Measurement and Analysis in Transforming Healthcare Delivery

This volume is complementary to Volume 1: Quantitative Approaches in Health Systems Engineering which provides in-depth analysis of the statistical and quantitative aspects of Health Systems Engineering. Volume 2: Practical Applications to Engage and Align Providers and Consumers builds upon these concepts with the integration of additional economic, performance and quality measures. Stressing the importance of changes in the economics of health care financing, it will serve as a resource for not only leaders of organizations, but also providers who will be practicing a different type of medicine from that of which they were trained. After defining the challenges, the authors will quantify and define funds flows and various margins necessary for viability, how providers will be measured and rewarded for quality, and the importance of accurate dashboard of physician performance. Types of payment systems, including capitation, ACOs, risk contracts, and hybrid forms offee for service will be defined and their relative advantages discussed. Lessons from other countries that provide high quality care at a lower cost will be examined for applicability to our challenges. Finally, experts in leadership will focus on influencing behavior to achieve results while remembering that healthcare is about the patient. This textbook will serve as a useful resource for clinicians, healthcare executives, governmental agencies, and emerging leaders in organizations.

Harry C. Sax, MD is Professor and Executive Vice Chair of Surgery at Cedars Sinai Medical Center in Los Angeles. After medical school at Johns Hopkins, he completed a residency in General Surgery at the University of Cincinnati as well as a Fellowship in Nutrition Support. During his subsequent tenure at the University of Rochester, he built an active clinical and research presence as well as served on the Board of Directors of several Independent Practice Associations where he began his work on physician profiles and feedback as well as team performance. He was one of the early proponents of Crew Resource Management in medicine and worked closely with administration and physicians on optimizing the culture of medical delivery. In 2005, he became Chief of Surgery at the Miriam Hospital in Providence, a community based teaching hospital with Brown Medical School, and completed a Masters in Health Care Management at the Harvard School of Public Health. Dr. Sax is a Fellow in the American College of Surgeons and the American College of Healthcare Executives. He also works with the CRUDEM foundation in Milot Haiti where he was the was the Chief Medical Officer for relief efforts after the 2010 earthquake.

Healthcare Transformation-What are the Challenges?.- Terminology and Applications: Hospital Performance Measures.- Measurements and Analysis in Transforming Healthcare Deliver-Terminology and Applications: Physician Performance.- Assuring Appropriate Care.- Aligning Medical Staff within the Academic Medical Center.- Aligning Healthcare Systems.- Influencing with Integrity.- Perspectives from Single Payer Systems.- Leadership to Encourage and Sustain Performance.