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Researchers create roadmap for eliminating defects in health care value


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 3 ....

University Of Pennsylvania , United States , Todd Zeiger , Johnw Urwin , Sandeep Palakodeti , Patrick Runnels , Susan Shea , George Topalsky , Peter Pronovost , Marke Schario , Amols Navathe , Jamesm Muisyo , Jonathan Sague , Eric Beck , Abirammy Sundaramoorthy , Leonard Davis Institute For Health Economics , University Hospitals , Uh Accountable Care Organization , Medicare Shared Shaving Program , Beth Israel Deaconess Medical Center , Harvard Medical School , Department Of Medical Ethics , Corporal Michaelj Cresencz Va Medical Center , New England Journal , Medicine Catalyst , Trillion Dollar Problem ,