Value Driven Healthcare And Geriatric Medicine

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Value Driven Healthcare and Geriatric Medicine

Author : James S. Powers
Publisher : Springer
ISBN 13 : 3319770578
Total Pages : 156 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Value Driven Healthcare and Geriatric Medicine by : James S. Powers

Download or read book Value Driven Healthcare and Geriatric Medicine written by James S. Powers and published by Springer. This book was released on 2018-05-04 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

Creating a Value Proposition for Geriatric Care

Author : James S. Powers
Publisher : Springer
ISBN 13 : 3319622714
Total Pages : 54 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Creating a Value Proposition for Geriatric Care by : James S. Powers

Download or read book Creating a Value Proposition for Geriatric Care written by James S. Powers and published by Springer. This book was released on 2017-07-26 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book creates a value proposition in geriatric care - a promise of value to be delivered to improve care and to provide specific benefits to healthcare systems. It describes strategies and understanding of the incentives, barriers encountered in promoting changes in the healthcare systems, and discusses numerous examples and outcomes. Drawn from many fields such as medicine and science, sociology, politics, business and economics, the book helps guide the introduction of geriatric principles into mainstream medical care with the goal of improving the care and quality of life of older persons in all healthcare systems.

Geriatric Medicine

Author : Michael R. Wasserman
Publisher : Springer
ISBN 13 : 9783030747190
Total Pages : 0 pages
Book Rating : 4.7/5 (471 download)

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Book Synopsis Geriatric Medicine by : Michael R. Wasserman

Download or read book Geriatric Medicine written by Michael R. Wasserman and published by Springer. This book was released on 2024-03-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Older adults represent the most rapidly growing demographic in the U.S. and in many developed countries around the world. The field of geriatric medicine is still relatively young, and is only recently seeing a significant increase in peer reviewed literature. Medicare and Medicaid expenditures related to older adults are nearly a trillion dollars/year in the US. How our healthcare system cares for older adults, and how those older adults navigate an increasingly complex system, is of the utmost importance. According to the Institute of Medicine, physicians and other healthcare professionals receive an inadequate amount of training in geriatric medicine. Geriatric medicine is based on the concept of delivering person centered care with a focus on function and quality of life. It is essential that physicians, nurse practitioners, physician assistants, pharmacists, social workers and other health care professionals all be knowledgeable about the geriatric approach to care. Geriatric medicine varies from most other fields in medicine. While many specialties function on the basis of evidence-based literature, geriatricians and other clinicians caring for older adults must integrate relatively limited evidence with variable physiological changes and complex psychosocial determinants. Geriatricians are used to caring for 90 year olds with multiple chronic illnesses. Their variable physiology leads to uncertain responses to pharmacotherapy, and their personal goals and wishes need to be incorporated into any plan of care. Practicing geriatric medicine requires the ability to see patterns. But it goes one step further, as the rules are constantly in flux. Every patient is an individual with particular needs and goals. In order to provide true person centered care to older adults, one has to incorporate these factors into the decision making process. The proposed handbook is designed to present a comprehensive and state-of the-art update that incorporates existing literature with clinical experience. Basic science and the physiology of aging create a background, but are not the main focus. This is because every chapter has been written through the lens of “person centered care.” This book is about focusing on what matters to the person, and how that is not always about pathology and physiology. The reader generally will not find simple solutions to symptoms, diseases and syndromes. In fact, the key to caring for geriatric patients is the ability to think both critically and divergently at the same time. Geriatrics encompasses multiple disciplines and spans all of the subspecialties. It requires knowledge of working within an interdisciplinary team. It requires an appreciation of how quality of life varies with each individual and creates treatment and care plans that also vary. And most of all, it requires a firm commitment to first learning who the person is so that all of the necessary data can be analyzed and integrated into a true person centered plan of care. This book aims to serve as an unparalleled resource for meeting these challenges. Updated and revised from the previous edition, this text features over 40 new peer-reviewed chapters, new references, and a wide array of useful new tools that are updated on a regular basis by interdisciplinary and interprofessional experts in geriatric medicine.

Retooling for an Aging America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309115876
Total Pages : 317 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Retooling for an Aging America by : Institute of Medicine

Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-27 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Geriatric Medicine

Author : Frank Lally
Publisher : Oxford University Press, USA
ISBN 13 : 0199689644
Total Pages : 237 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Geriatric Medicine by : Frank Lally

Download or read book Geriatric Medicine written by Frank Lally and published by Oxford University Press, USA. This book was released on 2014 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: People are living longer and the population over the age of 60 is burgeoning, with repercussions for health services and healthcare expenditure in developed countries. Crucially, disease aetiology, diagnosis, and treatment in older people differ from the general adult population. Older people often have complicated co-morbidities and respond to treatment in different ways compared to younger people. Evidence of efficacy of different treatments is often lacking because older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed specifically in more general texts. Geriatric medicine: an evidence based approach is a clinical reference for health care professionals who manage older patients, and summarizes up-to-date research literature in a style that can be directly applied by busy healthcare professionals and provide a useful resource for reference.

