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A lead author, Peter Pronovost, MD, PhD, Chief Quality and Clinical Transformation Officer at University Hospitals and Clinical Professor of Anesthesiology and Critical Care Medicine at Case Western Reserve University in Cleveland, developed the concept of defects in value. He and co-first author John W. Urwin, MD, of Beth Israel Deaconess Medical Center, Harvard Medical School, and the Department of Medical Ethics and Health Policy, University of Pennsylvania, wrote their model offers a hopeful path forward for improving value in health care. Using the success achieved at University Hospitals (UH) in Cleveland where annual costs per patient in the UH Accountable Care Organization (ACO) were reduced by 9 percent over the course of 12 months researchers demonstrated that deploying a framework in which specific defects in value were eliminated could not only save money but improve the overall care value proposition. In the UH ACO, they applied this framework to the 37,000

University of pennsylvaniaUnited statesTodd zeigerJohnw urwinSandeep palakodetiPatrick runnelsSusan sheaGeorge topalskyPeter pronovostMarke scharioAmols navatheJamesm muisyoJonathan sagueEric beckAbirammy sundaramoorthyLeonard davis institute for health economics