culture

11 11, 2019

Buyer beware! Does the seller’s definition of value match your values?

2019-11-11T14:00:58+00:00

Paper of the Week: 11th November 2019 This week’s blog is brought to you by: Dr Tim Wilson Full reference and title from the journal: Bending the cost curve: time series analysis of a value transformation programme at an academic medical centre Chatfield SC, Volpicelli FM, Adler NM, et al. BMJ Qual Saf 2019;28:449–458. Emerging principles for health system value improvement programmes Moriates C, Valencia V. BMJ Qual Saf 2019;28:434–437. Authors conclusion: By the beginning of 2014 it had become apparent that our own health system, NYU Langone Health (NYULH), had substantial opportunity to improve value. From 2010 to 2013, our institutional losses on Medicare patients had more than doubled. … the American Association of Medical Colleges-Council of Teaching Hospitals (COTH) quarterly survey of [...]

Buyer beware! Does the seller’s definition of value match your values?2019-11-11T14:00:58+00:00
24 09, 2019

Paper of the Week: 24th September 2019 – Finite resources come in many forms, especially carbon

2019-09-24T09:57:57+00:00

This week’s blog is brought to you by: Managing Director, Dr Tim Wilson Full reference and title from the journal: International comparison of health care carbon footprints, Peter-Paul Pichler et al 2019 Environ. Res. Lett. 14 064004. Web Link to Paper: https://iopscience.iop.org/article/10.1088/1748-9326/ab19e1/meta#erlab19e1s3 Authors conclusion: The health care sectors of the 36 countries studied were responsible for 1.6 Gt of CO2 emissions or 4.4% of the global total in 2014 (35.7 Gt). The health carbon footprints of China, the US, Japan, India and Germany were similar to the total national footprints of Canada, Italy, Greece, Finland, and Hungary respectively. In an international ranking of total national carbon footprints, the health carbon footprints of China and the US would rank [...]

Paper of the Week: 24th September 2019 – Finite resources come in many forms, especially carbon2019-09-24T09:57:57+00:00
8 08, 2019

Thursday 8th August 2019 Paper of the Week: What is fair in healthcare

2019-08-08T13:29:03+00:00

This week's paper of the week is brought to you by Dr Tim Wilson, Managing Director Full reference and title from the journal: Chamberlain, C., Owen-Smith, A., MacKichan, F., Donovan, J. L., & Hollingworth, W. (2019). “What’s fair to an individual is not always fair to a population”: a qualitative study of patients and their health professionals using the Cancer Drugs Fund. Health Policy, 123(8), 706–712. WEB LINK TO PAPER Authors conclusion While patients and oncologists appreciated the drugs available through the Cancer Drugs Fund, most expressed concern about its fairness. Competing participant views about the added value of the end of life is challenging for resource allocation.   3V bottom line  Fairness in healthcare needs us to [...]

Thursday 8th August 2019 Paper of the Week: What is fair in healthcare2019-08-08T13:29:03+00:00
2 08, 2019

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratory

2019-08-02T06:20:37+00:00

This week's blog is brought to you by Dr Tim Wilson, 3V Managing Director. Full reference: Health Care Spending, Utilization, and Quality 8 Years into Global Payment Song, Z., Ji, Y., Safran, D. G., & Chernew, M. E. (2019). Health Care Spending, Utilization, and Quality 8 Years into Global Payment. New England Journal of Medicine, 381(3), 252–263. Web Link to Paper Authors conclusion: During the first 8 years after its introduction the Alternative Quality Contract of Blue Cross Blue Shield (BCBS) of Massachusetts, a population-based payment model, was associated with slower growth in medical spending on claims, resulting in savings that over time began to exceed incentive payments. Unadjusted measures of quality under this model were higher than [...]

Paper of the Week 2nd August: Lessons on paying for value from the US health policy laboratory2019-08-02T06:20:37+00:00
10 05, 2019

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture change

2019-05-10T08:24:07+00:00

  Full reference: Maryland’s Experiment With Capitated Payments For Rural Hospitals: Large Reductions In Hospital-Based Care. Jesse M. Pines, Sonal Vats, Mark S. Zocchi, Bernard Black. (2019) HEALTH AFFAIRS . Vol. 38, NO. 4 Link to Paper This week’s blog is brought to you by: Dr Tim Wilson, Managing Director Authors conclusion Inpatient admissions and outpatient services fell sharply at [study] hospitals, increasingly so over the period that [capitated payment] was in effect. Emergency department (ED) admission rates declined 12 percent, direct (non-ED) admissions fell 23 percent, ambulatory surgery center visits fell 45 percent, and outpatient clinic visits and services fell 40 percent. However, for residents of [capitated payment] counties, visits to all Maryland hospitals fell by lesser amounts and Medicare spending increased, [...]

Paper of the Week: 10th May 2019: Better payment systems can support, but not replace, culture change2019-05-10T08:24:07+00:00
17 10, 2018

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learn

2018-10-17T11:45:26+00:00

Reference: Rural Sanitation in India: The Poo Party This weeks paper of the week is brought to you by Dr Anant Jani, 3V Executive Director. Bottom line “Transforming the behavioral norms of rural populations is a particularly challenging task, and it will only work if rural communities change from within…much depends on the extent to which civil society takes up the call, and whether and how the government pitches in to sensitize and support the fight….The other half of the challenge is uprooting deep-seated beliefs and taboos…Success will require long-term campaigns to spread awareness, the development of regionally contextualized innovations, focus-group discussions, and women’s empowerment.” Implications for value improvement  Getting people to change is not easy.  Habits, beliefs and [...]

Paper of the week 17.10.18: Trying to convince people to poo in toilets – what the NHS needs to learn2018-10-17T11:45:26+00:00