The U.S. Healthcare System- Most Expensive, Least Effective

Posted by Ariella Cohen on Jul 2, 2014 12:20:15 PM

A recent report by the Commonwealth Fund has ranked the United States Healthcare system last among 11 Western countries. Among the 11 nations in the report- Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the U.K. and the U.S.- the U.S. has continued to score the lowest ranking in the four prior studies conducted since 2004.

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Topics: government, Information Technology, healthcare

Mobile Health: Changing How We Deliver Health Care

Posted by Ariella Cohen on Jun 18, 2014 2:10:53 PM

Mobile health is bringing an entirely new approach to health care, referred to as “the biggest technology breakthrough of our time” by previous U.S. Secretary of Health and Human Services Kathleen Sebelius. Mobile health, commonly referred to as mHealth, refers to the use of mobile devices in the collection of health data, the delivery of medical information, and the remote delivery of care. The implementation and widespread usage does not replace the roles of doctors and hospitals, but rather enables patients and providers to navigate remotely and efficiently. 

 1. The Integration of Mobile Devices in Our Daily Lives

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Topics: digital health, Health, Apps, mhealth, Technology

“The Strategy That Will Fix Health Care”: A Supporting IT Platform

Posted by Amy Babington on Jun 11, 2014 12:00:52 PM

Today we discuss the final tenet of the “value agenda” from the Harvard Business Review’s, The Strategy That Will Fix Health CareBuild an Enabling IT Platform.

The five other components of the value agenda previously discussed: (1) organizing into IPUs, (2) measuring outcomes and costs for each patient, (3) moving to bundled payments for care cycles, (4) integrating care delivery across separate facilities and (5) expanding geographic reach are made possible by an integrated information technology platform.

In an IPU, IT platforms must span across the various facilities, departments, and services that a patient might encounter throughout their entire episode of care for a given condition. For organizations who have not yet organized into IPUs – or who are still in the process – IT systems must transition from the siloed platforms of today.

 The authors highlight six essential elements necessary to create a valuable IT platform:

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Topics: value-based care, patient engagement, EMR, healthcare costs, outcomes, episodes of care

“The Strategy That Will Fix Health Care”: Expanding Geographic Reach

Posted by Amy Babington on Jun 4, 2014 8:00:00 AM

In our most recent posts, we have discussed the first four components of the “value agenda” from the Harvard Business Review’s, The Strategy That Will Fix Health Care: (1) organizing into IPUs, (2) measuring outcomes and costs for each patient, (3) moving to bundled payments for care cycles, and (4) integrating care delivery across separate facilities. Today we continue our discussion with our key takeaways from the fifth component in the agenda: expanding geographic reach.

Once an organization has created an IPU to specialize in a medical condition throughout the entire episode of a patient’s care, expansion of these organizations outside of their home market becomes a necessary next step. Two forms of expansion discussed include the hub-and-spoke model and the clinical affiliation model.

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Topics: value-based care, post-acute care, outcomes, episodes of care

“The Strategy That Will Fix Health Care”: Integrate Care Delivery

Posted by Amy Babington on May 28, 2014 9:53:44 AM

In our last few posts, we have highlighted some of the key takeaways from the Harvard Business Review’s, The Strategy That Will Fix Health Care. The implementation of the first three components of the author’s “value agenda”: (1) organizing into IPUs, (2) measuring outcomes and costs for each patient, and (3) moving to bundled payments for care cycles, enables the fourth component that we will discuss today: integrating care delivery across separate facilities.

Screenshot_2014-05-27_22.22.28

Today over 60% of all hospitals are part of a multisite health care delivery organization. However, as these systems exist today, many organizations operate as stand-alone units resulting in inefficiencies generated from duplication in services and fragmentation in overall care delivery. 

With much room for improvement available, the authors suggest four key components to help enable true integration:

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Topics: value-based care, bundled payments, outcomes, episodes of care

“The Strategy That Will Fix Health Care”: Bundled Payments

Posted by Amy Babington on May 21, 2014 12:02:19 PM

In our two most recent posts, we have highlighted some of the key takeaways from Harvard Business Review’s, The Strategy That Will Fix Health Care. The first component of the “value agenda,” creating integrated practice units (IPUs), -- where care is organized around a patient’s entire episode of care -- enables the second component, proper collection of outcomes and costs for every patient.

In a world of IPUs, accurate and relevant costs and outcomes collection facilitates a move to bundled payments for care cycles which assigns a single payment for the patient's entire episode of care. While some health care organizations have started to explore bundled payments options, the fee-for-service and global capitation models are still more prevalent today despite offering little improvement in the value of care.

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Topics: value-based care, fee-for-service, bundled payments, outcomes

“The Strategy That Will Fix Health Care”: Measuring Outcomes and Costs

Posted by Amy Babington on May 14, 2014 6:29:07 PM

As discussed in our last post, the creation of Integrated Practice Units (IPUs) is just the first of six components of the “value agenda” discussed in the Harvard Business Review article, The Strategy That Will Fix Health Care. Organizing into IPUs properly enables and simplifies the second component that we will explore today: measuring outcomes and costs for every patient. Unfortunately, as it stands today at most organizations that have not yet formed IPUs, outcomes and costs are collected by specialty or intervention making the collection process much more cumbersome and providing little value to all stakeholders.  

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Topics: fee-for-service, bundled payments, outcomes, episodes of care

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