Vengaloor Thomas Toms, Suggs Margie Jeanann, Jones Ashley N, Otts Jeremy P, Russell George, Vijayakumar Srinivasan, Allbright Robert
Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.
Adv Radiat Oncol. 2020 Jan 21;5(3):490-494. doi: 10.1016/j.adro.2019.12.009. eCollection 2020 May-Jun.
The Centers for Medicare and Medicaid Services has proposed alternate payment models to improve the efficiency and decrease the redundancy of health care. Bundled payments or episode-based care is one example. Herein, we report on the successful implementation of a quality improvement project in which changing the clinical workflow for postoperative radiation treatment to the hip to prevent heterotopic ossification improved the efficiency of patient care and decreased cost by eliminating redundant imaging through multidisciplinary participation. This project is a model for interdisciplinary collaboration to improve patient care and reduce unnecessary health care spending in the era of bundled payment/episodes of care program implementation.
医疗保险和医疗补助服务中心已经提出了替代支付模式,以提高医疗保健的效率并减少冗余。捆绑支付或基于诊疗过程的护理就是一个例子。在此,我们报告了一个质量改进项目的成功实施情况,在该项目中,通过改变髋部术后放射治疗的临床工作流程以预防异位骨化,通过多学科参与消除了冗余成像,从而提高了患者护理效率并降低了成本。该项目是跨学科合作的典范,可在捆绑支付/诊疗过程护理计划实施的时代改善患者护理并减少不必要的医疗保健支出。