Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


American College of Surgeons and Harvard Business School's Institute for Strategy and Competitiveness partner to develop value measurement tool


 

Leaders from the American College of Surgeons (ACS) and Harvard Business School's (HBS) Institute for Strategy and Competitiveness gathered on Capitol Hill on July 18 to announce a new partnership aimed at improving health care value. The two organizations, recognized as global leaders in quality and cost measurement, announced a new program to help hospitals and surgical practices improve patient outcomes while lowering the cost of delivering care. Better measurement of quality and costs will enable hospitals to improve the value they deliver to patients while positioning them for success as reimbursement shifts to bundled payments, an approach that increases transparency and accountability.

"Clearly defining the value of patient care is critical to our nation's health care system," said David B. Hoyt, MD, FACS, Executive Director of the American College of Surgeons. "As the patient care model continues to evolve, we must place a premium on providing the utmost quality and efficiency in our hospitals. This program will help hospitals identify clear opportunities to do that."

At the event on Capitol Hill, leaders of the program, called ACS THRIVE (Transforming Health care Resources to Increase Value and Efficiency), discussed the challenges the nation's health system faces as it moves from volume to value-based payment models, the changing team dynamics within hospitals, and the new care models that health systems must adopt.

"We want to reduce the high costs incurred in the U.S. health care sector, but do this in ways that don't compromise the quality of care or a patient's access to it," said Prof. Robert Kaplan, MS, PhD, Senior Fellow and Marvin Bower Professor of Leadership Development, Emeritus, HBS. "Cutting costs by arbitrary reduction in headcount is not a sustainable solution. True cost improvement requires that we first measure what it costs today to treat a patient's medical condition, and then redesign the care model to deliver the same or, preferably, better outcomes with a lower-cost mix of resources, especially personnel, equipment, devices and drugs."

"Surgical care is more than just the operative procedure," said Frank G. Opelka, MD, FACS, Medical Director, ACS Quality and Health Policy. "Surgical care involves teams of clinicians who begin delivering care in the preoperative phase, include anesthesia, nursing care and medical specialties and continues through to postoperative rehabilitation. As a team, we need to optimize each phase of care to provide the best outcomes for patients and meet their goals. "

Initially, ACS THRIVE leaders will pilot the value-measurement process with 10-15 hospitals in the U.S., focusing on measuring the full cycle of care - including its key surgical, medical, behavioral and social elements - for three surgical conditions. Results from the pilot will be used to create a scalable approach that all hospitals can use to measure and improve value. The method will also include risk-adjusted benchmarks, so hospitals can compare their value with one another to generate system-wide improvement. High-value providers will be recognized, while those with opportunities for improvement can learn from the best practices of the high-value hospitals and health systems.

The new program will build on the two organizations' expertise in cost and quality measurement. ACS has been a leader in hospital quality since it first proposed its Hospital Standardization Program in 1912, which evolved to become The Joint Commission. In 1922, the ACS created the Commission on Cancer, which today sets standards used by 80 percent of U.S. cancer centers. In the 1960s, the ACS Committee on Trauma was an instrumental leader in helping establish the nation's trauma system. And in the early 2000s, the ACS launched the National Surgical Quality Improvement Program (ACS NSQIP®), recognized as the gold standard for collecting clinical, risk-adjusted, 30-day surgical outcomes data.

"We know quality improvement requires accurate and reliable data, with risk and case-mix adjustment," said Clifford Ko, MD, MS, MSHS, FACS, FASCRS, Director of the ACS Division of Research and Optimal Patient Care. "Clinical data, not claims data, are routinely the best data to use. However, data alone are not sufficient. Appropriate and adequate resources, infrastructure and adherence to evidence-based standards are all likewise needed to provide high-value care. ACS has a long history of helping providers and hospitals achieve these aspects reliably."

The HBS Institute for Strategy and Competitiveness was founded by recognized business strategy leader Michael Porter. His 2006 book, Redefining Health Care, laid the groundwork for how to measure value in health care. The Institute's leaders, including Prof. Kaplan, have created some of the most important business strategy and cost-measurement methods in the world, including time-driven activity-based costing, or TDABC, an accounting method that is recognized as one of the most effective means of measuring and improving an organization's costs.

"We believe the value-based health care approach will expand the definition of quality and will improve transparency, both of which are essential to delivering truly patient-centered care," said Mary L. Witkowski, MD, MBA, Fellow, HBS Institute for Strategy and Competitiveness. "With better understanding of their quality and costs, health systems, accountable care organizations and surgical practices to will then be able improve the value they deliver to patients and increase access to care."

"This is the next evolution of our nation's health system," Dr. Hoyt said. "We know we can provide world-class care to all patients. Now we need to make that care affordable and accessible to all in a way that meets the patient's goals."

 
Share:

Related Articles:


Recent Articles

Alexander Visits Neighborhood Health at East Side in Nashville

VIDEO of United States Senator Lamar Alexander (R-Tenn.) visiting the Neighborhood Health at East Side health center in Nashville, where he learned more about what the center is doing to provide access to health care services in urban, underserved areas of Nashville.

Read More

AMA Grants MycoDART CPT Code For Its Life-Saving Test

MycoDART, Inc., developer of proprietary DNA tests, announced its second patented assay has been granted a CPT code from the American Medical Association.

Read More

Low-level Alcohol Use Increases Miscarriage Risk

Women who consume alcohol during pregnancy -- even in small amounts -- have a 19% greater risk of miscarriage than women who don't use alcohol, according to a new study by Vanderbilt researchers.

Read More

Beating the Odds

Vanderbilt Children's Hospital researchers play key role in groundbreaking study.

Read More

Hot Topics in Healthcare Law

Never a dull moment ... the highly regulated nature of the healthcare industry keeps America's health lawyers hopping.

Read More

Vanderbilt Children's New Program Leaders, Rankings

Monroe Carell Jr. Children's Hospital at Vanderbilt has recently welcomed new leaders to oversee specialty programming and again been recognized nationally in multiple specialties.

Read More

Insuring Kids

Local experts offer insight over ongoing coverage concerns for Tennessee children

Read More

Services for Mom & Baby Expanding at TriStar Centennial

Innovative initiatives at TriStar Centennial designed to keep mom and baby safe, together.

Read More

Another Option to Address Pediatric ADHD

NeuroSigma recently received FDA clearance for the first device to treat pediatric ADHD, offering providers, patients and parents a new alternative to medication.

Read More

Back to School Reminders for Patients & Providers

Back-to-school season is here, and it's a great time to talk to patients and parents about starting off the year with healthy habits

Read More

Email Print
 
 

 

 


Tags:
None
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: