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Books > Medicine > Surgery > Orthopaedics & fractures
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Quality Spine Care - Healthcare Systems, Quality Reporting, and Risk Adjustment (Hardcover, 1st ed. 2019)
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Quality Spine Care - Healthcare Systems, Quality Reporting, and Risk Adjustment (Hardcover, 1st ed. 2019)
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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.
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