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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. 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. Such patients may not adequately prepare for this eventuality despite a timely recommendation by their nephrologist.

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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. It is a risk-stratified approach that could be applied to treating many medical conditions.

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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. The working team selected damage to rotator-cuff tendons as the clinical condition to be bundled.

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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

The lack of traceability and transparency extended to the costs for specialized equipment that was used only for particular products or customers. Tommy, an avid reader of the business literature, wanted Egan to adopt an activity-based costing , or ABC, approach. Steve, tell Tommy about the Sunderland project.".