Project Highlights
Value and Clinical Integration
Value in health care is the health outcomes achieved per dollar spent. Value-based health care delivery is being discussed in a variety of health care forums. This concept is of great importance in the reform of the U.S. health care delivery system. Defining and applying the principles of value-based competition in health care delivery models will permit future evaluations of various delivery applications. However, there are relatively few examples of how to apply these principles to an existing care delivery system. We strive to assess the value created when treating cancer patients in a multidisciplinary care setting within a comprehensive cancer center.
Value of Care Analyses
Understanding and managing the cost of cancer care delivery continues to be a priority for the institute. Through our Cost of Care Committee, the institution brings together multi-disciplinary stakeholders to analyze and understand the cost of care. This work aims to drive operational efficiencies and reduce costs while preserving the exceptional quality of care delivered to patients at MD Anderson.
Patient and Provider Outcome Measurement
Patient reported outcomes (PROs) are a foundation of value-based health care and a priority for the institute since 2008. Our approach aims to incorporate the patient’s ‘voice’ through routine use of validated patient-reported outcome questionnaires and strives to prioritize measures that are most relevant to patients, providers and insurers.
All surveys for PROs built in OneConnect must be submitted through the Patient Survey Governance Committee (PSGC) for review and approval. To submit a PRO survey in OneConnect build request, fill out this form.
Enhanced Recovery Program
MD Anderson’s institution-wide Enhanced Recovery Program (ERP) is a collaborative patient-centric, recovery focused, care transformation initiative led by our multidisciplinary team members actively engaging caregivers and patients in their treatment planning and care delivery. The goal for our ERP teams is the implementation of proven and emerging innovations in cancer therapies to deliver safe, effective and value-based cancer care programs for an increasing number of patients. The program aims to minimize treatment related complications by rapid rescue interventions, reduce patient’s symptom burden and enhance patient experience and functional recovery, thereby facilitating timely return to adjuvant oncologic therapies when indicated and improving cancer outcomes.
Resources
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Feasibility and Implementation of a Multimodal Supportive Care Program to Improve Outcomes in Older Patients Undergoing Allogeneic Stem Cell Transplantation
Szewczyk, NA; Ngo-Huang, A; Soones, TN; et al.
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Development of a patient-reported outcome tool for assessing symptom burden during perioperative care in liver surgery: The MDASI-PeriOp-Hep,
Wang, XS, Shi, Q, Williams, LA, et al. European Journal of Oncology Nursing: Vol. 52, June 2021, 101959
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Scaling an Enhanced Recovery Program to an Institution-Wide Initiative: It Takes a Village
Kruse, B; Recinos, I; Eska, J; et al. Quality Management in Health Care: July/September 2021; Vol. 30; Issue 3; pgs. 200
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Implementation of a perioperative-enhanced recovery protocol in patients undergoing open gastrectomy for gastric cancer
Blumenthaler, AN; Robinson, KA; Kruse, BC; et al. J Surg Oncol. 2021; 1-11
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Effectiveness of Perioperative Opioid Educational Initiatives: A Systematic Review and Meta-Analysis
Zorilla-Vaca, A; Mena, GE; Ramirez, PT; et al. Anesth Analg. 2021 June 11.
Internships
Interested applicants: email cover letter and resume.