- 20 Nov 2020
- Article
Utilizing time-driven activity-based costing to determine open radical cystectomy and ileal conduit surgical episode cost drivers
Utilizing time-driven activity-based costing to determine open radical cystectomy and ileal conduit surgical episode cost drivers
by Janet Baack Kukreja, M.D., M.P.H.a,b, Mohamed A. Seif, M.D.a, Marissa W. Mery,
M.D.c,
James R. Incalcaterra, Ph.D.d, Ashish M. Kamat, M.D.a, Colin P. Dinney, M.D.a,
Jay B. Shah, M.D.e, Thomas W. Feeley, M.D.f, Neema Navai, M.D.
| Objectives: Patients undergoing radical cystectomy represent a particularly resource-intensive patient population. Time-driven activity based costing (TDABC) assigns time to events and then costs are based on the people involved in providing care for specific events.... |
- October 2021
- Article
Value Chain Management to Implement Post–COVID-19 Health Care Strategy: The COVID-19 Crisis has Created Areas of Innovation that Should be Embraced by Health Care Leaders
Value Chain Management to Implement Post–COVID-19 Health Care Strategy: The COVID-19 Crisis has Created Areas of Innovation that Should be Embraced by Health Care Leaders
by Michael E. Porter, Junaid Nabi, and Thomas H Lee
| Health care organizations must learn from what has worked during the Covid-19 crisis. Leaders have found that while they cannot do everything, they must define and manage the sequence of activities required to deliver high-value care. |
- June 2021
- Article
The CMS New Rule on Ambulatory Surgical Centers Earns Only Partial Credit
The CMS New Rule on Ambulatory Surgical Centers Earns Only Partial Credit
by Junaid Nabi and Robert S. Kaplan
| The Centers of Medicare and Medicaid Services (CMS) recently announced that it will be removing more than 250 musculoskeletal surgeries from its “inpatient-only list” in January 2022. An additional 1,500 surgeries will be eliminated in the following year. The change... |
- 01 Feb 2021
- Article
Health Care Measurements that Improve Patient Outcomes
Health Care Measurements that Improve Patient Outcomes
by Robert S. Kaplan, PhD, MS, Lara Jehi, MD, MHCDS,
Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS, Andrea Pusic, MD, MHS, FACS, FRCSC,
Mary Witkowski, MD, MBA
| This article describes the challenges and solutions in determining whether a patient’s treatment has been successful. Such an assessment depends on multiple factors, including the patient’s pretreatment status; the qualifications of personnel performing the treatment;... |
- 01 Jan 2021
- Article
Integrated Practice Units: A Playbook for Health Care Leaders
Integrated Practice Units: A Playbook for Health Care Leaders
by Michael E. Porter, PhD, MBA, Thomas H. Lee, MD, MSc
| The playbook for assembling and integrating a successful Integrated Practice Unit (IPU) features several key steps, including defining the patient condition or set of related conditions to be served, as well as defining patient needs across the care cycle and mapping... |
- November 10, 2020
- Article
Value-Based Health Care in Four Different Health Care Systems
Value-Based Health Care in Four Different Health Care Systems
| Health care systems across the world have increasingly embraced a value-based health care (VBHC) agenda. They do so for different reasons, using different foundations, and variations on the tools and tactics to effect their strategic goals. The role of governments,... |
- 01 Jul 2020
- Article
Assessing the Training Costs and Work of Diagnostic Radiology Residents Using Key Performance Indicators – An Observational Study
Assessing the Training Costs and Work of Diagnostic Radiology Residents Using Key Performance Indicators – An Observational Study
by Michael E. Porter, PhD, MBA, Thomas H. Lee, MD, MSc
| The playbook for assembling and integrating a successful Integrated Practice Unit (IPU) features several key steps, including defining the patient condition or set of related conditions to be served, as well as defining patient needs across the care cycle and mapping... |
- 17 Jun 2020
- Article
Six Tests for Physicians and Their Leaders for the Decade Ahead
Six Tests for Physicians and Their Leaders for the Decade Ahead
by Thomas H. Lee, MD, MSc, Toby Cosgrove, MD
| In the years immediately ahead, physicians and their leaders must move to a new level of health care in which they reliably deliver the performance that society needs. To enable and ensure success, significant changes will be required. A set of six tests for physicians... |
- June 2020
- Article
Are cost advantages from a modern Indian hospital transferable to the United States?