Geriatric Home-Based Medical Care

Author : Jennifer L. Hayashi
Publisher : Springer
ISBN 13 : 3319233653
Total Pages : 296 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Geriatric Home-Based Medical Care by : Jennifer L. Hayashi

Download or read book Geriatric Home-Based Medical Care written by Jennifer L. Hayashi and published by Springer. This book was released on 2015-12-09 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a practical reference for any clinician who has struggled to care for an older adult in a home setting. The volume is written by experts in the field who describe fundamental principles and clinical approaches of geriatric home-based care and their application to specific diseases and conditions, including delirium, incontinence, falls, and chronic pain and disability. The book also details house calls for special populations, from the developmentally disabled to those afflicted with neurologic or psychiatric diseases. The volume explores house calls within the context of the US healthcare system. Geriatric Home-Based Medical Care: Principles and Practice is a valuable resource for geriatricians, geriatric nurses, primary care physicians, social workers, public health officials, and all medical professions who need tools to provide timely, compassionate, and high-quality care for their older adult patients.

Case-based Geriatrics: A Global Approach

Author : Victor A. Hirth
Publisher : McGraw Hill Professional
ISBN 13 : 0071766669
Total Pages : 654 pages
Book Rating : 4.0/5 (717 download)

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Book Synopsis Case-based Geriatrics: A Global Approach by : Victor A. Hirth

Download or read book Case-based Geriatrics: A Global Approach written by Victor A. Hirth and published by McGraw Hill Professional. This book was released on 2010-12-31 with total page 654 pages. Available in PDF, EPUB and Kindle. Book excerpt: A full-color case-based guide to the principles and clinical aspects of geriatric care Case-Based Geriatrics utilizes a case-and-evidence-based approach to help you understand the key principles and clinical points of geriatric medicine and healthcare. Written to reflect the field’s growing trend toward interdisciplinary collaboration, the book is of value not only to physicians, but to the entire health team involved in the care of the elderly. This unique text is constructed around case presentations, which are used as the primary teaching tool. These cases reflect issues and principles of geriatrics that are encountered and practiced worldwide. You will learn how cultural characteristics of both patients and providers have added new layers of complications to this already challenging field – and how they can be recognized and overcome. Each case is directly linked to the learning objectives found in each chapter. Review questions appear at the beginning and end of each chapter to test your understanding. Case-Based Geriatrics is divided into three sections: Issues in Aging -- features foundational chapters covering essential topics such as biology of aging, worldwide demographics, the geriatric physical exam, sensory changes in aging, and approaches to laboratory testing and imaging in aging Inter-professional Geriatrics -- provides an overview of multi-professional team care and covers important topics such as pre -and-post operative care, discharge planning and transitional care, end-of-life care, home care, and long-term care Geriatric Syndromes and Important Issues -- covers common disorders such as delirium, dementia, depression, stroke, hypertension, osteoporosis, and more

Ethical Dimensions of Geriatric Care

Author : S.F. Spicker
Publisher : Springer Science & Business Media
ISBN 13 : 9400933916
Total Pages : 336 pages
Book Rating : 4.4/5 (9 download)

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Book Synopsis Ethical Dimensions of Geriatric Care by : S.F. Spicker

Download or read book Ethical Dimensions of Geriatric Care written by S.F. Spicker and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is both a timeliness and a transcendent 'rightness' in the fact that scholars, clinicians, and health professionals are beginning to examine the ethics-based components of decision making in health care of the elderly. Ethics - as the discipline concerned with right or wrong conduct and moral duty - pervades hospital rooms, nursing home corridors, physicians' offices, and the halls of Congress as decisions are made that concern the allocation of health-related services to individuals and groups in need. In particular, care of older persons recently has received dispropor tionate attention in discussions of ethics and clinical care. Age alone, of course, should not generate special focus on ill individuals about whom concerns arise based on value conflicts tacitly involved in the delivery of health care. Having said that age is not the principal criterion for attention to ethics-based concerns in health care, it must be acknowl edged that old people have a high prevalence of conditions that provoke interest and put them in harm's way if value conflicts are not identified and seriously addressed. Issues that concern autonomy, the allocation of scarce resources, inter-generational competition and conflict, the withholding of treat ment in treatable disease, and substitute and proxy decision making for the cognitively impaired all have special relevance for older persons.

