通过马里兰州基于价值的节目质量改进计划,提高医疗保健质量和节省成本
概括
马里兰州的节目质量改善计划 (EQIP) 在第一年节省了超过1100万美元. 这种以价值为基础的护理模式鼓励从业者提高质量和降低成本,为其他州提供潜在的框架.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 基于价值的护理是基于价值的护理.
背景情况:
- 马里兰州的情节质量改善计划 (EQIP) 使用基于情节的支付框架.
- EQIP鼓励非医院从业人员提高护理质量并降低医疗保健支出.
研究的目的:
- 评估马里兰州第一个节目质量改进计划 (EQIP) 在首年的财务影响和绩效.
- 评估基于价值的护理模式在降低医疗保健成本方面的有效性.
主要方法:
- 分析EQIP第一个绩效年度 (2022年1月1日至2022年12月31日) 的数据.
- 对实体支出与15种临床发作类型的目标价格进行对比,包括整形外科,心脏病学和胃肠病学.
- 通过将实际支出与预先确定的目标价格进行比较来计算节约.
主要成果:
- 五十个参与实体实现了总共节省了11,763,026.06美元.
- 对于37,758次临床发作的总支付金额为385,701,806美元,低于目标价格.
- 骨科显示节约 (5.9%),而心脏病 (-0.3%) 和胃肠病 (-1.8%) 经历了轻微的成本增加.
结论:
- 节目质量改进计划成功地在马里兰州节省了成本.
- 马里兰州的EQIP模型为其他州开发基于价值的护理计划提供了有价值的见解.
- 建议支持促进有利于基于价值观的护理计划的环境的政策.
相关概念视频
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Managed Care System:
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01:29Issues And Trends In Healthcare Delivery System
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Cost Containment
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01:20Integrated Healthcare System
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01:13Patient-centered Care
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01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
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