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Health Care Providers Need a Value Management Office

Harvard Business Review

While leaders of many care organizations may be fearful that a new centralized staff function would add to corporate overhead and bureaucracy at a time when they are trying to reduce expenses, becoming adept at the delivery of value-based care requires capabilities that provider organizations currently lack.

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Do You Know What Your Company’s Data Is Worth?

Harvard Business Review

In 2015, Lloyd’s (the world’s specialist insurance market) estimated that cyber-attacks cost businesses as much as $400 billion per year , which includes direct damage plus post-attack disruption to the normal course of business. Such costs are expected to quadruple again by 2019, to in excess of $2 trillion.

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Lessons from Mayo Clinic’s Redesign of Stroke Care

Harvard Business Review

At the Mayo Clinic Comprehensive Stroke Center Practice, we conducted a project to design and deliver care more customized to the needs of individual patients while reducing cost and resource constraints. Patients that received TPA and were subsequently monitored in the NSPCU had an average reduced cost of 25%.

Mayo 8
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How to Design a Bundled Payment Around Value

Harvard Business Review

The procedures and resources in the bundle would include pre-op appointment and testing, use of the operating room and facility services on day of surgery, surgeon, anesthesiologist and support staff, clinic visits, in-hospital drug and laboratory tests, and post-surgical physical therapy. The bundle incorporated the metrics in two ways.

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The Mayo Clinic Model for Running a Value-Improvement Program

Harvard Business Review

These efforts were part of the providers’ quest to increase the value of their care delivery — in other words, achieve better outcomes at the lowest-possible cost. Unfortunately, fewer than 20% of patients had completed both pre- and post-operative surveys. Record and share learnings.

Mayo 8
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Getting Bundled Payments Right in Health Care

Harvard Business Review

But both extend their outcomes measurement far beyond these common measures to include pre- and post-operative patient outcomes specific to the medical conditions they treat (e.g., RI co-developed an outcomes-reporting software tool and is now able to seamlessly integrate this information into each patient’s medical record.

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Case Study: When to Drop an Unprofitable Customer

Harvard Business Review

But he could not shake his newfound awareness of the amount of money Egan was losing with Westmid — the account's ratio of operating income to sales was a negative 28%. The lack of traceability and transparency extended to the costs for specialized equipment that was used only for particular products or customers.