Defining the Value of Spine Care PDF Download

Author: Jeffrey A. Rihn
Publisher: JAYPEE BROTHERS PUBLISHERS
ISBN: 9350906147
Category : Medical
Languages : en
Pages : 257

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Book Description
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: Jeffrey A Rihn
Publisher: JP Medical Ltd
ISBN: 9789350254905
Category : Medical
Languages : en
Pages : 264

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Book Description
This book is a comprehensive guide to defining the value of spine care. Beginning with an introduction and definition of common terminology, the following chapters evaluate the processes and outcomes of spinal surgery. Written by recognised, US-based experts in the field, this practical manual provides spine care specialists with an in depth understanding of the key concepts, measurement tools and methods for value-based spine care.

Author: John Ratliff
Publisher: Springer
ISBN: 3319979906
Category : Medical
Languages : en
Pages : 405

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Book Description
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.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309282810
Category : Medical
Languages : en
Pages : 437

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Book Description
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Author: Gunnar Andersson
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 274

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Book Description
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
ISBN: 0309102162
Category : Medical
Languages : en
Pages : 273

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Book Description
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: Eric O. Klineberg
Publisher: Springer
ISBN: 3319477099
Category : Medical
Languages : en
Pages : 295

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Book Description
Providing a sound definition and review of the pertinent treatment goals for the management of adult lumbar scoliosis, this practical and comprehensive guide covers everything from pre-operative evaluation and radiography to post-operative management and complications. Both non-operative and operative strategies are presented, including minimally invasive techniques, decompression, anterior release, spinal osteotomy, and proximal and distal fixation, with an emphasis on clinical guidelines and management outcomes. The impact and prevention of complications following treatment are also discussed, including the prevention of proximal junctional kyphosis. Concluding with an examination of future directions for research and clinical treatment strategies, the comprehensive approach of this book provides the orthopedic surgeon, neurosurgeon and spinal practitioner with the most current evidence and expert thought about the evaluation and management of adult lumbar scoliosis.

Author: Rajiv K. Sethi
Publisher: Springer Nature
ISBN: 3030319466
Category : Medical
Languages : en
Pages : 206

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Book Description
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: Eeric Truumees
Publisher: Lippincott Williams & Wilkins
ISBN: 1975118413
Category : Medical
Languages : en
Pages : 1024

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Book Description
OKU: Spine 5, developed in a partnership between the American Academy of Orthopaedic Surgeons (AAOS) and the North American Spine Society (NASS), is a balanced review of the vastly expanding body of increasingly specialized spine clinical and surgical knowledge to keep you in the forefront of adult and pediatric spine care.

Author: Michael P. Steinmetz
Publisher: Elsevier Health Sciences
ISBN: 0323636691
Category : Medical
Languages : en
Pages : 2116

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Book Description
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. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.