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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Healthcare Agencies I01:18

Healthcare Agencies I

Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Healthcare Agencies II01:17

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...

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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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A report on eight early-stage state and regional projects testing value-based payment.

Douglas Conrad1, David Grembowski, Claire Gibbons

  • 1Center for Health Management Research, University of Washington, Seattle, WA, USA. dconrad@uw.edu

Health Affairs (Project Hope)
|May 8, 2013
PubMed
Summary

Value-based payment models shift healthcare reimbursement from service volume to care value. Eight projects are implementing these reforms, focusing on data access for cost-effective patient care.

Keywords:
Health ReformOrganization And Delivery Of CarePhysician PaymentState/Local Issues

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Area of Science:

  • Health Services Research
  • Healthcare Policy and Management

Background:

  • Healthcare spending containment and quality improvement are key policy goals.
  • The traditional fee-for-service model incentivizes service volume over value.
  • Value-based payment models aim to align provider reimbursement with patient outcomes and cost-effectiveness.

Purpose of the Study:

  • To describe the funding, objectives, strategies, and progress of eight value-based payment reform projects.
  • To share early lessons learned and identify prerequisites for successful implementation.
  • To highlight innovative approaches like Program Oriented Payments.

Main Methods:

  • Overview of eight distinct value-based payment reform projects funded by the Robert Wood Johnson Foundation.
  • Description of project-specific objectives, strategies, and implementation progress.
  • Analysis of early implementation stages and identification of success factors.

Main Results:

  • Eight diverse value-based payment reform projects are underway across the United States.
  • Early implementation focuses on provider incentives and condition-specific care programs.
  • Crucial prerequisites for success include ensuring broad and timely data access for providers.

Conclusions:

  • Value-based payment reform is a critical strategy for improving healthcare value and controlling costs.
  • Successful implementation requires strategic planning, provider engagement, and robust data infrastructure.
  • Ongoing evaluation and adaptation are essential for maximizing the impact of these payment reforms.