| Value Model
1. Measure value: outcomes and costs
How can you improve something unless it is measured?
2. Identify opportunities for improvement
Large variation in provider performance signals an opportunity for improvement.
Severity of illness adjustment must be used to modify outcomes.
Errors of chance: type I and type II
3. Empower improvement towards best evidence practices and monitoring
clinical outcomes. Provide guidance on how to develop best practice outcomes.
4. Track improvements over time to quantify our continual improvement
To establish proof that we get patients better faster and more economically
with greater results, we need to employ a valid and credible scientific
measurement. Outcome measures are the universal language for communicating
the effectiveness of spinal care.
Patients: good outcomes represent their highest hopes for therapy
Health care professionals: good outcomes are the desired end-point of
treatment
The Functional Assessment is a hybrid of Oswestry Low Back Disability
Questionnaire and the Neck Disability Index. Eight items refer to activities
of daily living that might be adversely affected by a spinal condition.
Two items refer to different attributes of pain. This information helps
to establish the medical necessity of healthcare and enhances patient
monitoring of progress & improves clinical decision-making, detects
maximum therapeutic recovery, provides a rationale for ongoing treatment,
detects failure to respond to treatment, establishes credibility, and
positions the doctor to gain additional market share.
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