You decide to start with a survey that you send to all of the clinicians and health care administrators in the hospital. This asks routine questions related to health care and value to serve as a benchmark of their understanding. You’re not surprised to find that the majority of the respondents do not know the basic components of value-based health care. You decide your very first focus needs to be on helping all to understand the basic definition.
Drag and drop the two correct responses to their correct locations in the numerator and denominator of the equation.
Value-based health care
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Dr. Barbara Malone, the Chief Hospital Administrator, has found that Scottsdale Memorial’s costs of care have been higher than those of its competitors for some time, but isn’t sure of the cause of this. She thinks it’s possible that, due to its proximity to neighborhoods with higher levels of geriatric individuals, the hospital may receive higher-cost patients. However, she also believes that there is a lot of variation between the practices of the clinicians working at the hospital. You agree that identifying where this issue is coming from, will be an important first step. You suggest she use a:
According to some of the clinicians you survey, collecting outcomes is burdensome. The sheer amount of them makes both patients and their doctors frustrated, and it feels like the point of them is to find out what the clinicians did wrong. This is a common feeling, and one that points to a problem with this hospital’s measurement philosophy. Help clear up this misunderstanding by sorting the following statements into their correct locations.
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Through use of the opportunity index scatterplot, it was clear that one physician, Dr. Franks, had higher costs compared to other clinicians. This could mean many things, including that he simply has more complex patients or a higher caseload. After watching him on rounds, however, you notice that he often recommends to patients the most intensive and costly interventions. Although in some selected situations, these options may be most efficacious and clinically appropriate, you haven’t seen him routinely have conversations with patients to explain potential treatment options, alternatives, and to identify goals with his patients. What tool might Dr. Franks use to have these conversations and collaboratively identify the most appropriate treatments based on his individual patients’ goals?
While helping to identify tools surrounding cost analysis and treatment options may help to curb high medical costs and identify areas for improvement, you understand that it doesn’t solve the whole problem. Costs in general are relatively misunderstood by almost all of the clinicians you speak with, who say they often don’t know how to discuss costs with patients. You devise an exercise that will help these clinicians gauge and develop their understanding of costing terminology and reimbursement methods.
For each of the terms, definitions, and descriptions that appear in the center below, drag it to the correct location.
A common refrain is that patients get frustrated by everything from aspirin to chemotherapy costing more than they believe it should. Some of the clinicians express that everything would make a lot more sense if they could better understand what actual costs are. A method of costing that accurately measures costs of the clinicians, equipment, space, and overhead used on a minute-to-minute basis in all processes of care for each specific care episode is:
Scottsdale Memorial Hospital is known for its treatment of breast cancer. It has some of the best physicians in the country who specialize in the care and treatment of this condition. After learning about the models you discuss, Dr. Malone is interested in reorganizing the breast cancer treatment ward into an integrated practice unit. Help her identify which of the following elements should be a part of this unit.
Choose all that apply.
Finally, you find that Scottsdale Memorial is using its health information technology (HIT) mostly for billing. You know that Scottsdale Memorial is not alone and that, while essential in making improvements, two of the most difficult things to do using existing electronic medical records are:
Choose 2.