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Health Care Providers Need a Value Management Office

Harvard Business Review

Many health care organizations today are striving to deliver better patient outcomes at lower cost and to be rewarded for accomplishing both. Most have begun this journey with pilot projects to obtain valid measures of outcomes and cost for one or two medical conditions.

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Intelligent Redesign of Health Care

Harvard Business Review

The University of Texas MD Anderson Cancer Center is seeking to reduce its cost structure by redesigning its health-care-delivery model to reflect the true costs of care (the early stages of the project were described in a 2011 Harvard Business Review article by Robert S. Health Operations' Kaplan and Michael E.

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Delivering Higher Value Care Means Spending More Time with Patients

Harvard Business Review

To understand these issues better, we formed a project team to study patients that started on dialysis in 2011 and 2012. But they incur much higher costs later in the cycle when preventable complications are treated in emergency rooms and intensive care units. Costs Operations management Business processes Healthcare'

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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%.

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How to Design a Bundled Payment Around Value

Harvard Business Review

The team has been meeting every two weeks over the past four months to design a BP model for a pilot project. The key elements of the project are the following: Defining the Bundle. Such outcome-based guarantees and incentives are rare in traditional top-down bundled-payment contracts created without the input of frontline physicians.

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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. The most successful implementations have had strong executive support, exceptional clinical leaders, and dedicated, multi-disciplinary project teams.

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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.