Measurement and Analysis in Transforming Healthcare Delivery : Volume 2: Practical Applications to Engage and Align Providers and Consumers

This volume is complementary to Volume 1: Quantitative Approaches in Health Systems Engineering which provides in-depth analysis of the statistical and quantitative aspects of Health Systems Engineering. Volume 2: Practical Applications to Engage and Align Providers and Consumers builds upon these concepts with the integration of additional economic, performance and quality measures. Stressing the importance of changes in the economics of health care financing, it will serve as a resource for not only leaders of organizations, but also providers who will be practicing a different type of medicine from that of which they were trained. After defining the challenges, the authors will quantify and define funds flows and various margins necessary for viability, how providers will be measured and rewarded for quality, and the importance of accurate dashboard of physician performance. Types of payment systems, including capitation, ACOs, risk contracts, and hybrid forms of fee for service will be defined and their relative advantages discussed. Lessons from other countries that provide high quality care at a lower cost will be examined for applicability to our challenges. Finally, experts in leadership will focus on influencing behavior to achieve results while remembering that healthcare is about the patient. This textbook will serve as a useful resource for clinicians, healthcare executives, governmental agencies, and emerging leaders in organizations. Front Matter....Pages i-xiv Healthcare Transformation: What Are the Challenges?....Pages 1-6 Terminology and Applications: Hospital Performance Measures....Pages 7-23 Measurements and Analysis in Transforming Healthcare Delivery: Terminology and Applications—Physician Performance....Pages 25-39 Assuring Appropriate Care....Pages 41-57 Aligning Medical Staff Within the Academic Medical Center....Pages 59-69 Aligning Healthcare Systems....Pages 71-82 Influencing with Integrity....Pages 83-97 Perspectives from Single Payer Systems....Pages 99-111 Leadership to Encourage and Sustain Performance....Pages 113-121 Back Matter....Pages 123-126