Value Driven Healthcare and Geriatric Medicine

This book traces the origins of value-based purchasing and current geriatric care models to deliver value in the broader healthcare system. The text focuses on the three goals that are expected to remain at the center of healthcare: improving access to healthcare via insurance coverage, improving the patient's experience and quality of care, and effectively managing healthcare costs. Chapters cover the quality indicators of care, drivers for improved outcomes, and models of care as seen in geriatrics as they can be expanded upon for the larger system. The text also discusses some of the most critical periods for aging patients and the ways that these lessons can inform the larger system. These topics include transitioning from the hospital to the home setting, integrating care between geriatric workers, and staff training and the clinical pearls for all changing demographics. As the healthcare system evolves and the population ages, Value Driven Health Care proves to be a vital resource for geriatricians, primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

James S. Powers, MDVA Tennessee Valley Healthcare SystemVanderbilt University School of MedicineGeriatric Research Education and Clinical Center Nashville, TN Dr. Powers is Professor of Medicine at Vanderbilt University School of Medicine and Associate Clinical Director at the Tennessee Valley Healthcare System, Geriatrics Research Education and Clinical Center (TVHS GRECC), Nashville TN. He is Geriatrics Fellowship Program Director. The views expressed are his own and based on his experience of over three decades developing evaluating, and sustaining geriatric healthcare models and educational programs throughout the Mid-South. The main premise of this book is that value-based purchasing for healthcare is likely to remain a constant for the foreseeable future despite any changes in the financing of healthcare. The second is that value-based purchasing drives quality metrics which are important levers for changes in healthcare delivery. Dr. Powers focuses on quality improvement and evaluating educational and clinical outcomes, maintains a large practice and teaches geriatrics to healthcare professionals of all disciplines.

Preface.- Value-Based Healthcare Transformation.- Quality Indicators, Outcomes, and Performance Pay.- Are the Drivers of Healthcare Change Changing Healthcare Outcomes?.- Value-Based Healthcare Purchasing.- New Models of Healthcare Delivery.- Educating New Healthcare Providers for the 21st Century.- The Primary Care Dilemma.- Transitions of Care.- Dual-Eligibles: Challenges for Medicare and Medicaid Coordination.- Through the Looking Glass - Visions of the Future of Healthcare.