Value-based Competition: the Role of Outcome Measurement

2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Jens Deerberg-Wittram ◽  
Clemens Guth ◽  
Michael E. Porter
Keyword(s):  
Health Care ◽  
Treatment Option ◽  
Risk Adjustment ◽  
Outpatient Care ◽  
Medical Condition ◽  
Outcome Measurement ◽  
Starting Point ◽  
Inpatient And Outpatient Care ◽  
Comprehensive Measurement

SummaryThe starting point to any real progress in health care is comprehensive measurement of outcomes. Outcomes should be measured for each medical condition. Rather than focusing on single procedures or specialties, outcome sets must cover any treatment option and the full care cycle, from diagnostics to treatment to rehabilitation covering both inpatient and outpatient care. Risk adjustment for individual patient circumstances is also essential to compare outcomes across patients and across time.

Kabuki Actors Study

2001 ◽  
Vol 16 (3) ◽  
pp. 94-98
Author(s):  
Marc Brodsky
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medical Condition ◽  
Pain Severity ◽  
Health Issues ◽  
Medical Problems ◽  
Medical Practitioners ◽  
Starting Point ◽  
History Of

The Kabuki Actors Study set out to explore the health status of Kabuki actors, their performance-related medical problems, and the nature and extent of their health care. Two hundred sixteen Kabuki performers voluntarily completed an anonymous three-page survey addressing their health issues. Thirty-eight percent of the actors reported a history of at least one significant medical condition, and 88% of them identified at least one musculoskeletal or nonmusculoskeletal problem associated with performance. Sixty-nine percent of the performers had visited a physician over the preceding year, and 30% of them had consulted nonphysician medical practitioners. Kabuki actors, the Kabuki management, and physicians can use the findings of this study as a starting point to investigate why these injuries occur and how to prevent and treat them. Pain severity scales or other measurable outcomes of therapy can be used to compare the efficacies of physician and nonphysician treatments.

scholarly journals Patient Safety, Risk Reduction, and the Law

2018 ◽  
Author(s):  
Larry I. Palmer
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Health System ◽  
Systems Thinking ◽  
Health Care System ◽  
Error Reduction ◽  
Medical Liability ◽  
Starting Point ◽  
Care System

36 Houston Law Review 1609 (1999)"Patient safety" has come of age. With the publication of several empirical studies of medical injuries and the recent Institute of Medicine Report, To Err is Human: Building a Safe Health System, scholars from a variety of disciplines are advocating "systems thinking" as a way of preventing medical accidents. These scholars have been influenced by efforts to reduce accidents in other high risk industries such as aviation and scholarship in law proposing "no fault systems" for compensating medical accident victims. This article proposes that in order to incorporate "systems thinking" about medical error reduction, legal scholarship on the health care system must move beyond its preoccupation with the medical liability system. To develop a new framework for the role of law in enhancing patient safety, this article proposes that law's interaction with the public health system is the appropriate starting point for framing the legal analysis of patient safety. This framing of the issues acknowledges that the liability system may have a role to play in error reduction in medicine, but determining what this role is requires more empirical study of legal institutions as part of the emerging system of patient safety. To discover the appropriate role of law in the prevention of medical errors, this article encourages legal scholars to learn to pose empirical questions about how various institutions interact with the health care system.

Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

2020 ◽  
Vol 5 (5) ◽  
pp. 1175-1187
Author(s):  
Rachel Glade ◽  
Erin Taylor ◽  
Deborah S. Culbertson ◽  
Christin Ray
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Cochlear Implants ◽  
Practice Patterns ◽  
The United States ◽  
Care Providers ◽  
Aural Rehabilitation ◽  
Starting Point ◽  
Clinical Models ◽  
Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

The Role of Caring in Contemporary Health Care

1991 ◽  
Vol 36 (10) ◽  
pp. 871-872
Author(s):  
Linda Baumann
Keyword(s):  
Health Care ◽  
Contemporary Health Care
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