Quality and Value in an Evolving Health Care Landscape

Journal of Hand Surgery

Volumn 41, Issue 7, 2016, Pages 794-799

  Kamal, Robin N ^a  

^a STANFORD UNIVERSITY   (United States)

Author keywords

Hand surgery; quality; quality measure; value; value based health care

Indexed keywords

HAND SURGERY; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH CARE VALUE; HUMAN; ORGANIZATION; ORTHOPEDIC SURGEON; PATIENT CARE; PATIENT-REPORTED OUTCOME; PRIORITY JOURNAL; REVIEW; BENCHMARKING; HAND; MEANINGFUL USE CRITERIA; PURCHASING; REIMBURSEMENT; SURGERY; UNITED STATES;

BENCHMARKING; HAND; HUMANS; MEANINGFUL USE; QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE; UNITED STATES; VALUE-BASED PURCHASING;

EID: 84990854125     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2016.05.016     Document Type: Review

References (24)

1. 1 Laugesen, M.J., Glied, S.A., Higher fees paid to US physicians drive higher spending for physician services compared to other countries. Health Aff (Millwood) 30:9 (2011), 1647–1656.
2. 2 Khullar, D., Chokshi, D.A., Kocher, R., et al. Behavioral economics and physician compensation —promise and challenges. N Engl J Med 372:24 (2015), 2281–2283.
3. 3 Wei, D.H., Hawker, G.A., Jevsevar, D.S., Bozic, K.J., Improving value in musculoskeletal care delivery: AOA critical issues. J Bone Joint Surg Am 97:9 (2015), 769–774.
4. 4 Briggs, A.M., Jordan, J.E., Speerin, R., et al. Models of care for musculoskeletal health: a cross-sectional qualitative study of Australian stakeholders’ perspectives on relevance and standardised evaluation. BMC Health Serv Res, 15, 2015, 509.
5. 5 Kamal, R.N., Ring, D., Akelman, E., et al. Quality measures in upper limb surgery. J Bone Joint Surg Am 98:6 (2016), 505–510.
6. 6 Crossing the quality chasm: the IOM Health Care Quality Initiative—Institute of Medicine. http://iom.nationalacademies.org/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx. Accessed July 17, 2015.
7. 7 Werner, R.M., Asch, D.A., Polsky, D., Racial profiling: the unintended consequences of coronary artery bypass graft report cards. Circulation 111:10 (2005), 1257–1263.
8. 8 Porter, M.E., A strategy for health care reform—toward a value-based system. N Engl J Med 361:2 (2009), 109–112.
9. 9 Porter, M.E., Pabo, E.A., Lee, T.H., Redesigning primary care: a strategic vision to improve value by organizing around patients’ needs. Health Aff Proj Hope 32:3 (2013), 516–525.
10. 10 Sabharwal, S., Carter, A.W., Rashid, A., Darzi, A., Reilly, P., Gupte, C.M., Cost analysis of the surgical treatment of fractures of the proximal humerus: an evaluation of the determinants of cost and comparison of the institutional cost of treatment with the national tariff. Bone Joint J 98-B:2 (2016), 249–259.
11. 11 Irwin, B., Kimmick, G., Altomare, I., et al. Patient experience and attitudes toward addressing the cost of breast cancer care. The Oncologist 19:11 (2014), 1135–1140.
12. 12 London, D.A., Stepan, J.G., Boyer, M.I., Calfee, R.P., The impact of depression and pain catastrophization on initial presentation and treatment outcomes for atraumatic hand conditions. J Bone Joint Surg Am 96:10 (2014), 806–814.
13. 13 Das De, S., Vranceanu, A.-M., Ring, D.C., Contribution of kinesophobia and catastrophic thinking to upper-extremity-specific disability. J Bone Joint Surg Am 95:1 (2013), 76–81.
14. 14 Vranceanu, A.-M., Jupiter, J.B., Mudgal, C.S., Ring, D., Predictors of pain intensity and disability after minor hand surgery. J Hand Surg 35:6 (2010), 956–960.
15. 15 Krogh, T.P., Fredberg, U., Stengaard-Pedersen, K., Christensen, R., Jensen, P., Ellingsen, T., Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial. Am J Sports Med 41:3 (2013), 625–635.
16. 16 Julka, A., Vranceanu, A.-M., Shah, A.S., Peters, F., Ring, D., Predictors of pain during and the day after corticosteroid injection for idiopathic trigger finger. J Hand Surg Am 37:2 (2012), 237–242.
17. 17 Kamal, R.N., Kakar, S., Ruch, D., et al. Quality measurement: a primer for hand surgeons. J Hand Surg 41:5 (2016), 645–651.
18. 18 Value-based payment modifier. Centers for Medicare & Medicaid Services. https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeedbackprogram/valuebasedpaymentmodifier.html. Accessed May 3, 2016.
19. 19 Electronic Health Records (EHR) Incentive Programs. Centers for Medicare & Medicaid Services. https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html. Accessed May 3, 2016.
20. 20 Medicare C for, Baltimore MS 7500 SB, Usa M. PQRS Overview. http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html. Accessed July 17, 2015.
21. 21 MACRA: MIPS & APMs. Centers for Medicare & Medicaid Services. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html. Accessed May 3, 2016.
22. 22 Clair AJ, Evangelista PJ, Lajam CM, Slover JD, Bosco JA, Iorio R. Cost analysis of total joint arthroplasty readmissions in a bundled payment care improvement initiative [e-pub ahead of print February 24, 2016]. J Arthroplasty. http://dx.doi.org/10.1016/j.arth.2016.02.029.
23. 23 Comprehensive care for joint replacement model. Center for Medicare & Medicaid Innovation. https://innovation.cms.gov/initiatives/cjr. Accessed May 3, 2016.
24. 24 Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: a multicenter, randomized clinical trial. J Bone Joint Surg Am 89:1 (2007), 1–10.