Medicare Matters

Author : Christine K. Cassel
Publisher : Univ of California Press
ISBN 13 : 9780520933859
Total Pages : 284 pages
Book Rating : 4.9/5 (338 download)

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Book Synopsis Medicare Matters by : Christine K. Cassel

Download or read book Medicare Matters written by Christine K. Cassel and published by Univ of California Press. This book was released on 2007-02-27 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Savvy, comprehensive, and authoritative, this book, written by a physician with more than thirty years experience caring for elderly patients, assesses the current state and the future prospects of Medicare, perhaps the most influential health-insurance program of our time. Christine K. Cassel draws upon the latest developments in science and medicine in a sweeping analysis of Medicare s social, demographic, institutional, political, and policy contexts. Writing in accessible language, using case studies to illustrate how policies translate to everyday lives, and applying lessons from the practice of geriatric medicine, Cassel makes a powerful argument for reforming and modernizing Medicare. She offers a new vision of what healthy aging could be and delineates what is needed to realize this vision, including changes in the medical sector, in the policy arena, and in our cultural beliefs about aging. Cassel sheds light on a wide range of issues pertaining to Medicare, including debates about coverage and the looming deficit in the Medicare trust fund. Perhaps the most controversial issue she addresses is the challenge of rationing some kinds of care. Anchoring her discussion of Medicare in the idea that care for the elderly represents a social contract between government and its citizens, Cassel describes both the principles and potential of a progressive approach to geriatric medicine. She further argues that with this approach, we can also address the chronic problems of our larger health-care system and provide all Americans, no matter what their age, with high-quality and affordable medical care.

Value Based Health Care

Author : Yosef D. Dlugacz
Publisher : John Wiley & Sons
ISBN 13 : 0470498129
Total Pages : 287 pages
Book Rating : 4.4/5 (74 download)

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Book Synopsis Value Based Health Care by : Yosef D. Dlugacz

Download or read book Value Based Health Care written by Yosef D. Dlugacz and published by John Wiley & Sons. This book was released on 2009-10-01 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Value-Based Health Care Linking Finance and Quality Yosef D. Dlugacz Value-Based Health Care? Value-Based Health Care?concisely explains the mandate to successfully link health care quality and finance and describes the tools to implement strategies for organizational success. Yosef Dlugacz provides many illustrative real-world examples of process and outcomes of the value-based approach, taken from a wide range of health care settings. Perfect for students preparing to enter health care management or for practicing health care leaders and professionals, this book is a vital guide to approaches that ensure the health of patients and health care organizations alike. Praise for Value-Based Health Care "Value-Based Health Care provides leaders and quality experts with the much needed roadmap for linking cost and quality. This book will help your organization thrive in today's ultra-competitive environment." Patrice L. Spath, health care quality specialist and author of Leading Your Health Care Organization to Excellence and Error Reduction in Health Care: A Systems Approach to Improving Patient Safety "Yosef Dlugacz provides an essential overview of how staff, administrators, and clinicians can create not just a culture but a gestalt of quality health care delivery. . . .given the national debate over access, cost, and quality, the book could not be more timely." Theodore J. Joyce, PhD, professor of economics and finance, academic director of the Baruch/Mt. Sinai MBA Program in Health Care Administration, and research associate, National Bureau of Economic Research "Dr. Dlugacz's?case studies and action plans provide great insights and workable solutions to provide safe and effective patient care. It is a welcome resource as we sit on the?advent of health reform." Kathy Ciccone, executive director, Quality Institute of the Healthcare Association of New York State

Home-Based Medical Care for Older Adults

Author : Jessica L. Colburn
Publisher : Springer Nature
ISBN 13 : 3030234835
Total Pages : 142 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Home-Based Medical Care for Older Adults by : Jessica L. Colburn

Download or read book Home-Based Medical Care for Older Adults written by Jessica L. Colburn and published by Springer Nature. This book was released on 2019-08-29 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older adults in the U.S. continues to grow, medical house calls are increasingly part of a system of comprehensive home-based care for patients who have difficulty accessing office-.based care. Clinicians who have been trained mostly in office and hospital settings must adapt their usual approaches to accommodate a wide range of environmental, social, and physical circumstances that impact home-limited patients. Ideally, a comprehensive team of clinicians proficient in multiple domains of functional, social, and medical care can work together to address potential gaps in any one clinician’s expertise. Unfortunately, such teams are still rare. This book aims to equip individual clinicians with the interdisciplinary knowledge, skills, and perspective they need to provide the best care possible with limited formal interdisciplinary support. This book offers 20 patient cases drawn from the collective experience of experts in home-based medical care from highly respected academic and clinical programs across the United States. Each case demonstrates a scenario that is frequently encountered and/or very important in home-based medical care practice. Each scenario frequently proves to be challenging for many professionals because it requires an approach or leverages aspects of care delivery that most are not trained in. Additionally, each scenario reflects an approach to care that is enhanced by interdisciplinary input. Finally, each case lends itself to a practical problem-solving approach that could be accomplished by most home-based medical care providers, even in the absence of an interdisciplinary team. Written by interdisciplinary experts in geriatric home-based care, this book serves as both an educational tool for learners in all related disciplines as well as a quick reference for experienced clinicians looking to augment their existing house call “toolbox.”

