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Value-Based Care

Medicines with One Seller and Many Buyers: Strategies to Increase the Power of the Payer

29 May, 2020 | 03:00h | UTC

Medicines with one seller and many buyers: strategies to increase the power of the payer – The BMJ

 


AHRQ Report: 47 Practices to Improve Patient Safety

11 Mar, 2020 | 08:31h | UTC

Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices – Agency for Healthcare Research and Quality (free)

News Release: AHRQ Report Reviews 47 Practices To Improve Patient Safety – Agency for Healthcare Research and Quality (free)

 


Virtual Care: Recommendations for Scaling up Virtual Medical Services

12 Feb, 2020 | 07:32h | UTC

Virtual care: Recommendations for Scaling up Virtual Medical Services – Canadian Medical Association (free PDF)

News Release: New report: a roadmap to improve virtual care in Canada – Canadian Medical Association (free)

 


Effects of Lean Healthcare on Patient Flow: A Systematic Review

24 Jan, 2020 | 08:04h | UTC

Effects of Lean Healthcare on Patient Flow: A Systematic Review – Value in Health (free)

Related: ‘Lean’ Adoption at Public Hospitals has Improved Finances and Efficiency, Reports Survey (link to abstract and commentary)

 


Less is More in Critical Care is Supported by Evidence-based Medicine

19 Sep, 2019 | 08:15h | UTC

Less is more in critical care is supported by evidence-based medicine – Intensive Care Medicine (free for a limited period)

Related: Less is More: Ten Reasons for Considering to Discontinue Unproven Interventions (free commentaries)

 


Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery

12 Sep, 2019 | 10:31h | UTC

Part I: Guidelines for Antenatal and Preoperative care in Cesarean Delivery: Enhanced Recovery After Surgery Society Recommendations

Part II: Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society Recommendations

Part III: Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations

Related: Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update – International Journal of Gynecological Cancer (free) AND Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 


Perspective: Early Discharge Hospital at Home

20 Aug, 2019 | 08:14h | UTC

Early discharge hospital at home – NEJM Catalyst (free)

Related: Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review – International Journal of Environmental Research and Public Health (free) AND Early discharge hospital at home – Cochrane Library (free) AND Early discharge ‘hospital-at-home’ gives similar outcomes to in-patient care – NIHR Signal (free)

 


Too Much Medicine: Not Enough trust?

11 Aug, 2019 | 22:18h | UTC

Too Much Medicine: Not Enough trust? – Journal of Medical Ethics (free)

 

Related Commentary on Twitter

 


New Choosing Wisely List: American Academy of Pediatrics – Section on Rheumatology

7 Aug, 2019 | 01:32h | UTC

American Academy of Pediatrics – Section on Rheumatology: Five Things Physicians and Patients Should Question – Choosing Wisely (free)

Commentary: New Choosing Wisely List Tackles Opioid Prescribing, Lyme Testing – NEJM Journal Watch (free)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


Is Forced Telemedicine the Future of Healthcare?

2 Aug, 2019 | 00:59h | UTC

Is forced telemedicine the future of healthcare? – Daily Republic (free)

 


Cancer Care: Ten Low-value or Harmful Practices that Should be Avoided

30 Jul, 2019 | 01:23h | UTC

Choosing Wisely India: ten low-value or harmful practices that should be avoided in cancer care – The Lancet Oncology (free registration required)

Commentary: 10 Ways to Improve the Value of Cancer Care – Medscape (free registration required)

See other lists of low-value practices in oncology:

– American Society of Clinical Oncology

– Society of Surgical Oncology

– Society of Gynecologic Oncology

– American Society for Radiation Oncology

– Medical Oncology Group of Australia

– Oncology – Choosing Wisely Canada

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 

Related Commentary on Twitter

 


Healing the Professional Culture of Medicine

16 Jul, 2019 | 09:51h | UTC

Healing the Professional Culture of Medicine – Mayo Clinic Proceedings (free)

Related: Understanding organisational culture for healthcare quality improvement – The BMJ (free)

 


Cochrane Review: Pay for Performance for Hospitals

8 Jul, 2019 | 10:10h | UTC

Pay for performance for hospitals – Cochrane Library (free)

Summary: Pay for performance (payment or penalty methods to encourage hospitals to increase quality of care) – Cochrane Library (free)

Related Systematic Review: The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care: A Systematic Review – Annals of Internal Medicine (free)

See also: Impact of Financial Incentives on Early and Late Adopters among US Hospitals – The BMJ (free study and commentaries) AND Research: Pay-for-performance fails to perform (link to abstract and commentaries) AND Value-Based Purchasing: Time for Reboot or Time to Move On? – The JAMA Forum (free)

“We found either no difference at all or only a very slight effect for most P4P programs.”

