Download or read book Defining the Value of Spine Care written by Jeffrey A. Rihn and published by JAYPEE BROTHERS PUBLISHERS. This book was released on 2012-12-15 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book "Defining the Value of Spine Care" discuses the concepts of value-based spinal care to the spine care provider. The spinal care coverage and payment are linked increasingly to the value of care. Hence the spine care provider can easily understand the concepts of value in the context of spinal care, outcome measures and cost measures. Initial chapters provide detail information on understanding the value of spine care and definition of common terminology. This is followed by the use of process measures in measuring the quality of spine care and disease-specific health-related quality of life measures in lumbar degenerative disease and cervical degenerative disease. It also discusses the numerical rating scales, the quality-adjusted life year, decision tree analysis and simulation modeling in spine care, etc. The last few chapters explain about value-based evaluation of new spine-related technology, determining value with outcome measures in perspectives from each of the stakeholders of spine care delivery, developing value-based guidelines for the treatment of spinal disorders and comparative effectiveness research in spine care using SPORT. Spine care providers need to measure the quality and value of the treatment and provide tools necessary for understanding the task.
Download or read book Quality Spine Care written by John Ratliff and published by Springer. This book was released on 2018-10-26 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care. Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to “high quality care.” Most physicians email inboxes are inundated with offers of recognition for being a “Top Doc” for a nominal fee. Some payers offer incentives to patients who chose to be treated at “Centers of Excellence” or similar facilities; the definition of “Excellence” may be unclear. There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour. Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care. Features: 1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community. 2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems’ quality reporting is novel and will be thought provoking for readers. 3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement 4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices 5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
Download or read book Value based Approaches to Spine Care written by and published by . This book was released on 2020 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Beginning with a review of current trends in health care delivery leading to more value-based platforms, this unique and up-to-date book then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
Download or read book Measurements in Spine Care written by Michael J. Lee and published by Ao Publishing, Davos. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The detail presented in this text will not only serve as a reference, but will also allow the reader to accurately reproduce measurement techniques, thus enhancing inter-physician communication, research of the spine, and improvement of patient care. In the course of evaluating the patient with spinal disease, a myriad of measurements need to be performed before determining the diagnosis and the severity of the disease process. This text explicitly outlines the measurement of the spine from a clinical, laboratory, and radiographic approach. A detailed description of the actual technique of measurement and the clinical implication are presented with accompanying illustrations. This amalgamation of measurement tools for the spine is a beneficial reference for a wide spectrum of healthcare providers: students, nurses, residents, fellows, and established surgeons. In addition to its detailed illustrated presentation, each measurement technique has been graded for scientific and clinical utility with a score that specifically grades: interobserver and reliability.
Download or read book The Burden of Musculoskeletal Diseases in the United States written by Gunnar Andersson and published by . This book was released on 2008 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study measures the incidence and prevalence of musculoskeletal conditions and projects trends, presenting the latest national data illuminating the physical and economic costs. Several professional organizations concerned with musculoskeletal health and the mission of the U.S. Bone and Joint Decade collaborated to tabulate the data, to educate health care professionals, policy makers and the public.--Publisher's description.
Download or read book Decision Making in Spinal Care written by David Greg Anderson and published by Thieme. This book was released on 2012-09-17 with total page 638 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive and concise reference for determining treatment options of the spine Updated and expanded to reflect current management strategies and new technologies, Decision Making in Spinal Care, Second Edition provides readers with focused guidance to every major topic in spine, with an emphasis on clinical decision making. Covering the most common spine problems, this new edition covers the spectrum of diagnoses seen in a typical spinal practice, from trauma injuries to metabolic and degenerative diseases to spinal deformities. Highlights of the Second Edition: Focuses on "must-know" information that significantly impacts clinical decisions Includes new spinal technologies in the Contemporary Topics section to keep readers current Contains more algorithms, figures, and diagrams to aid understanding and facilitate rapid management guidance Written by world-renowned spinal care experts This handy portable reference will enable residents, fellows, spine surgeons, and associated clinicians in orthopedic surgery and neurosurgery to quickly access the information they need to make the right decisions in treating typical spinal conditions.
