The revolutionary changes in healthcare are making "fee-for-service" reimbursement, which rewards volume and capacity, irrelevant in a world that increasingly values and rewards clinical and business outcomes.
Healthcare is increasingly being seen as a service based on quality and is becoming more:
The healthcare field has seen the move toward the elimination of clinical and managerial non-value-added variation. This has resulted from the creation of collaborative standardized protocols, pathways, procedures and methodologies.
Healthcare organizations are taking a more entrepreneurial approach, and redesigning clinical and business practices to be able to duplicate or exceed clinical and business outcomes at a far lower cost structure.
Healthcare delivery systems and their infrastructure are rapidly becoming virtual, with clinical and business analytics used to support evidence-based clinical and management practices.
Healthcare, like every other industry, is becoming rapidly globalized, and people from every corner of the globe are increasingly comfortable traveling anywhere in the world to find world-class, low-cost healthcare services.
Quality measures are tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care
The higher a hospital's performance compared with other hospitals or improvement from its own past performance with respect to a fiscal year, the higher the hospital's value-based incentive payment for the fiscal year would be.
National Institutes of Health
Centers for Medicare & Medicaid Services
Medicare Payment Advisory Commission
Administration for Community Living
National Council on Disability
U.S. Social Security Administration
Health Resources & Services Administration