 


Selection of the Top 36 International Choosing Wisely Recommendations by the Romanian Society of Internal Medicine

5 Jul, 2019 | 02:47h | UTC

The Romanian Society of Internal Medicine’s Choosing Wisely Campaign – Romanian Journal of Internal Medicine (free)

Related: Choosing Wisely: Case Studies from the Top 10 Recommendations Across Campaigns – The Commonwealth Fund (free case studies)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


Consensus Statement: Enhanced Recovery After Surgery in Bariatric Surgery

20 Jun, 2019 | 09:27h | UTC

Canadian consensus statement: enhanced recovery after surgery in bariatric surgery – Surgical Endoscopy (free)

Related: Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 


The Escalating Global Burden of Serious Health-related Suffering: Projections to 2060 by World Regions, Age Groups, and Health Conditions

24 May, 2019 | 05:17h | UTC

The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions – The Lancet Global Health (free)

Invited Commentary: Global palliative care: from need to action – The Lancet Global Health (free)

“Immediate global action to integrate palliative care into health systems is an ethical and economic imperative.”

 


Choosing Wisely Canada-Top Five List in Hepatology

23 May, 2019 | 07:44h | UTC

Choosing Wisely Canada-Top Five List in Hepatology: Official Position Statement of the Canadian Association for the Study of the Liver (CASL) and Choosing Wisely Canada (CWC) – Annals of Hepatology (free)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

1 – Don’t order serum ammonia to diagnose or manage hepatic encephalopathy (HE).

2 – Don’t routinely transfuse fresh frozen plasma, platelets or give Vitamin K to reverse abnormal tests of coagulation in patients with cirrhosis prior to abdominal paracentesis, endoscopic variceal band ligation, or any other minor invasive procedures.

3 – Don’t order HFE genotyping based on serum ferritin values alone to diagnose hereditary hemochromatosis.

4 – Don’t perform computed tomography (CT) or magnetic resonance imaging (MRI) routinely to monitor benign focal liver lesions (ex. focal nodal hyperplasia, hemangioma).

5 – Don’t repeat hepatitis C viral load testing in an individual who has established chronic infection, outside of antiviral treatment.

(Under a Creative Commons license)

 


The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact

15 May, 2019 | 06:34h | UTC

The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact – Healthcare (free) (via @Abraham_RMI)

 

Related Commentary on Twitter

 


How Organizations Contribute to Improving the Quality of Healthcare

5 May, 2019 | 16:16h | UTC

How organisations contribute to improving the quality of healthcare – The BMJ (free)

 

Related Commentary on Twitter

 


Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Gynecologic/Oncology

3 May, 2019 | 07:20h | UTC

Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update – International Journal of Gynecological Cancer (free)

Related: Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 


Systematic Review: Value of Hospital Antimicrobial Stewardship Programs

17 Mar, 2019 | 18:12h | UTC

Value of hospital antimicrobial stewardship programs [ASPs]: a systematic review – Antimicrobial Resistance & Infection Control (free)

 


2018 Update on Pediatric Medical Overuse

27 Feb, 2019 | 00:43h | UTC

2018 Update on Pediatric Medical Overuse: A Review – JAMA Pediatrics (free for a limited period)

 

Related Commentary on Twitter (Thread)

 


Report: Lab Testing Misuse Costs Billions

18 Feb, 2019 | 21:41h | UTC

What the Doctor Ordered: Improving the Use and Value of Laboratory Testing – CD Howe Institute (free PDF)

News Release: Lab Testing Misuse Costs Billions (free)

Commentary: Billions wasted annually on inappropriate lab tests, report finds – The Star (free)

 


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