Value-Based Approaches to Spine Care

Sustainable Practices in an Era of Over-Utilization

Editors: Sethi, Rajiv K., Wright, Anna K., Vitale, Michael G. (Eds.)

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  • Discusses how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development
  • Presents benefits and risks of standardization of spine care, with examples of successful multidisciplinary approaches to decision-making, treatment and outcome measurement, as well as future technologies
  • Ideal for not only clinicians caring for the spine but also hospital administration and health care policymakers
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  • ISBN 978-3-030-31946-5
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Softcover $79.99
price for USA in USD
  • ISBN 978-3-030-31945-8
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About this book

Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount.  
Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials.
Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.

About the authors

Rajiv K. Sethi, MD, Director, Neuroscience Institute, Departments of Orthopedics and Neurosurgery, Virginia Mason Medical Center, Department of Health Sciences, University of Washington, Seattle, WA, USA
Anna K. Wright, PhD, Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA
Michael G. Vitale, MD, MPH, Professor of Pediatric Orthopedic Surgery, Chief of Pediatric Spine and Scoliosis Surgery, Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, NY, USA

Table of contents (9 chapters)

Table of contents (9 chapters)
  • Macro Trends in Healthcare Delivery

    Pages 1-22

    Ondra, Stephen L.

  • Evaluating Policy Effects in the Treatment of Lumbar Fusion

    Pages 23-38

    Martin, Brook I. (et al.)

  • The Bree Collaborative Bundle for Lumbar Fusion: Evolution of a Community Standard for Quality

    Pages 39-60

    Friedman, Andrew S. (et al.)

  • Multidisciplinary Evaluation Improves the Value of Lumbar Spine Care

    Pages 61-77

    Yanamadala, Vijay (et al.)

  • Using Lean Process Improvement to Enhance Safety and Value

    Pages 79-96

    Bohl, Michael A. (et al.)

Buy this book

eBook $59.99
price for USA in USD
  • ISBN 978-3-030-31946-5
  • Digitally watermarked, DRM-free
  • Included format: PDF, EPUB
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Softcover $79.99
price for USA in USD
  • ISBN 978-3-030-31945-8
  • Free shipping for individuals worldwide
  • Institutional customers should get in touch with their account manager
  • Covid-19 shipping restrictions
  • Usually ready to be dispatched within 3 to 5 business days, if in stock
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Bibliographic Information

Bibliographic Information
Book Title
Value-Based Approaches to Spine Care
Book Subtitle
Sustainable Practices in an Era of Over-Utilization
Editors
  • Rajiv K. Sethi
  • Anna K. Wright
  • Michael G. Vitale
Copyright
2020
Publisher
Springer International Publishing
Copyright Holder
Springer Nature Switzerland AG
eBook ISBN
978-3-030-31946-5
DOI
10.1007/978-3-030-31946-5
Softcover ISBN
978-3-030-31945-8
Edition Number
1
Number of Pages
XI, 197
Number of Illustrations
10 b/w illustrations, 7 illustrations in colour
Topics