Download or read book Benzel s Spine Surgery written by Michael P Steinmetz and published by Elsevier Health Sciences. This book was released on 2021-05-18 with total page 1736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written and edited by world-renowned experts in the field, Benzel’s Spine Surgery: Techniques, Complication Avoidance and Management, 5th Edition, provides expert, step-by-step guidance on the evaluation and management of disorders of the spine. This definitive, two-volume work explores the full spectrum of techniques used in spine surgery, giving you the tools you need to hone your skills and increase your knowledge in this challenging area. Clearly organized and extensively revised throughout, it features contributions from both neurosurgeons and orthopaedic surgeons to present a truly comprehensive approach to spine disease. Offers a thorough overview of the effective management of patients with spinal disorders, including fundamental principles, biomechanics, applied anatomy, instrumentation, pathophysiology of spinal disorders, surgical techniques, motion preservation strategies, non-surgical management, and complication avoidance and management, as well as controversies. Focuses on both pathophysiology and surgical treatment of spine disease, with an increased emphasis on minimally invasive surgery. Contains new features such as key points boxes at the beginning of chapters and algorithms to help streamline the decision making process. Covers today’s hot topics in spine surgery, such as health economics, artificial intelligence, predictive analytics, new less invasive techniques including endoscopic spine surgery, and the future of spine surgery. Provides expert coverage of key topics including biomechanics of motion preservation techniques, spinal injuries in sports, biologics in spine fusion surgery, anterior sub-axial cervical fixation and fusion techniques, complex lumbosacropelvic fixation techniques, and many more. Features more than 1,500 high-quality illustrations, as well as new procedural videos on en bloc spondylectomy, minimally invasive endoscopic posterior cervical foraminotomy, cervical total disc replacement, minimally invasive lumbar decompression of stenosis, and more.
Download or read book Adult Lumbar Scoliosis written by Eric O. Klineberg and published by Springer. This book was released on 2017-01-26 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing a sound definition and review of the pertinent treatment goals for the management of adult lumbar scoliosis, this practical and comprehensive guide covers everything from pre-operative evaluation and radiography to post-operative management and complications. Both non-operative and operative strategies are presented, including minimally invasive techniques, decompression, anterior release, spinal osteotomy, and proximal and distal fixation, with an emphasis on clinical guidelines and management outcomes. The impact and prevention of complications following treatment are also discussed, including the prevention of proximal junctional kyphosis. Concluding with an examination of future directions for research and clinical treatment strategies, the comprehensive approach of this book provides the orthopedic surgeon, neurosurgeon and spinal practitioner with the most current evidence and expert thought about the evaluation and management of adult lumbar scoliosis.
Download or read book Value Based Approaches to Spine Care written by Rajiv K. Sethi and published by Springer Nature. This book was released on 2019-12-17 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.
Download or read book Benzel s Spine Surgery E Book written by Michael P. Steinmetz and published by Elsevier Health Sciences. This book was released on 2016-06-29 with total page 2507 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the latest edition of Benzel’s Spine Surgery, renowned neurosurgery authority Dr. Edward C. Benzel, along with new editor Dr. Michael P. Steinmetz, deliver the most up-to-date information available on every aspect of spine surgery. Improved visuals and over 100 brand-new illustrations enhance your understanding of the text, while 26 new chapters cover today's hot topics in the field. A must-have resource for every neurosurgeon and orthopedic spine surgeon, Benzel's Spine Surgery provides the expert, step-by-step guidance required for successful surgical outcomes. Glean essential, up-to-date information in one comprehensive reference that explores the full spectrum of techniques used in spine surgery. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices. Covers today's hot topics in spine surgery, such as pelvic parameters in planning for lumbar fusion; minimally invasive strategies for the treatment of tumors and trauma of the spine; and biologics and stem cells. A total of 18 intraoperative videos allow you to hone your skills and techniques. New editor Michael P. Steinmetz brings fresh insights and improvements to the text. Features the addition of 26 chapters, including: -Biologics in Spine Fusion Surgery -Endoscopic and Transnasal Approaches to the Craniocervical Junction -Cellular Injection Techniques for Discogenic Pain -Minimally Invasive Techniques for Thoracolumbar Deformity -Spinal Cord Herniation and Spontaneous Cerebrospinal Fluid Leak -MIS Versus Open Spine Surgery Extensive revisions to many of the existing chapters present all of the most up-to-date information available on every aspect of spine surgery. Improved visuals and over 100 brand-new illustrations enhance learning and retention.
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Spinal Arthroplasty written by Richard Guyer and published by Thieme Medical Publishers. This book was released on 2015-07-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an exciting time for those involved in the care of patients with back pain. Generally, the goal in treating back pain patients is to reduce pain and increase function. Traditionally in spine surgery, as was the case many years ago for other joints, this goal has been pursued by eliminating motion of the symptomatic joint. Great progress was made years ago for hips and knees with the development of total joint replacements that allowed painless motion of what had been a painful and disabling degenerative joint. Since the mid 1980s similar progress has been made for the spine. Spinal Arthroplasty: A New Era in Spinal Care provides a comprehensive overview of the philosophy of motion-sparing technology in the evolving arena of spinal arthroplasty. This book describes the type of patients being treated with these devices, the historical development of the implants, the techniques and technologies of spinal arthroplasty, clinical results, and a preview of the possibilities for the next generation of treatments. The contributing authors are experts in their respective areas of spinal arthroplasty, and, in some cases, they are the inventors of the devices. The experience and wisdom the editors and authors share give the reader a balanced understanding of the importance of motion preservation and stability in the management of degenerative disease. Spinal Arthroplasty: A New Era in Spinal Care will serve as an introduction to the less experienced in this philosophy of care as well as a reference tool for more experienced spinal care providers endeavoring to gain a greater understanding of the science that supports the preservation of motion in spinal reconstruction.
