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Navigating to Value-Based Outcomes - eBook

Ebook -

SKU: E1006


In the second edition of the top selling Navigating to Value-Based Outcomes by Thom Walsh, PhD, of the Dartmouth Institute for Health Policy and Clinical Practice, you will learn how administrative teams are adjusting to—and thriving—in the era of value-based payment models.
Whether yours is a single-provider office or a national chain, this book will teach you to use existing tools to bridge administrative and clinical workflows to create better, more meaningful outcomes for each patient and for the practice itself by:
  • Meaningfully measuring patient outcomes
  • Evaluating processes based on both the patients’ and the practice’s needs
  • Strengthening the bottom line

To achieve those ends, Dr. Walsh will teach you how to:
  • Capture the data that matters to patients
  • Create data governance and oversight structures
  • Employ new cost-allocation techniques
  • Evaluate the effectiveness of various transformation techniques
  • Implement shared decision-making strategies

The value-based revolution is on, and this is your roadmap.

Thom Walsh

Thom Walsh, PhD


Thom Walsh, PhD is the author of Finding What Matters Most to Patients (2019) and Navigating to Value in Healthcare (2017). He is an Adjunct Professor at the Dartmouth Institute for Health Policy and Clinical Practice, an Associate Professor of Community Medicine at the Oxley College of Health Sciences at the University of Tulsa, and an independent consultant. 
His career began as a Physical Therapist with board certification as an Orthopedic Clinical Specialist and sub-specialty training as a spine specialist. His clinical career spanned private practice and academic settings, including the development and launch of a multidisciplinary spine center at the Dartmouth-Hitchcock Medical Center. Throughout that time, he was particularly interested in researching patient outcomes and the systems, processes, skills, and policies needed to continually improve them. These interests led him to earn an MS in Clinical Evaluative Sciences and a PhD in Health Policy from the Dartmouth Institute for Health Policy and Clinical Practice.
Known as an excellent teacher and mentor, he draws on his clinical, research, and consulting experience to help people and organizations navigate a rapidly changing healthcare environment. Thom’s peer-reviewed and general audience articles on patient-reported outcomes, shared decision making, change management and leadership have appeared in numerous publications, including the BMJ, JAMA, Spine, The Journal of Healthcare Management, Forbes, The New America Foundation, and The Atlantic. In addition, Thom’s career was featured in the September 3, 2018 edition of Managed Care.
He enjoys hiking, running, cycling, reading, and he volunteers as a search and rescue specialist as well as with Team Rubicon, a disaster relief and humanitarian aid organization.

Table of Contents
Chapter One
Building Value Into Healthcare Delivery                                           
Introduction: Creating Greater Value in Healthcare                       
The Need for Data                                                                          
Chapter Two
Harnessing Variation to Drive Value Higher                                
The History and Modern Implications of Variation in the Healthcare Industry                                                             
Variation as an Agent of Organizational Change                                                                                                             

Chapter Three
Looking for Value Opportunities                                                 
Value Opportunities                                                                     
External Data                                                                               
Internal Data                                                                                

Chapter Four
How to Measure Value                                                                
Navigating to Value in Healthcare                                                      
Outcomes that Matter to Patients                                                                                                                                    

Chapter Five
The Significance of Microsystems                                                  
Significance of Microsystems                                                         
Essential Process Mapping                                                         
Compare Old to New                                                                 

Chapter Six
Demonstrating Greater Value                                                     
Is the Signal Greater Than the Noise?                                        
Unique Context                                                                           
Unknown Unknowns                                                                   
The Noise and a Signal                                                                
Statistical Analysis                                                                       
A More Practical Way                                                                  
A Difference in Differences                                                           
Significant vs. Meaningful                                                                                                                                               

Chapter Seven
Communicating and Coordinating to Create Greater
Value Throughout an Organization                                             
Communicating and Coordinating                                                
Project Team                                                                               
Steering Committee                                                                      
Oversight Committee                                                                                                                                                          
A Typical Project Timeline                                                         

Chapter Eight
Attributes of Successful Transformations to Value     
Successful Transformations to Value 
The Project Team  
Project Leadership  
Organizational Leadership   
Organizational Support  
Mindset and Expectations  
Summary of the Attributes of Successful Improvement Efforts     

Chapter Nine     
Examples of Transformations that Work in Creating Value  
Hotspotting: What it is   
How it Works  
Integrating Behavioral Health in Care Pathway What it is 
How it Works   
Integrating Shared Decision in Care Pathways What it is  
Navigating to Value in Healthcare                                                      
Improving the Patient Experience Why it is important              
Learning Collaborative                                                             
The National Spine Network                                                   
The California Joint Replacement Registry                              
The Northern New England Cardiovascular Disease
Study Group                                                                              
The Ohio Perinatal Quality Collaborative                               
The Cystic Fibrosis Foundation                                                  
The Center to Advance Palliative Care                                   

Chapter Ten
Putting it all Together                                                               
How the Pieces Fit Together                                                      
Rising Healthcare Costs Become an Increasing
Drag on Resources                                                                      
Evolving Payment Schemes Bring Greater
Risk and Responsibility                                                            
New Methods for Measuring Quality of Care                          
Selling Value to the Decision Makers                                        




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