Action Research
The Harvard Business School VBHCD team helps provider sites:
- Implement time-driven activity-based costing (TDABC) to measure costs over the full care cycle, and then identify cost savings while maintaining quality of care
- Facilitate process improvements identified through the TDABC analysis
- Develop innovative reimbursement approaches that reward providers and organizations for delivering higher value care
- Produce academic materials to disseminate insights and care models gleaned from the work
The Harvard Business School offers partner sites extensive collaboration and support in implementing the value framework. The research identifies actionable steps to improve patient value, either by reducing costs while maintaining clinical outcomes or by improving outcomes without raising costs.
More about Time-Driven Activity-Based Costing (TDABC)
Medical Conditions
At the present time, the VBHCD team is examining the following medical conditions:
Acute
Conditions
- Joint (knee and hip) replacements
- Cancer: Head and neck, breast, prostate – surgery
and radiation treatments
- Heart valve replacements and repairs
- Neurosurgical procedures – cervical spine, brain
- Child birth – vaginal and caesarian
- Bariatric surgery
- Hysterectomies
- Urological procedures
- Rotator cuff repairs
- Tonsillectomies and adenoidectomies
- Observations room patients after ED care
Chronic &
Primary Care
- End-stage kidney disease
- Diabetes
- Congestive heart failure
- Audiology
- Dementia
- Degenerative neurological diseases
- Care transition patients to reduce frequency of readmission
- Primary and psychiatric care for patients with intellectual and behavioral disabilities
The VBHCD team is also examining how to estimate and distribute the costs of ancillary, indirect, and support departments, including Radiology and Billing.