Delisle Dennis R
Dennis R. Delisle, MHSA, PMP, is Operational Excellence Manager for Thomas Jefferson University Hospitals and Adjunct Instructor for Thomas Jefferson University's School of Population Health. Dennis is a certified Lean Master, Six Sigma Black Belt, and project management professional and is currently pursuing a Doctor of Science degree in Health Systems Management. He is responsible for the education and certification of Lean professionals, as well as the strategic deployment of organizational initiatives. Dennis also coleads Jeffersons Performance Excellence program.
Prof Case Manag. 2013 Nov-Dec;18(6):273-83; quiz 284-5. doi: 10.1097/NCM.0b013e31829d9cf3.
PURPOSE/OBJECTIVES: An emphasis on a value-based payment model is expected to provide motivation for developing effective care transitions programs. For such programs to succeed, organizations must adopt an evidence-based, financially feasible model that enables improved coordination with providers, alignment of incentives, and measurement of key performance metrics, both clinical and operational. Evidence of cost-effective care transitions programs is important for deploying successful models broadly.
PRIMARY PRACTICE SETTING(S): Hospital-based programs.
FINDINGS/CONCLUSIONS: Current literature on care transitions programs highlights different strategies, patient populations, settings, and outcomes; however, it lacks sufficient supporting financial evidence that these programs are operationally sustainable and cost-effective within current and projected reimbursement schemes.
Care transitions interventions need to be further studied in different settings with different patient populations to identify the optimal approach(es). An additional opportunity for future investigation lies in translation of interventional programs targeted at readmission diseases in line for penalty by Medicare.
目的/目标：强调基于价值的支付模式有望为开发有效的护理过渡项目提供动力。要使此类项目取得成功，组织必须采用基于证据、财务上可行的模式，该模式能够改善与提供者的协调、激励措施的调整以及关键绩效指标（包括临床和运营指标）的衡量。具有成本效益的护理过渡项目的证据对于广泛推广成功模式至关重要。
基于医院的项目。
研究结果/结论：当前关于护理过渡项目的文献突出了不同的策略、患者群体、环境和结果；然而，它缺乏足够的支持性财务证据，证明这些项目在当前和预计的报销方案下在运营上是可持续的且具有成本效益。
需要在不同环境中针对不同患者群体进一步研究护理过渡干预措施以确定最佳方法。未来研究的另一个机会在于将针对因再入院疾病而可能受到医疗保险处罚的干预项目进行转化。
