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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.

Cost 13
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Zero-Based Budgeting Is Not a Wonder Diet for Companies

Harvard Business Review

In comparison to other methods (such as Six Sigma or activity-based costing), ZBB typically does not address operational excellence in core processes (marketing, sales, supply chain, procurement, manufacturing) or fundamental cost drivers such as portfolio complexity, organizational complexity, customer complaints, and quality issues.

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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. Care for these patients could potentially be managed and monitored in the lower-cost NSPCU environment.

Mayo 8
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Intelligent Redesign of Health Care

Harvard Business Review

To obtain an understanding of the costs, the center is applying a combination of two management tools: process mapping from industrial engineering and activity-based costing from accounting. Specifically, the center wants estimates of: The costs of caring for groups of patients with similar conditions.

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How Hospitals Are Using Patient-Reported Outcomes to Improve Care

Harvard Business Review

Dr. Niazi’s team has found that inviting patients to report on a standard set of outcomes facilitates the discussion of topics that may be overlooked or are difficult to talk about. The team used PRO data to identify factors associated with suicidal ideation, such as severity of depression or current substance abuse.

Report 8
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Health Care Providers Need a Value Management Office

Harvard Business Review

ICCI serves as a center of excellence for measuring the outcomes that are most important for patients, significant for clinicians, and suitable for value-based reimbursement contracts. In addition, institution-wide outcome dashboards that previously just showed metrics required by external agencies will display the patient-reported outcomes.

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How to Design a Bundled Payment Around Value

Harvard Business Review

Physicians , left on the sideline while these new contracts are being forged, are further distanced from the new payment model because they often lack experience in measuring patient outcomes and have little confidence in their costs. The team has been meeting every two weeks over the past four months to design a BP model for a pilot project.