Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error

Berenson, Robert A.; Singh, Hardeep

doi:10.1377/hlthaff.2018.0714

Cited by 16 publications

(6 citation statements)

References 41 publications

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“…Time is short and getting the diagnosis right is not financially rewarding. Fee-for-service medicine favors volume over value (Berenson & Singh, 2018). When volume is the focus, time to think is shortchanged and interactions with patients are abbreviated.…”

Section: Applying the Five Hro Principles To The Diagnostic Process: ...mentioning

confidence: 99%

Crossing Academic Boundaries for Diagnostic Safety: 10 Complex Challenges and Potential Solutions From Clinical Perspectives and High-Reliability Organizing Principles

et al. 2021

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Objective We apply the high-reliability organization (HRO) paradigm to the diagnostic process, outlining challenges to enacting HRO principles in diagnosis and offering solutions for how diagnostic process stakeholders can overcome these barriers. Background Evidence shows that healthcare is starting to organize for higher reliability by employing various principles and practices of HRO. These hold promise for enhancing safer care, but there has been little consideration of the challenges that clinicians and healthcare systems face while enacting HRO principles in the diagnostic process. To effectively deploy the HRO perspective, these barriers must be seriously considered. Method We review key principles of the HRO paradigm, the diagnostic errors and harms that potentially can be prevented by its enactment, the challenges that clinicians and healthcare systems face in executing various principles and practices, and possible solutions that clinicians and organizational leaders can take to overcome these challenges and barriers. Results Our analyses reveal multiple challenges including the inherent diagnostic uncertainty; the lack of diagnosis-focused performance feedback; the fact that diagnosis is often a solo, rather than team, activity; the tendency to simplify the diagnostic process; and professional and institutional status hierarchies. But these challenges are not insurmountable—there are strategies and solutions available to overcome them. Conclusion The HRO lens offers some important ideas for how the safety of the diagnostic process can be improved. Application The ideas proposed here can be enacted by both individual clinicians and healthcare leaders; both are necessary for making systematic progress in enhancing diagnostic performance.

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Section: Applying the Five Hro Principles To The Diagnostic Process: ...mentioning

confidence: 99%

Crossing Academic Boundaries for Diagnostic Safety: 10 Complex Challenges and Potential Solutions From Clinical Perspectives and High-Reliability Organizing Principles

et al. 2021

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“…Despite the apparent importance of diagnostic performance quality, strikingly, it has been little accounted for by health payers and policymakers (Berenson and Singh 2018 Newman-Toker et al 2015). These devices, called "dizzy-goggles," scan patient's eye movements to determine whether the patient may be experiencing a stroke or a benign inner ear disorder.…”

Section: Measuring and Incentivizing Stroke Diagnostic Safety In The mentioning

confidence: 99%

Equity in genetic newborn screening

Hajj

Bish

2019

Naval Research Logistics

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“…Despite the apparent importance of diagnostic performance quality, strikingly, it has been little accounted for by health payers and policymakers (Berenson & Singh, 2018). Both conventional fee‐for‐service payment models and emerging alternative payment models specify reimbursements largely for given diagnoses, without considering whether the underlying diagnosis itself is accurate or not.…”

Section: Strokementioning

confidence: 99%

Heart analytics: Analytical modeling of cardiovascular care

Dai

Gleason

Hwang

et al. 2019

Naval Research Logistics

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Cardiovascular diseases (CVDs) are the leading cause of death and disability both in the United States and worldwide. Despite high morbidity, mortality, and cost in the United States and global healthcare systems, cardiovascular care has been understudied in the healthcare operations management literature. In this paper, we identify research opportunities for healthcare operations management scholars to aid in improving cardiovascular care. We focus on three burdensome conditions, including (1) coronary artery disease, (2) stroke, and (3) heart failure, which, collectively, lead to the vast majority of CVD‐caused mortality and disability. For each condition, we characterize a typical patient's journey in receiving cardiovascular care, elucidating key challenges in improving care and outlining research questions for healthcare operations management scholars. We close with a reference to new research opportunities that emerge as artificial intelligence is likely to transform much of cardiovascular care.

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Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error

Cited by 16 publications

References 41 publications

Crossing Academic Boundaries for Diagnostic Safety: 10 Complex Challenges and Potential Solutions From Clinical Perspectives and High-Reliability Organizing Principles

Crossing Academic Boundaries for Diagnostic Safety: 10 Complex Challenges and Potential Solutions From Clinical Perspectives and High-Reliability Organizing Principles

Equity in genetic newborn screening

Heart analytics: Analytical modeling of cardiovascular care

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