The transition to value-based care

Ray, Jordan; Kusumoto, Fred

doi:10.1007/s10840-016-0166-x

Cited by 25 publications

(21 citation statements)

References 33 publications

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“…Moreover, the harmonization and a review of the quality standards could help to achieve a balance in the quantity of information available across Donabedian's quality criteria as well as in the quality of clinician-reported versus patient-reported information. This might reduce the burden of data collection and documentation on clinicians while also increasing quality standards' value for quality improvement [10,11,26,27].…”

Section: Discussionmentioning

confidence: 99%

Content comparison and person-centeredness of standards for quality improvement in cardiovascular health care

et al. 2021

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Background Quality standards are important for improving health care by providing compelling evidence for best practice. High quality person-centered health care requires information on patients' experience of disease and of functioning in daily life. Objective To analyze and compare the content of five Swedish National Quality Registries (NQRs) and two standard sets of the International Consortium of Health Outcomes Measurement (ICHOM) related to cardiovascular diseases. Materials and methods An analysis of 2588 variables (= data items) of five NQRs—the Swedish Registry of Congenital Heart Disease, Swedish Cardiac Arrest Registry, Swedish Catheter Ablation Registry, Swedish Heart Failure Registry, SWEDEHEART (including four sub-registries) and two ICHOM standard sets–the Heart Failure Standard Set and the Coronary Artery Disease Standard Set. According to the name and definition of each variable, the variables were mapped to Donabedian’s quality criteria, whereby identifying whether they capture health care processes or structures or patients’ health outcomes. Health outcomes were further analyzed whether they were clinician- or patient-reported and whether they capture patients’ physiological functions, anatomical structures or activities and participation. Results In total, 606 variables addressed process quality criteria (31%), 58 structure quality criteria (3%) and 760 outcome quality criteria (38%). Of the outcomes reported, 85% were reported by clinicians and 15% by patients. Outcome variables addressed mainly ‘Body functions’ (n = 392, 55%) or diseases (n = 209, 29%). Two percent of all documented data captured patients’ lived experience of disease and their daily activities and participation (n = 51, 3% of all variables). Conclusions Quality standards in the cardiovascular field focus predominately on processes (e.g. treatment) and on body functions-related outcomes. Less attention is given to patients’ lived experience of disease and their daily activities and participation. The results can serve as a starting-point for harmonizing data and developing a common person-centered quality indicator set.

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Section: Discussionmentioning

confidence: 99%

Content comparison and person-centeredness of standards for quality improvement in cardiovascular health care

et al. 2021

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“…In recent years, client care has transitioned to value-based care (Ray & Kusumoto, 2016). As a result, quality in the context of healthcare is a client-centered approach where care focuses on the engagement and involvement of the client so that the client has autonomy in their course of care.…”

Section: Delivery Of Quality Servicementioning

confidence: 99%

“…In recent years, delivery of healthcare has shifted from a fee-for-service model to a value-based system in efforts to associate payment with quality and value of care (Ray & Kusumoto, 2016). In order to meet the new demands of value-based care and meet their clients' needs, occupational therapists (OTs) must be equally knowledgeable and competent in their practice by applying expertise developed progressively through clinical experience and education.…”

Section: Introductionmentioning

confidence: 99%

Identifying Essential Competency Areas for Occupational Therapy Education: A Scoping Review

Chun

Taff

Mehta

et al. 2020

JOTE

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“…Right now, we have a fee-for-service model for reimbursement that over the past several years is shifting toward this value-based model that attempts to link quality and value to payment [7]. The difficulty in implementing it is to quantify quality and value.…”

Section: Introductionmentioning

confidence: 99%

Value-Based Healthcare

Ramos¹

2021

Bioethics in Medicine and Society

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Value-based healthcare is a new health-care model in which what is important is value to the patient. Value is a broad term, but in essence, it is the best outcome for the patient per dollar spent. To provide value to the patient, the medical practice should be centered around conditions and care cycles and the results must be measured. We now know that the model we have right now, the fee-for-service model, is not linked to quality of the patient. All around the world, many hospitals and clinics are making the transition to this value-based model. To provide the best for the patient, we must have the best medical evidence to follow. In the following chapter, we will cover a few aspects of value-based healthcare, its reimbursement model, the integrated practice units, and the information technology necessary to implement it.

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The transition to value-based care

Cited by 25 publications

References 33 publications

Content comparison and person-centeredness of standards for quality improvement in cardiovascular health care

Content comparison and person-centeredness of standards for quality improvement in cardiovascular health care

Identifying Essential Competency Areas for Occupational Therapy Education: A Scoping Review

Value-Based Healthcare

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