Download or read book Quality Improvement and Patient Safety in Orthopaedic Surgery written by Julie Balch Samora and published by Springer Nature. This book was released on 2022-09-08 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical, unique textbook provides a foundation for the essential elements of patient safety and quality improvement (QI) for orthopaedic trainees, though the content covered will be of interest to veteran clinicians as well. Currently, there are few existing resources and didactics focused on this crucial yet often overlooked area of medical practice, which makes this the first true textbook on the subject within the field of orthopaedic surgery. Utilizing a user-friendly approach including generous figures, tables, and bulleted key points, the text presents comprehensive background information on QI principles, models, and patient safety. More specifically, it focuses on orthopaedic concerns, such as biologics and implants, registries, checklists, surgical site infection risk reduction, use of evidence-based medicine and care maps, simulation to improve care, and shifting from volume to value, among others. Related topics such as diversity and inclusion, provider wellness strategies, leadership strategies to develop an efficient and safe work culture, and innovation are also presented. Throughout, the aim is to demonstrate that QI is a multidisciplinary goal that can only flourish in an environment of supportive accountability. With contributions by leaders in the field, Quality Improvement and Patient Safety in Orthopaedic Surgery provides trainees and surgeons in the field a valuable and pragmatic toolkit for successful and sustainable clinical practice.
Download or read book Minimally Invasive Spine Surgery written by Frank M. Phillips and published by Springer Nature. This book was released on 2020-01-13 with total page 702 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of minimally invasive spine surgery (MISS) has grown rapidly over the last decade and remains the fastest growing area in spine surgery. Now in a revised and expanded second edition including 19 new chapters, this comprehensive textbook provides an updated presentation of the field of MISS, highlighting surgical techniques and clinical outcomes as well as providing a unique focus on how these techniques are applied for specific spinal conditions. Minimally Invasive Spine Surgery, Second Edition includes detailed discussions of enabling technologies, surgical techniques, approaches to specific diseases and conditions, a new section on out-patient/ambulatory spine surgery, and strategies to manage the unique risks and complications associated with MISS. Each chapter, whether revised or new, is formatted in a consistent manner, including bulleted key learning points as well as review questions, pearls and pitfalls, and generous illustrations and intra-operative photographs. Written and edited by thought leaders in the field, this user-friendly textbook will be an essential resource for orthopedic and neurosurgery trainees, as well as a valuable reference and review for spine surgeons and health care professionals who treat the spine.
Download or read book Patient Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2003-12-20 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.
Download or read book Spine Surgery 2 Vol Set E Book written by Edward C. Benzel and published by Elsevier Health Sciences. This book was released on 2012-05-14 with total page 2912 pages. Available in PDF, EPUB and Kindle. Book excerpt: Build a solid foundation of knowledge based on the fundamentals and employ step-by-step instruction from Spine Surgery. Edited by Edward C. Benzel, this best-selling medical reference explores the full spectrum of surgical techniques used in spine surgery and delivers the comprehensive, cutting-edge guidance you need to achieve successful outcomes. Online access, thorough updates, contributions by leading international authorities, an abundance of detailed illustrations, and procedural video clips provide everything you need to avoid and manage complex problems. Glean essential, up-to-date, need-to-know information in one comprehensive reference that explores the full spectrum of surgical techniques used in spine surgery. Hone your surgical skills and technique with intraoperative videos and more than 800 outstanding illustrations demonstrating each technique step by step. Grasp and apply the latest knowledge from more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters to present all of the most up-to-date information available on every aspect of spine surgery including motion preservation technologies, endovascular management, back pain and psychosocial interactions, biomechanics, and more. Consult with the best. Renowned neurosurgery authority Edward C. Benzel leads an international team of accomplished neurosurgeons and orthopedic surgeons - many new to this edition - who provide dependable guidance and share innovative approaches to surgical techniques and complications management. Equip yourself to address increasing occurrences of pain among aging and physically active patients. Access the information you need, where you need it on your laptop or mobile device via expertconsult.com, with fully searchable text, a wealth of procedural videos, online updates from the experts, downloadable image gallery and links to PubMed.
Download or read book Minimally Invasive Spinal Deformity Surgery written by Michael Y. Wang and published by Springer Science & Business Media. This book was released on 2014-01-17 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a desirable option to manage advanced degenerative diseases. MISS techniques minimize blood loss, surgical site pain, and speed recovery. Thus, the marriage of MISS with adult spinal deformity was a natural one. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough that no comprehensive texts have addressed the unique challenges faced by surgeons exploring this evolving field. This book will fill the gap.