Are cost advantages from a modern Indian hospital transferable to the United States?
by F. Erhun, PhD, a,b R. S. Kaplan, PhD, c V. G. Narayanan, PhD, c K. Brayton, MD,
JD, MS, a M. Kalani, MD, a M. C.
Mazza, PhD, a C. Nguyen, MD, MS, a T. Platchek, MD, a B. Mistry, MD, MBA, c R. Mann,
BA, a D. Kazi, MD, MS, d
C. Pinnock, MD, MPH, a K. A. Schulman, MD, MBA, a J. Xue, MD, MPH, a D. Ballard, MD,
MSPH, PhD, FACP, e
M. Mack, MD, e B. James, MD, a,f G. Poulsen, MBA, f J. Punnen, MD, g D. Shetty, MD,
g and A. Milstein, MD, MPH
| Rationale and Objectives: To quantify the costs and work of diagnostic radiology (DR) residents using the radiology key performance indicator turn-around time (TAT) as the outcome measure. Materials and Methods: In an Institutional Review Board-approved study, the... |
- 1 JUN 2020
- Presentation
Are Cost Advantages from a Modern Indian Hospital Transferable to the United States?
Are Cost Advantages from a Modern Indian Hospital Transferable to the United States?
by R. S. Kaplan, F. Erhun, V.G. Narayanan, B. Mistry and K. Brayton, et al
| We use time-driven activity-based costing to estimate the cost of personnel and space for an elective coronary artery bypass graft (CABG) surgery at two U.S. hospitals, Intermountain and Baylor Heart, and Narayana Health (NH), in India. All three hospitals use modern... |
- May–June 2020
- Article
The Agenda for the Next Generation of Health Care Information Technology
The Agenda for the Next Generation of Health Care Information Technology
by Thomas W. Feeley, Zachary Landman and Michael E. Porter
| As the diffusion of value-based health care efforts accelerates globally, the need for interoperable information technology systems that support value-based care is essential. Such systems are needed to facilitate dramatic improvements in patient outcomes and... |
- April 2020
- Article
The Agenda for the Next Generation of Health Care Information Technology
The Agenda for the Next Generation of Health Care Information Technology
by Thomas W. Feeley, Zachary Landman and Michael E. Porter
| As the diffusion of value-based health care efforts accelerates globally, the need for interoperable information technology systems that support value-based care is essential. A value-enabling IT platform must organize data around conditions. |
- February 2020
- Article
2020 TDABC Starter Kit
2020 TDABC Starter Kit
by Professor Robert Kaplan and Dr. Syed Shehab
| This article is designed for new partners to help initiate TDABC projects. It reviews the basic concepts of value-based health care and how a motivated team can undertake a cost measurement project in their own institution. |
- January 2020
- Presentation
Value-Based Health Care Delivery: Systems Integration and Growth
Value-Based Health Care Delivery: Systems Integration and Growth
by Professor Michael E. Porter
| Professor Michael Porter presents the current concepts in how health care delivery systems can grow and deliver value-based health care across geography. |
- January 2020
- Presentation
Paying for Health Care
Paying for Health Care
by Dr. Mary Witkowski
| Dr. Mary Witkowski discusses value based payment including bundled paymnents and capitated payments. |
- January 2020
- Presentation
Value-Based Health Care Core Concepts
Value-Based Health Care Core Concepts
by Professor Michael E. Porter
| Professor Michael E. Porter presents the current status of value based health care as a strategy to improve health care. |
- January 2020
Introduction to Value-Based Health Care
Introduction to Value-Based Health Care
by Professor Michael E. Porter
- January 2020
- Presentation
Time-Driven Activity-Based Costing in Health Care
Time-Driven Activity-Based Costing in Health Care
by Professor Bob Kaplan
| Professor Bob Kaplan presents the current concepts of cost measurement in health care. |
- January 2020
- Presentation
Outcome Measurement
Outcome Measurement
by Thomas W. Feeley, MD
| Dr. Tom Feeley presents the basic principles and process of health outcome measurement. |
- January 2020
- Presentation
Value-Based Health Care: Core Concepts
Value-Based Health Care: Core Concepts
by Professor Bob Kaplan
| Professor Bob Kaplan discusses the core concepts of value based health care to the 2020 Intensive Seminar. |