Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary
2010

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The United States has the highest per capita spending on health care of any industrialized nation. Yet despite the unprecedented levels of spending, harmful medical errors abound, uncoordinated care continues to frustrate patients and providers, and U.S. healthcare costs continue to increase. The growing ranks of the uninsured, an aging population with a higher prevalence of chronic diseases, and many patients with multiple conditions together constitute more complicating factors in the trend to higher costs of care.

A variety of strategies are beginning to be employed throughout the health system to address the central issue of value, with the goal of improving the net ratio of benefits obtained per dollar spent on health care. However, despite the obvious need, no single agreed-upon measure of value or comprehensive, coordinated systemwide approach to assess and improve the value of health care exists. Without this definition and approach, the path to achieving greater value will be characterized by encumbrance rather than progress.

To address the issues central to defining, measuring, and improving value in health care, the Institute of Medicine convened a workshop to assemble prominent authorities on healthcare value and leaders of the patient, payer, provider, employer, manufacturer, government, health policy, economics, technology assessment, informatics, health services research, and health professions communities. The workshop, summarized in this volume, facilitated a discussion of stakeholder perspectives on measuring and improving value in health care, identifying the key barriers and outlining the opportunities for next steps.

Publication information

286 pages · 6 x 9 · paperback
ISBN Paperback: 0-309-12182-5
ISBN Ebook: 0-309-12183-3
DOI: https://doi.org/10.17226/12566

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Institute of Medicine. 2010. Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary. Washington, DC: The National Academies Press.

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Front Matter i-xxii
Summary 1-22
1 The Need to Improve Value in Health Care 23-28
2 Stakeholder Perspectives on Value 29-38
3 Approaches to Assessing Value - Illustrative Examples 39-110
4 Approaches to Improving Value - Consumer Incentives 111-152
5 Approaches to Improving Value - Provider and Manufacturer Payments 153-172
6 Approaches to Improving Value - Organization and Structure of Care 173-200
7 Aligning the System to Promote Value - Now and in the Future 201-214
8 Common Themes and Opportunities for Action 215-224
Appendixes 225-226
Appendix A: Workshop Agenda 227-232
Appendix B: Biographical Sketches of Workshop Participants 233-254
Appendix C: Workshop Attendee List 255-264

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Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary (2010)

Chapter: Appendixes

Appendixes

Publication information

Suggested citation

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Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation: Workshop Summary (2010)

Chapter: Appendixes

Appendixes