Overview
- Provides insight on quality reporting in different healthcare systems
- The first text that thoroughly addresses quality assessment and quality reporting in spine care
- Written by experts in the field
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Table of contents (24 chapters)
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Front Matter
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Methodology in Quality Assessment
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Front Matter
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Healthcare Systems
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Front Matter
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Implementation of Quality Reporting
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Front Matter
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Keywords
About this book
Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care.
Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to “high quality care.” Most physicians email inboxes are inundated with offers of recognition for being a “Top Doc” for a nominal fee. Some payers offer incentives to patients who chose to be treated at “Centers of Excellence” or similar facilities; the definition of “Excellence” may be unclear.
There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour.
Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care.
Features:
1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community.
2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems’ quality reporting is novel and will be thought provoking for readers.
3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement
4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices
5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to “high quality care.” Most physicians email inboxes are inundated with offers of recognition for being a “Top Doc” for a nominal fee. Some payers offer incentives to patients who chose to be treated at “Centers of Excellence” or similar facilities; the definition of “Excellence” may be unclear.
There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour.
Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care.
Features:
1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community.
2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems’ quality reporting is novel and will be thought provoking for readers.
3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement
4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices
5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.
Reviews
“The text appears intended for practicing neurosurgeons and orthopedic surgeons specializing in spine surgery, as well as clinical practitioners, hospital administrators, and other individuals directly involved in the care of patients with spinal disorders. … ‘Quality Spine Care: Healthcare Systems, Quality Reporting, and Risk Adjustment’ is very well written. Its concise chapters will aid any spine surgeon in optimizing one’s practice to focus on quality and value.” (Scott J. Raffa and Michael Y. Wang, Neurosurgery, Vol. 85 (4), October, 2019)
“The audience is practitioners, surgeons, public health specialists, and even healthcare administrators. The book meets the objective of addressing these audiences and is relatively straightforward in its explanations. … This is a high‐quality book that provides a great recapitulation of quality assessment in spine care. It is thefirst book its kind and is a great focused review of this topic.” (Ankit I Mehta, Doody's Book Reviews, July 05, 2019)
“The audience is practitioners, surgeons, public health specialists, and even healthcare administrators. The book meets the objective of addressing these audiences and is relatively straightforward in its explanations. … This is a high‐quality book that provides a great recapitulation of quality assessment in spine care. It is thefirst book its kind and is a great focused review of this topic.” (Ankit I Mehta, Doody's Book Reviews, July 05, 2019)
Editors and Affiliations
About the editors
John Ratliff
Department of Neurosurgery
Stanford University
Stanford, CA
USA
Todd J. Albert
Hospital for Special Surgery
New York, NY
USA
Joseph Cheng
Department of Neurosurgery
University of Cincinnati College of Medicine
Cincinnati, OH
USA
John Knightly
Neurosurgery, Atlantic Neurosurgical Specialists
Morristown, NJ
USA
Department of Neurosurgery
Stanford University
Stanford, CA
USA
Todd J. Albert
Hospital for Special Surgery
New York, NY
USA
Joseph Cheng
Department of Neurosurgery
University of Cincinnati College of Medicine
Cincinnati, OH
USA
John Knightly
Neurosurgery, Atlantic Neurosurgical Specialists
Morristown, NJ
USA
Bibliographic Information
Book Title: Quality Spine Care
Book Subtitle: Healthcare Systems, Quality Reporting, and Risk Adjustment
Editors: John Ratliff, Todd J. Albert, Joseph Cheng, Jack Knightly
DOI: https://doi.org/10.1007/978-3-319-97990-8
Publisher: Springer Cham
eBook Packages: Medicine, Medicine (R0)
Copyright Information: Springer Nature Switzerland AG 2019
Hardcover ISBN: 978-3-319-97989-2Published: 07 November 2018
Softcover ISBN: 978-3-030-07433-3Published: 14 December 2018
eBook ISBN: 978-3-319-97990-8Published: 26 October 2018
Edition Number: 1
Number of Pages: XXI, 405
Number of Illustrations: 1 b/w illustrations, 44 illustrations in colour
Topics: Neurosurgery, Surgical Orthopedics