Adapting to the Reimbursement Landscape
This article explores one of the undeniable driving forces in health care: payment, and the shift toward value-based reimbursement as a lever to better align provider incentives toward appropriate utilization of health care services. The increasing burden of heart failure has made it an attractive target for many payment reform efforts and alternative payment models. As the ultimate goal of “value-based care” interventions is to reduce costs and improve quality outcomes and experience for patients while simultaneously improving the caregiver experience, financial models require a level of clinical translation to yield ...
Source: Heart Failure Clinics - July 28, 2020 Category: Cardiology Authors: Jessica Walradt, Hannah Alphs Jackson Source Type: research
Approaching Process Improvement
Process improvement begins with the process view: understanding patient care from the patient ’s point of view. Organizations must also clearly articulate for themselves how they define operational excellence so that the tradeoffs taken in process improvement can be clearly made. Constructing a process map allows application of powerful analytical tools, such as Little’s law, which in tu rn uncovers targets for process improvement from the patient’s point of view. Often tradeoffs among process performance metrics, such as quality, cost, time, personalization, and innovation, must be made when deciding upon improvemen...
Source: Heart Failure Clinics - July 22, 2020 Category: Cardiology Authors: Itai Gurvich, R. Kannan Mutharasan, Jan Albert Van Mieghem Source Type: research
Transitioning Patients with Heart Failure to Outpatient Care
The transition from hospitalization to outpatient care is a vulnerable time for patients with heart failure. This requires specific focus on the transitional care period. Here the authors propose a framework to guide process improvement in the transitional care period. The authors extend this framework by (1) examining the role new technology might play in transitional care, and (2) offering practical advice for teams building transitional care programs. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - July 21, 2020 Category: Cardiology Authors: R. Kannan Mutharasan Source Type: research
Addressing Comorbidities in Heart Failure
Heart failure (HF) is a growing global epidemic and an increasingly cumbersome burden on health care systems worldwide. As such, optimal management of existing comorbidities in the setting of HF is particularly important to prevent disease progression, reduce HF hospitalizations, and improve quality of life. In this review, the authors address 3 key comorbidities commonly associated with HF: hypertension, atrial fibrillation, and diabetes mellitus. They comprehensively describe the epidemiology, management, and emerging therapies in these 3 disease states as they relate to the overall HF syndrome. (Source: Heart Failure Clinics)
Source: Heart Failure Clinics - July 20, 2020 Category: Cardiology Authors: Aakash Bavishi, Ravi B. Patel Source Type: research
Systematizing Heart Failure Population Health
Population health and population health management of patients with heart failure aim to identify all patients with the condition in a population, to characterize and risk stratify subgroups of patients, to improve care delivery by leveraging technology and data so providers can improve care coordination, to engage disease management programs, and to create cost-effective health systems that reduce financial burden on patients and providers. This requires a shift in our treatment paradigm from reactive treatment to proactive primary and secondary prevention. Shifts from fee-for-service to value-based payment models promise...
Source: Heart Failure Clinics - July 20, 2020 Category: Cardiology Authors: Prateeti Khazanie, Larry A. Allen Source Type: research
