthcare without running aground.”
Atul Gawande, MD, MPH.
Surgeon, Professor, and author of Being Mortal and The Checklist Manifesto
“This book is an instant classic. It masterfully summarizes and makes
accessible a mountain of relevant health care delivery research. And it gives
front-line clinicians and other health care leaders a raft of practical ideas
to help make care dramatically safer, more patient-focused, and more affordable."
Donald Berwick, MD
President Emeritus and Senior Fellow, Institute for Healthcare Improvement
“What is value? Why is it so hard to achieve in healthcare, when it is
the standard in most other industries? How can we overcome the obstacles and
achieve a value-based system? With dozens of real-life stories of encounters
with our broken health system, this book offers valuable insights into these
questions and more. It is a must-read for everyone from student to frontline
clinician to system leader who wants to contribute to the successful transformation
to value-based care.”
Vivian Lee, PhD, MD, MBA
CEO, University of Utah Healthcare
Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today.
Understanding Value-Based Healthcare is divided into three sections:
Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more.
Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care.
Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives.
The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis.
I. Introduction to Value in Healthcare
1. The Current State of Healthcare Costs and Waste in the United States
2. Paying For Healthcare in the United States: The Private and Public Insurance Systems
3. Charges, Costs, and Payments: The Challenges of Understanding Healthcare Pricing
4. Defining Value: Connecting Quality and Safety to the Costs of Care
5. A Changing Landscape: The History of Cost Consciousness and Value in Healthcare Delivery
6. Ethics of Cost Conscious Care
II. Types and Sources of Waste
7. Variation in Resource Utilization and the Dartmouth Atlas
8. Stents, Robots, and the Role of Technology Diffusion
9. From the Pharmacy to the Supply Closet: Variable Costs and Single-use Equipment
10. Operative Times and the Management of Surgical Turnover
11. Too Many Hospital Beds: Fixed Costs and Excess Capacities
12. Imbalanced Workforce: Lots of Specialists, Few Primary Care Providers
13. Comparative Health Systems: Free markets vs. Coordinated Economies
14. Societal Spending Thresholds: How Do We Know When Expensive Care is Worth It
15. Barriers to Providing High Value Care
III. Solutions and Tools
16. A Framework for Approaching Value in Healthcare
17. Cost-effectiveness Analysis and Other Tools To Guide Appropriate Care
18. Shifting Incentives: Moving Reimbursement from Volume to Value
19. The Role of Regulation and Oversight
20. Learning From Other Industries: Applying Lean and Other Waste Reduction Strategies To Healthcare Organizations
21. Screening and Prevention: Balancing Benefits with Harms and Costs
22. High Value Medication Prescribing: One Size Does Not Fit All
23. The Role of Medical Educators: Teaching About Cost Awareness and Evidence-Based Medicine
24. The Role of Patients: ePatient Movement and Consumer Driven Healthcare
25. Implementing Value-Based Initiatives: A New Challenge for Healthcare Systems