Friday, April 11, 2014

Basic Information On Healthcare Value

By Maryellen Lamb


Healthcare value for patients is measured in terms of the patient outcomes attained per dollar spent.It is the return for each dollar spent. The measurement of this return is key to ensuring the delivery of better health care services. It also facilitates process improvement, care reorganization, effective cost reduction techniques that does not undermine new approaches to reimbursement and outcomes. This program has brought together senior financial and clinical leaders from numerous health care organizations with the common goal of establishing new methodologies to outcomes and cost measurement.

The healthcare system aims at improving the value for patients. To improve the services offered in the care system the providers have to focus on three key factors. The delivery of care needs to be centered on the patient, payments for these services should be made with respect to the outcomes and transparency in treatment cost and quality should be emphasized. The consumers should be provided with adequate information on the cost and nature of the services available.

Transparency is becoming a major factor in the care system. This has allowed customers access to adequate information which has enabled them to make comparisons of the prices and quality of services offered by the different providers. The patients are now able to make informed choices. The provision of reliable information has further empowered customer consumer choice and revolutionized the entire system.

Consumers have devised new strategies to counter the growing costs and ensure they benefit from their healthcare investment. These strategies include the development of a culture of health in which employees actively participate in the system. The realignment of incentives to ensure improved health behaviors and controlled healthcare consumption. Ensuring a return based delivery of services and collaborating with the providers to achieve better outcomes and reduce the costs.

The measurement of quality has been a big challenge in this sector and has created a lot of confusion. Essentially, quality is the strict adherence to specific guidelines and its measurement mainly focuses on care processes. Process measures do not give a clear indication of the outcomes which denies providers the data they need to make any significant innovation.

The failure to put more emphasis in the improvement of the services offered and the failure to measure this value has been a major setback to innovation and has given way to inappropriate management methods leading to increased costs. The knowledge of this factor allows for changes to be made to the reimbursement system to allow for bundled payments that cover chronic conditions, complete care cycle or periods of a number of years. The alignment of reimbursement with this factor helps to account for substandard services.

The delivery of medical care services involves a large number of organizational units. However, none of them reflects the boundaries within which true value is created. The proper unit for determining it should consider all services or activities that determine the success in satisfying the needs of a patient. These needs are defined by the medical condition of the patient.

There are numerous ways of measuring healthcare value. These methods depend on the nature of medical care involved. To determine the value for preventive and primary care a group of patients with similar needs is studied. For medical conditions involving many providers the value is shared among them.




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