Value-based health care [Neurosurgery Wiki]

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====== Value-based health care ======

Value-based [[care]] and [[quality]] improvement are related concepts used to measure and improve clinical care. Value-based care represents the relationship between the incremental gain in outcome for patients and [[cost efficiency]]. It is achieved by identifying [[outcome]]s that are important to [[patient]]s, codesigning solutions using [[multidisciplinary]] [[team]]s, measuring both outcomes and [[cost]]s to drive further [[improvement]]s, and developing [[partnership]]s across the health system. [[Quality improvement]] is focused on process improvement and [[compliance]] with [[best practice]], and often uses "Plan-Do-Study-Act" cycles to identify, test, and implement change. Validated, standardized core outcome sets for [[perioperative]] [[neuroscience]] are currently lacking, but [[neuroanesthesiologist]]s can consider using traditional clinical indicators, patient-reported outcomes measures, and [[perioperative]] core outcome measures. Several examples of bundled care solutions have been successfully implemented in perioperative neuroscience to increase value; for example, enhanced [[recovery]] for [[spine surgery]], [[delirium]] reduction pathways, and same-day [[discharge]] craniotomy
((Luoma AMV, Flexman AM. Value-based Care and Quality Improvement in Perioperative Neuroscience. J Neurosurg Anesthesiol. 2022 Aug 2. doi: 10.1097/ANA.0000000000000864. Epub ahead of print. PMID: 35917131.)).