Navigation Links
How can we measure the value and impact of orthopaedic care?
Date:11/26/2013

Needham, MA Healthcare expenditures currently account for 18% of the United States Gross Domestic Product (GDP). Some experts have suggested that an emphasis on value may be an effective strategy to evaluate healthcare costs. In a recent article published in the inaugural issue of JBJS Reviews, authors Benedict U. Nwachukwu, MD, MBA; Kamran S. Hamid, MD, MPH; and Kevin J. Bozic, MD, MBA, argue that understanding value necessitates measuring outcome and cost at the patient level, and that the focus should be on results from validated disease-specific patient-reported outcome measures and health-related quality-of-life measures, measured across the continuum of a patient's care cycle.

"As the United States healthcare system shifts from one that rewards and incentivizes volume and intensity of services delivered to a more value-conscious payment and delivery system, orthopaedic surgeons will increasingly need to understand and implement the principles of value-based healthcare, " said Dr. Bozic, orthopaedic surgeon, health policy researcher, and senior author of the study. "Our manuscript outlines some of the key principles and strategies that will enable orthopaedic surgeons to collaborate with other healthcare stakeholders to improve the value of musculoskeletal care."

Key Findings

  • Value in orthopaedic surgery is most effectively defined as health outcomes per dollar spent. A patient-focused definition of value benefits all stakeholders in musculoskeletal care.
  • Value can be measured by understanding patient outcomes (including disease-specific patient-reported outcomes as well as generic health-related quality of life) and the cost of care across the entire continuum of musculoskeletal care.
  • Calculating costs can be challenging. Popular cost-accounting methods in orthopaedics include standard cost accounting and job order cost accounting. Time-driven activity-based costing holds great promise as a model to fully capture the cost of care.
  • Orthopaedic surgeons will need access to efficient tools for measuring and reporting both outcomes and costs in real time in order to use this information in medical decision making.
  • Collaboration across various disciplines both within and outside of orthopaedics is essential in order to operationalize valid widespread outcome assessment and transparent cost accounting.

"Medical practice around the world is changing rapidly. Aspects of patient care that historically have been costly in terms of dollars spent and adverse events incurred are coming under much greater scrutiny," explained Thomas A. Einhorn, MD, Editor of JBJS Reviews. "While many have suggested that an emphasis on value may be an effective way to control costs in health care, the value framework is poorly understood. This article clarifies many of these concepts and provides a basis on which orthopaedic surgeons and trainees can understand important issues for the future of orthopaedic practice as the rapidly changing environment surrounding us continues to take hold."


'/>"/>

Contact: Nicola Poser
nposer@jbjs.org
781-433-1245
Journal of Bone and Joint Surgery
Source:Eurekalert

Related medicine news :

1. Nonsurgical Method to Measure Brain Pressure Shows Promise
2. New method to measure work addiction
3. HIV prevention measures must include behavioral strategies to work, says APA
4. Routine care for Crohns disease in children should include measurement of bone age
5. Preventive Measures Pay Off for Those at Risk of Stroke
6. Simple Measures May Curb Excessive Weight Gain in Pregnancy
7. New Brain Measurements Can Pinpoint Childrens Age
8. IHME professor named first health measurement winner of prestigious innovation award
9. Blood Pressure Monitoring and Measurement Instruments Market - New Industry Research Report is Now Available for Pre Order at Transparency Market Research
10. Researchers identify ways to improve quality of care measurement from electronic health records
11. High Medical Bills Driving Some Americans to Extreme Measures
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/4/2016)... ... December 03, 2016 , ... The Lymphoma Research Foundation (LRF) ... and serving the lymphoma community through a comprehensive series of education programs, outreach ... in New York City, with long-time partners The Paul Foundation, on November 10, ...
(Date:12/4/2016)... ... December 03, 2016 , ... Penrose Senior Care Auditors® was ... Tuesday evening at the 26th Annual SMU Cox Dallas 100™ Awards Ceremony and ... Institute for Entrepreneurship. Dallas 100™, co-founded by the Caruth Institute, honors the ingenuity, ...
(Date:12/4/2016)... ... December 04, 2016 , ... Responsible dental care hinges on regular brushing ... achieve optimal results. This important necessity inspired an inventor from Las Vegas, Nev., to ... ensure that people break or avoid bad techniques of brushing the teeth in order ...
(Date:12/2/2016)... ... December 02, 2016 , ... On Dec. 2, 2016, CURE® magazine ... San Diego honoring the 2016 MPN Heroes—eight individuals who have made a difference in ... and beyond the standard of care, demonstrating leadership within the MPN community and/or a ...
(Date:12/2/2016)... , ... December 02, 2016 , ... ... announces the launch of its 60-day free trial program for all of the ... make the offer a truly hassle free experience. , FlexiSpot’s unique desktop risers ...
Breaking Medicine News(10 mins):
(Date:12/4/2016)... highly innovative, personalized cell-based treatment for a high-risk form of the most ... Children,s Hospital of Philadelphia today reported new results ... The physician-scientists presented findings at the annual meeting of the ... Continue Reading ... ...
(Date:12/2/2016)... 2, 2016 bioLytical Laboratories, un líder mundial en test ... INSTI HIV Self Test , a los miembros de la Kenya Pharmaceutical Association. ... ... INSTI HIV Self Test! (PRNewsFoto/bioLytical Laboratories) ...      (Photo: http://photos.prnewswire.com/prnh/20161201/444905 ) bioLytical fue invitada por ...
(Date:12/2/2016)... , Dec 2, 2016 Research and Markets ... Share, Development, Growth and Demand Forecast to 2022" report to their ... , , ... $6 billion in 2015, and it is expected to grow at a ... is expected to witness faster growth during the forecast period, a CAGR ...
Breaking Medicine Technology: