Value-based Care
Public Health & Policy: Ten Trends to Watch in 2018
13 Jan, 2018 | 19:00h | UTCTen Trends to Watch in 2018 – MedPage Today (free)
Research: Impact of Financial Incentives on Early and Late Adopters among US Hospitals
4 Jan, 2018 | 19:52h | UTCCommentaries: ACA Pay-For-Performance Programs Not Living Up To Expectations – MedicalResearch (free) U.S. Researchers: Change or End the Current Pay-for-Performance System – Physician’s First Watch (free) AND Impact of US Pay for Performance Programs ‘Limited And Disappointing’ Say Experts – ScienceNewsline (free)
Related: The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care: A Systematic Review – Annals of Internal Medicine (free) AND Pay-for-performance fails to perform – Harvard Medical School, via ScienceDaily (free) AND Value-Based Purchasing: Time for Reboot or Time to Move On? by Ashish K. Jha, MD – The JAMA Forum (free)
Research: Association of an Enhanced Recovery Program With Colectomy Outcomes
4 Jan, 2018 | 18:58h | UTCAssociation of an Enhanced Recovery Pilot With Length of Stay in the National Surgical Quality Improvement Program – JAMA Surgery (link to abstract – $ for full-text)
Commentary: Enhanced-recovery Protocol Linked to Better Colectomy Outcomes – Reuters, via Medscape (free registration required)
Related guideline: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free)
See other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.
Video: Do Less, Not More—Reducing Waste in Health Care
4 Jan, 2018 | 17:09h | UTCVideo: Do Less, Not More—Reducing Waste in Health Care – NEJM Catalyst (free)
Meta-Analysis: Effectiveness of Pharmacist-Led Medication Reconciliation After Hospital Discharge
3 Jan, 2018 | 13:14h | UTCSource: Hospital Medicine Virtual Journal Club
Opinion: Too Much Screening Has Misled Us About Real Cancer Risk Factors
2 Jan, 2018 | 16:19h | UTCToo much screening has misled us about real cancer risk factors, experts say – STAT (free) AND Overscreening for Cancer Yields Misleading Results – MedPage Today (free) AND Could finding more cancer lead us to understand risk factors less? – HealthNewsReview (free)
Original article: Scrutiny-Dependent Cancer and Self-fulfilling Risk Factors – Annals of Internal Medicine (link to abstract – $ for full-text)
Telehealth: Can Home Health Visits Help Keep People Out Of The ER?
2 Jan, 2018 | 16:17h | UTCCan Home Health Visits Help Keep People Out Of The ER? – NPR (free)
Will Gathering Vast Troves of Information Really Lead To Better Health?
1 Jan, 2018 | 12:29h | UTCWill Gathering Vast Troves of Information Really Lead To Better Health? – NPR (free)
Review: Overdiagnosis Across Medical Disciplines
1 Jan, 2018 | 12:27h | UTCOverdiagnosis across medical disciplines: a scoping review – The BMJ Open (free) (via @brooke_nickel)
“Less is More”: The New paradigm in Critical Care
1 Jan, 2018 | 12:29h | UTC“Less is More”: The New paradigm in Critical Care – by Paul Marik, in EMCrit (free)
Opinion: Too Many Older Patients Get Cancer Screenings
1 Jan, 2018 | 12:27h | UTCToo Many Older Patients Get Cancer Screenings – The New York Times (10 articles per month are free)
Systematic Review: Whole-System Approaches to Improving the Health and Wellbeing of Healthcare Workers
1 Jan, 2018 | 12:24h | UTC
Opinion: Ms. Inappropriate Defends The Status Quo
1 Jan, 2018 | 12:17h | UTCMs. Inappropriate Defends The Status Quo – Cardiobrief (free)
Original article: The Less-Is-More Crusade — Are We Overmedicalizing or Oversimplifying? (free)
Research: Association of Hospitalist Years of Experience With Mortality
1 Jan, 2018 | 12:10h | UTCAssociation of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Mortality Higher for Inpatients Seen by First-Year Hospitalists – Medscape (free registration required)
Viewpoint: Funding Innovation in a Learning Health Care System
1 Jan, 2018 | 12:07h | UTCFunding Innovation in a Learning Health Care System – JAMA (free)
What Does ‘Value’ Mean in Healthcare?
1 Jan, 2018 | 12:07h | UTCWhat Does ‘Value’ Mean in Healthcare? – HealthLeaders Media (free)
Original Survey: Bringing Value Into Focus (free PDF)
Hospital Giants Vie for Patients in Effort to Fend Off New Rivals
1 Jan, 2018 | 12:05h | UTCHospital Giants Vie for Patients in Effort to Fend Off New Rivals – The New York Times (10 articles per month are free)
Do Hospitals Still Make Sense? The Case for Decentralization of Health Care
31 Dec, 2017 | 15:52h | UTCDo Hospitals Still Make Sense? The Case for Decentralization of Health Care – NEJM Catalyst (free)
Review: Screening Tools to Identify Patients with Complex Health Needs at Risk of High Use of Health Care Services
31 Dec, 2017 | 15:47h | UTCSee related articles on the Caring for High-Need, High-Cost Patients
Infographic: Date Night with the Electronic Health Record
29 Dec, 2017 | 19:38h | UTCInfographic: Date Night with the EHR – NEJM Catalyst (free)
Related Guideline: Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free)
Related Commentary: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)
Guidelines to Eliminate Repetitive Laboratory Testing
29 Dec, 2017 | 19:39h | UTCEvidence-Based Guidelines to Eliminate Repetitive Laboratory Testing – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Experts Recommend Fewer Lab Tests for Hospitalized Patients – Johns Hopkins Medicine, via NewsWise (free) AND Experts devise plan to slash unnecessary medical testing – MedicalXpress (free)
Research: Regional Variation of CT Imaging and the Risk of Nephrectomy
29 Dec, 2017 | 17:45h | UTCEditorial: Use of Advanced Imaging Tests and the Not-So-Incidental Harms of Incidental Findings (free)
Commentary: Trunk Imaging Tied to Higher Nephrectomy Risk – MedPage Today (free registration required)
“The remarkable number of unnecessary CT scans and their downstream risk from incidental findings” (via @EricTopol see Tweet)
Why Doctors Keep Doing Expensive Procedures That Don’t Work
29 Dec, 2017 | 17:41h | UTCWhy American doctors keep doing expensive procedures that don’t work – VOX (free)
“The proportion of medical procedures unsupported by evidence may be nearly half”.
Tackling the High Cost of Cancer Care
28 Dec, 2017 | 17:24h | UTCTackling the High Cost of Cancer Care – The ASCO Post (free)
“A formidable group of oncologists has come together with the joint aim of improving access, affordability, and sustainability (value) of cancer therapies”.
Original abstract: A prospective international randomized phase II study evaluating the food effect on the pharmacokinetics (PK) and pharmacodynamics (PD) of abiraterone acetate (AA) in men with castration-resistant prostate cancer (CRPC) (free) AND Commentary: A group of cancer doctors discovered a way to slash the cost of expensive pills by up to 75%, but they’ve hit a wall – Business Insider (free)
Related Website (news section): Value in Cancer Care Consortium (free resources)
See also other articles and commentaries on financial toxicity of cancer treatments
Opinion: Are Hospital Readmission Penalties a Good Idea?
28 Dec, 2017 | 17:23h | UTCThe data are in, but debate rages: Are hospital readmission penalties a good idea? – STAT (free)