Geriatrics Models of Care

Author : Michael L. Malone
Publisher : Springer
ISBN 13 : 3319160680
Total Pages : 319 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Geriatrics Models of Care by : Michael L. Malone

Download or read book Geriatrics Models of Care written by Michael L. Malone and published by Springer. This book was released on 2015-05-22 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community. Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.

Age-Friendly Health Systems

Author : Terry Fulmer
Publisher : Institute for Healthcare Improvement (Ihi)
ISBN 13 : 9781544527505
Total Pages : 0 pages
Book Rating : 4.5/5 (275 download)

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Book Synopsis Age-Friendly Health Systems by : Terry Fulmer

Download or read book Age-Friendly Health Systems written by Terry Fulmer and published by Institute for Healthcare Improvement (Ihi). This book was released on 2022-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.

Geriatric Practice

Author : Audrey Chun
Publisher : Springer Nature
ISBN 13 : 3030196259
Total Pages : 580 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Geriatric Practice by : Audrey Chun

Download or read book Geriatric Practice written by Audrey Chun and published by Springer Nature. This book was released on 2019-10-29 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

New Directions in Geriatric Medicine

Author : Lee Ann Lindquist
Publisher : Springer
ISBN 13 : 3319281372
Total Pages : 159 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis New Directions in Geriatric Medicine by : Lee Ann Lindquist

Download or read book New Directions in Geriatric Medicine written by Lee Ann Lindquist and published by Springer. This book was released on 2016-04-09 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to present the clinical geriatric trends within general internal medicine and family practice, which practitioners often encounter in caring for their older adult patients. Chapters focus on increasingly difficult clinical decisions that practitioners have to make in caring for older adults, who often experience medical complications due to memory loss, physical disability, and multiple chronic conditions. Written by experts in geriatric medicine, each of these chapters start with the most up-to-date clinical geriatric research and provide specific examples or case studies on how to use this information to address the clinical needs of older adult patients. In addition, there is a set of concise “take-home points” for each chapter that are easy to commit to memory and implement in clinical care of aging patients. As the only book to focus on current trends in geriatric research and evidence-based eldercare practice, Clinical Trends in Geriatric Medicine is of great value to internists, family practitioners, geriatricians, nurses, and physician assistants who care for older adults.

Meeting the Needs of Older Adults with Serious Illness

Author : Amy S. Kelley
Publisher : Springer
ISBN 13 : 1493904078
Total Pages : 245 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Meeting the Needs of Older Adults with Serious Illness by : Amy S. Kelley

Download or read book Meeting the Needs of Older Adults with Serious Illness written by Amy S. Kelley and published by Springer. This book was released on 2014-09-01 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care’s positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies. Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.

Value Management in Healthcare

Author : Nathan William Tierney
Publisher : Taylor & Francis
ISBN 13 : 1351591487
Total Pages : 337 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis Value Management in Healthcare by : Nathan William Tierney

Download or read book Value Management in Healthcare written by Nathan William Tierney and published by Taylor & Francis. This book was released on 2017-10-06 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nathan Tierney’s powerful storytelling is rarely seen in today’s health care business environment. We must redesign the health care delivery system---a team sport in service of patients, hold it accountable with measurement to improve outcomes, and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved, and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity, he presents core concepts and dives into the key metrics needed to build, maintain, and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive, clinician, and patient today." -Mahek Shah, MD, Senior Researcher and Senior Project Leader, Harvard Business School Our current healthcare system’s broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population, (2) growing affluence, (3) rise in chronic diseases, and (4) better-informed patients; all of which raises the demand for healthcare. In 2006, Michael Porter and Elizabeth Teisberg authored the book ‘Redefining Health Care: Creating Value-Based Competition on Results.’ In it, they present their analysis of the root causes plaguing the health care industry and make the case for why providers, suppliers, consumers, and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter, "value for patients should be the overarching principle for our broken system." Since 2006, Professor Porter, accompanied by his esteemed Harvard colleague, Profesor Robert Kaplan, have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic, Mayo Clinic, MD Anderson, and U.S. Department of Veteran Affairs. Given the current state of global healthcare, there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter’s Value Equation (Value = Outcomes/ Cost), which is central to Value Management, and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side, the book presents the Value Realization Framework, which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach, but specific to healthcare organizations. On the costs side, the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology, which has proven to be a modern catalyst for defining HDO costs. Finally, this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare.