Value in a Clinical Setting
Aloia, TA, Caudle, A, Suk, M, Amora, J. Facilitate and Innovate: Ensuring speedy but safe product reviews. OR Manager, Aug. 2019; www.ormanager.com
Romanelli, JR, Fuchshuber, PR, Stulberg, JJ, Kowalski, RB, Sinha, P, Aloia, TA, Orlando III, R. Public reporting and transparency: a primer on public outcomes reporting. Surgical Endoscopy (2019) 33:2043–2049
French K, Speer BB, Guzman A, et al. Using a New EHR System to Increase Patient Engagement, Improve Efficiency, and Decrease Cost. NEJM Catalyst. August 2018
Teisberg E, Wallace S. Value for Patients. BIP
Aloia TA, Jackson T, Ghaferi A, Dort J, Schwarz E, Romanelli, J. Developing minimally invasive procedure quality metrics: one step at a time. Surg Endosc.2019
Davis CH, Kao LS, Fleming JB, Aloia TA. Multi-Institution Analysis of Infection Control Practices Identifies the Subset Associated with Best Surgical Site Infection Performance: A Texas Alliance for Surgical Quality Collaborative Project. JACS. 2017
Aloia TA, Kim BJ, Segraves-Chun YS, et al. A Randomized Controlled Trial of Postoperative Thoracic Epidural Analgesia Versus Intravenous Patient-controlled Analgesia After Major Hepatopancreatobiliary Surgery. Ann Surg. 2017
Clarke CN, Choi H, Hou P, Davis CH, Ma J, Rashid A, Vauthey JN, Aloia TA. Using MRI to non-invasively and accurately quantify preoperative hepatic steatosis. HPB (Oxford). 2017
Ho V, Short MN, Aloia TA. Can postoperative process of care utilization or complication rates explain the volume-cost relationship for cancer surgery? Surgery. 2017
Cloyd JM, Aloia TA. Hammer versus Swiss Army knife: Developing a strategy for the management of bilobar colorectal liver metastases. Surgery. 2017
Kutlu OC, Chan JA, Aloia TA, et al. Comparative effectiveness of first-line radiofrequency ablation versus surgical resection and transplantation for patients with early hepatocellular carcinoma. Cancer. 2017
Denbo JW, Slack RS, Bruno M, Cloyd JM, Prakash L, Fleming JB, Kim MP, Aloia TA, et al. Selective Perioperative Administration of Pasireotide is More Cost-Effective Than Routine Administration for Pancreatic Fistula Prophylaxis. J Gastrointest Surg. 2017
Cloyd JM, Tran Cao HS, Petzel MQ, Denbo JW, Parker NH, Nogueras-González GM, Liles JS, Kim MP, Lee JE, Vauthey JN, Aloia TA, et al. Impact of pancreatectomy on long-term patient-reported symptoms and quality of life in recurrence-free survivors of pancreatic and periampullary neoplasms. J Surg Oncol. 2017
Clarke CN, Patel SH, Day RW, George S, Sweeney C, Monetes De Oca GA, Aiss MA, Grubbs EG, Bednarski BK, Lee JE, Bodurka DC, Skibber JM, Aloia TA. Implementation of a standardized electronic tool improves compliance, accuracy, and efficiency of trainee-to-trainee patient care handoffs after complex general surgical oncology procedures. Surgery. 2017
Kim BJ, Tzeng CD, Cooper AB, Vauthey JN, Aloia TA. Borderline operability in hepatectomy patients is associated with higher rates of failure to rescue after severe complications. J Surg Oncol. 2017
Taylor JS, Marten CA, Munsell MF, Sun CC, Potts KA, Burzawa JK, Nick AM, Meyer LA, Myers K, Bodurka DC, Aloia TA, et al. The DISINFECT Initiative: Decreasing the Incidence of Surgical INFECTions in Gynecologic Oncology. Ann Surg Oncol. 2017
Denbo JW, Yamashita S, Passot G, Egger M, Chun YS, Kopetz SE, Maru D, Brudvik KW, Wei SH, Conrad C, Vauthey JN, Aloia TA. RAS Mutation Is Associated with Decreased Survival in Patients Undergoing Repeat Hepatectomy for Colorectal Liver Metastases. J Gastrointest Surg. 2017
(Sept 2017) Journal of American College of Surgeon YouTube video: Dr Aloia discusses his article in JACS "Multi-Institution Analysis of Infection Control Practices Identifies the Subset Associated with Best Surgical Site Infection Performance: A Texas Alliance for Surgical Quality Collaborative Project."
(Jan 2017) The Boston Consulting Group YouTube video: Value in Healthcare - A Case for Change
(Jul 2016) American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Annual Meeting YouTube video: Dr. Aloia reflects on the conflict between aiming for zero harm events in hospital care of surgical patients and the need to train junior surgeons, maintain professionalism, limiting access to care, and avoiding provider burnout in this "TED-style" talk - Patient safety: Should zero be the goal?
(Aug 2015) Brain Injury Professional article by Elizabeth Teisberg, PhD and Scott Wallace, JD, MBA: Value for Patients
Patient and Provider Outcomes
French K, Frenzel J, Recinos I, et al. How to fix your EHR? Get patients involved, MD Anderson learns. NEJM Catalyst.2018
Feeley TW. The Value of ICU Care at the End of Life. NEJM Catalyst. 2016.
Shah KP, Spinks TE, Feeley TW. How a Cancer Center Rapidly Developed Patient-Centered Outcome Measures. NEJM Catalyst. 2016
Feeley TW. Why Would Someone Become a Doctor? NEJM Catalyst. 2016
Fayanju OM, Mayo TL, Spinks TE, Lee S, Buchholz TA, Feeley TW. Value-Based Breast Cancer Care: A Multidisciplinary Approach for Defining Patient-Centered Outcomes. Ann Surg Oncol. 2016; doi:10.1245/s10434-016-5184-5
Walters RS, Albright HW, Weber RS, Feeley TW, Hanna EY, Cantor SB, Lewis CM, Burke TW. Developing a system to track meaningful outcome measures in head and neck cancer treatment. Head Neck. 2013;36:226–230. doi:10.1002/hed.23290.
Spinks TE, Walters R, Feeley TW, Albright HW, Jordan VS, Bingham J, Burke TW. Improving cancer care through public reporting of meaningful quality measures. Health Affairs. 2011;30(4):664–72. doi:10.1377/hlthaff.2011.0089
(February 2017) HealthLeaders Media: In Search of Better Cancer Treatment Quality Measures
(October 2014) Future Oncology Interview: Improving the Quality of Cancer Care in America
(December 2013) The Institute for Medicine Report: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis
Enhanced Recovery Program
Cain, K.E., Iniesta, M.D., Fellman,B.M., Suki, T.S., et al. Effect of preoperative intravenous vs oral acetaminophen onpostoperative opioid consumption in an enhanced recoveryafter surgery (ERAS) program in patients undergoing opengynecologic oncology surgery. Gynecologic Oncology, 2020; https://doi.org/10.1016/j.ygyno.2020.11.024.
Kiong, K.L., Vu, C.N., Yao, C.M.K.L. et al. Enhanced Recovery After Surgery (ERAS) in Head and Neck Oncologic Surgery: A Case-Matched Analysis of Perioperative and Pain Outcomes. Ann Surg Oncol (2020). https://doi.org/10.1245/s10434-020-09174-2
Low GMI, Kiong KL, Amaku R, Kruse B, et al. Feasibility of an Enhanced Recovery After Surgery (ERAS) Pathway for Major Head and Neck Oncologic Surgery, Am J Otolaryngol, Vol 41, Issue 6 (Nov-Dec 2020) 102679; https://doi.org/10.1016/j.amjoto.2020.102679
Allen, CJ, Thaker, NG, Prakash, L, Kruse, BC, Feeley, TW, et al. Communicating Value: Use of a Novel Framework in the Assessment of an Enhanced Recovery Initiative, Ann Surg: June 16, 2020, Vol Publish Ahead of Print; doi: 10.1097/SLA.0000000000004050
Mericli, AF, McHugh, T, Kruse, B, DeSnyder, SM, Rebello, E, Offodile II, AC. Time-Driven Activity-Based Costing to Model Cost Utility of Enhanced Recovery after Surgery Pathways in Microvascular Breast Reconstruction, JACS, Vol 230, Issue 5, May 2020, Pgs. 784-7944..e3; https://doi.org/10.1016/j.jamcollsurg.2020.01.035
Bednarski, BK, Nickerson, TP, You, YN, Messick, CA, Speer, B, Gottumukkala, V, et al. Randomized clinical trial of accelerated enhanced recovery after minimally invasive colorectal cancer surgery (RecoverMI trial). BJS Society Ltd.2019
Nelson DB, Mehran RJ, Mitchell KG, Correa AM, Sepesi B, Antonoff MB, Rice DC. Enhanced Recovery After Thoracic Surgery Is Associated With Improved Adjuvant Chemotherapy Completion for Non-Small Cell Lung Cancer, The Journal of Thoracic and Cardiovascular Surgery (2019), https//doi.org/10.1016/j.jtcvs.2019.03.009
Hillman, RT, Sanchez-Migallon, A, Meyer, LA, et al., Patient characteristics and opioid use prior to discharge after open gynecologic surgery in an enhanced recovery after surgery (ERAS) program. Gynecologic Oncology, https://doi.org/10.1016/j.ygyno.2019.03.101
Meyer LA, Shi Q, Lasala J, et al. Comparison of patient reported symptom burden on an enhanced recovery after surgery (ERAS) care pathway in patients with ovarian cancer undergoing primary vs. interval tumor reductive surgery, Gynecologic Oncology 152 (2019) 501-508
Marcus RK, Lillemoe HA, Rice DC, et al. Determining the Safety and Efficacy of Enhanced Recovery Protocols in Major Oncologic Surgery: An Institutional NSQIP Analysis. Ann Surg Oncol (2019)
Ngo-Huang A, Fontillas C, Gupta E, et al. Implementing Prehabilitation As Part of Enhanced Recovery After Surgery (ERAS) Efforts at a Comprehensive Cancer Center: A Team-Based Approach. Journal of Clinical Oncology; 2018; 36:30_suppl,137-137
Parker NH, Ngo-Huang A, Lee RE, et al. Physical Activity and Exercise During Preoperative Pancreatic Cancer Treatment. Supportive Care in Cancer.2018 (In press)
Lillemoe HA, Marcus RK, Day RW, Kim BJ, Narula N, Davis CH, Gottumukkala V, Aloia T. Enhanced Recovery in Liver Surgery Decreases Postoperative Outpatient Use of Opiods. Surgery.2019(1-6); doi.org/10.1016/j.surg.2019.02.008
Kukreja JB, Metcalfe MJ, Qiao W, Kamat AM, Dinney CPN, Navai N. Cost-Effectiveness of Robot-assisted Radical Cystectomy Using a Propensity-matched Cohort. Eur Urol Focus. July 2018. doi:10.1016/J.EUF.2018.07.001
Li R, Metcalfe M, Kukreja J, Navai N. Role of Radical Cystectomy in Non-Organ Confined Bladder Cancer: A Systematic Review. Bl cancer (Amsterdam, Netherlands). 2018;4(1):31-40. doi:10.3233/BLC-170130
Afonso AM, Gottumukkala V. ASA Newsletter. Vol 82. American Society of Anesthesiologists; 2018.
Meyer LA, Lasala J, Iniesta MD, et al. Effect of an Enhanced Recovery After Surgery Program on Opioid Use and Patient-Reported Outcomes. Obstet Gynecol. 2018;132(2):281-290. doi:10.1097/AOG.0000000000002735
Narula N, Kim BJ, Davis CH, Dewhurst WL, Samp LA, Aloia TA. A proactive outreach intervention that decreases readmission after hepatectomy. Surgery. 2018;163(4):703-708. doi:10.1016/j.surg.2017.08.023
Soliz JM, Ifeanyi IC, Katz MH, et al. Comparing Postoperative Complications and Inflammatory Markers Using Total Intravenous Anesthesia Versus Volatile Gas Anesthesia for Pancreatic Cancer Surgery. Anesthesiol pain Med. 2017;7(4):e13879. doi:10.5812/aapm.13879
Cloyd JM, Nogueras-González GM, Prakash LR, et al. Anthropometric Changes in Patients with Pancreatic Cancer Undergoing Preoperative Therapy and Pancreatoduodenectomy. Journal of Gastrointestinal Surgery. 2017;22(4):703-712. doi:10.1007/s11605-017-3618-4
Patel SH, Kim BJ, Tzeng C-WD, et al. Reduction of Cardiopulmonary/Renal Complications with Serum BNP-Guided Volume Status Management in Posthepatectomy Patients. Journal of Gastrointestinal Surgery. 2017;22(3):467-476. doi:10.1007/s11605-017-3600-1
Nelson G, Dowdy SC, Lasala J, et al. Enhanced recovery after surgery (ERAS®) in gynecologic oncology – Practical considerations for program development. Gynecol Oncol. 2017;147(3):617-620. doi:10.1016/J.YGYNO.2017.09.023
Price BA, Bednarski BK, You YN, et al. Accelerated enhanced Recovery following Minimally Invasive colorectal cancer surgery (RecoverMI): a study protocol for a novel randomised controlled trial. BMJ Open. 2017;7(7):e015960. doi:10.1136/bmjopen-2017-015960
Kim BJ, Aloia TA. What Is “Enhanced Recovery,” and How Can I Do It? Journal of Gastrointestinal Surgery. 2017;22(1):164-171. doi:10.1007/s11605-017-3605-9
(2017) Perioperative Care and Enhanced Surgical Recovery Program at MD Anderson
Cost of Care Analysis
French KE, Recinos I, Guzman AB, Aloia TA, Hernandez M, Kee SS, Kowalski AM, Goravanchi F, Cerny J, Cleckler-Hughes KV, Rebello E. Continuous Quality Improvement Measured With Time-Driven Activity-Based Costing in an Outpatient Cancer Surgery Center. J Oncol Pract. 2019 Jan7:JOP1800394. doi: 10.1200/JOP.18.00394
Morris AJ, Feng AY, Nayor J, Feeley TW, Bader AM. How a Tertiary Care Academic Endoscopy Center Used Time-Driven, Activity-Based Costing to Improve Value. NEJM Catalyst. 2017
French KE, Guzman AB, Rubio AC, Frenzel JC, Feeley TW. Value Based Care and Bundled Payments: Anesthesia Care Costs for Outpatient Oncology Surgery Using Time Driven Activity Based Costing. Healthc. 2016 4:173-80
Tan RS, Domestici MM, Zhou K, Guzman AB, Lim ST, Soo KC, Feeley TW, Ngeow JYY. Using Quality Improvement Methods and Time-Driven Activity-Based Costing to Improve Value-Based Cancer Care Delivery as a Cancer Genetics Clinic. J Oncol Pract. 2016
Thaker NG, Frank SJ, Feeley TW. Comparative costs of advanced proton and photon radiation therapies: lessons from time-driven activity-based costing in head and neck cancer. J Comp Eff Res. 2015; Aug; 4(4): 297-301. doi 10.2217/cer.15.32
Kaplan RS, Witkowski M, Abbot M, Guzman AB, Higgins LD, Meara JG, Feeley TW. Using time-driven activity-based costing to identify value improvement opportunities in healthcare. J Healthc Manag. 2014; 59(6):399-413.
Thaker NG, Guzman AB, Feeley TW, Jones TM, Incalcaterra JR, Kolom C, Tatum LS, Walters RS, Cantor S, Rosenthal D, Garden AS, Gunn G, Fuller C, Palmer M, Frank S. Defining the value of proton therapy using time-driven activity-based costing. Oncol Payers. 2014;1(1):22–28.
French KE, Albright HW, Frenzel JC, Incalcaterra JR, Rubio AC, Jones JF, Feeley TW. Measuring the value of process improvement initiatives in a preoperative assessment center using time-driven activity-based costing. Healthcare. 2013;1(3-4):136–142. doi:10.1016/j.hjdsi.2013.07.007.
Albright HW, Feeley TW. Pilot: A cancer center puts the new approach to work. Harvard Business Review. Sept 2011; 61-62.
(September 2015) NY Times Article, "What are a Hospital's Costs? Utah System is Trying to Learn"
(February 2014) The Wall Street Journal: Searching for the True Cost of Health Care: Providers Look to Cut Waste with Detailed Cost Tracking
(February 2014) Harvard Business School: Prescription: Measure Health Care's Real Cost
Value and Reimbursement Models
Spinks S, Guzman A, Beadle BM, Lee S, Jones D, Walters R, et al. Development and Feasibility of Bundled Payments for the Multidisciplinary Treatment of Head and Neck Cancer: A Pilot Program. J Onc Pract. 2017
Mullangi S, Schleicher S, Feeley TW. Outcome Measurement in Value-Based Payments. J Onc Pract. 2016
Feeley TW. Making American Health Care Great Again, by Repealing and Replacing the ACA. NEJM Catalyst. 2016
Thaker NG, Ali TN, Porter ME, Feeley TW, Kaplan RS, Frank SJ. Communicating Value in Health Care Using Radar Charts: A Case Study of Prostate Cancer. J Oncol Pract. 2016
Schleicher SM, Wood NM, Lee S, Feeley TW. How the Affordable Care Act has Affected Cancer Care in the United States: Has Value for Cancer Patients Improved? Oncology. 30(5):468-471, 2016
Feeley TW. Why Would Someone Become a Doctor? NEJM Catalyst. 2016
Ying AK, Feeley TW, Porter ME. Value-Based Health Care: Implications for Thyroid Cancer. Int J Endocr Oncol. 2016; Epub
Schleicher S, Mullangi S, Feeley TW. Effects of Narrow Networks on Access to High-Quality Cancer Care. JAMA Oncol. 2016; doi: 10.1001/jamaoncol
Feeley TW, Spinks TE, Guzman AG. Developing Bundled Reimbursement for Cancer Care. NEJM Catalyst. 2015
Thaker NG, Spinks TE, Kaplan RS, Buchholz TA, Feeley TW, Frank SJ et al. Defining the Value Framework for Prostate Brachytherapy using Patient-Centered Outcomes Metrics and Time-Driven Activity-Based Costing. J of Brachytherapy. 2016
Kaplan RS, MacLean CH, Dresner A, Haas DA, Feeley TW. Health Care Providers Need a Value Management Office. HBR. 2015
Spinks TE, Walters RS, Fraile B, Culumber J, Moreno M, Feeley TW. Preparing for the affordable care act. How cancer centers are preparing for the affordable care act. Oncol Payers. 2014; 1(1):7–10.
Middleton LP, Feeley, TW, Albright, HW, Walters R, Hamilton SH. Second-opinion pathologic review is a patient safety mechanism that helps reduce error and decrease waste. J Oncol Pract. 2014.
Spinks TE, Ganz PA, Sledge Jr. GW, Levit L, Hayman JA, Eberlein TJ, Feeley TW. Delivering high-quality cancer care: The critical role of quality measurement. Healthcare. 2014; 2(1):53-62.
Popat K, McQueen K, Feeley TW. The global burden of cancer. Best Pract Res Clin Anaesthesiol. 2013; 27:399–408.
Kaplan RS, Feeley TW, Witkowski ML, Albright HW. Intelligent Redesign of Health Care. HBR. 2013
Spinks TE, Albright HW, Feeley TW, Walters RS, Aloia T, Bruera E, Buzdar A, Foxhall L, Hui D, Summers B, Rodriguez A, DuBois R, Shine KI. Ensuring quality cancer care: a follow-up review of the Institute of Medicine's 10 recommendations for improving the quality for cancer care in America. Cancer, 2012;118(10):2571–82. doi:10.1002/cncr.26536.
Feeley TW, Albright HW, Walters RS, Burke TW. A method for defining value in healthcare using cancer care as a model. J Healthc Manag. 2010; 55(6):399-411.
Albright HW, Moreno M, Feeley TW, Walters R, Samuels M, Pereira A, and Burke TW. The implications of the 2010 patient protection and affordable care act and the health care and education reconciliation act on cancer care delivery Cancer. 2010;117(8):1564–74. doi:10.1002/cncr.25725.
(May 2017) Managed Care Magazine: In the end, it will be episode payment
(November 2016) Presentation Slides: Testing a One-Year Payment Bundle in Head and Neck Cancer
(November 2016) Presentation Slides: Establishing National Metrics for Oncology
(May 2016) HemOnc Today: Value in Cancer Care Must 'Start with Patients, Not Dollars'
(March 2016) SXSW 2016 Panel: Value Revolution: Transforming the Health Business
(March 2016) HealthLeaders Media: Oncology Bundling Model Aims to Incentivize Doctors
(November 2015) Oncology Times Interview: Payment Reform: Nothing is Easy
(October 2015) Australian Broadcast Interview: Expensive Healthcare not Necessarily the Best
(February 2015) Houston Public Media Interview: MD Anderson Experiments with 'Bundled' Payment for Cancer Care
(January 2015) RevCycle Intelligence: New Pilot Program Bundles Cancer Care Payment
Information Technology in Cancer Care
Merriman KW, Broome RG, De Las Pozas G, Landvogt LD, Qi Y, Keating J. Evolution of the Cancer Registrar in the Era of Informatics. JCO Clinical Cancer Informatics 2021 :5, 272-278
French KE, Speer BB, Guzman AB, Andrabi T, Recinos I, et al. Using a New EHR System to Increase Patient Engagement, Improve Efficiency, and Decrease Cost. NEJM Catalyst. 2018
Feeley TW, Sledge GW, Levit L, et al. Improving the quality of cancer care in America through health information technology. J Am Med Inform Assoc. 2013; 21(5):772–5. doi:10.1136/amiajnl-2013-002346.
Feeley TW, Shine KI. Access to the medical record for patients and involved providers: Transparency through electronic tools. Ann Intern Med. 2011; 155:853-854.
(May 2016) JAMA Network: Patient Access to Physician Notes is Gaining Momentum
(August 2014) Oncology Times: Patient Portals: Use Increasing, along with Push to Reduce Problems
- A High-Profile Bundled Payment Experiment at MD Anderson (AJMC.com)
- MD Anderson Cancer Center bets on bundled payments (Healthcare Finance)
- UHC, MD Anderson strike bundled pay deal for cancer care (The Daily Briefing)
- UnitedHealthcare Tests a Flat Rate for Cancer Treatment (The Wall Street Journal)
- Can flat-rate pricing help control cancer costs? (CBS News)
- UnitedHealthcare, MD Anderson deal may spur more bundled payments in cancer (Modern Healthcare)
- UnitedHealthcare Expands Bundled Payments for Cancer Care (Health IT Analytics)
- Innovative Payment Models in Cancer Care (OncLive)
- Landers: Curbing the cost of cancer care (The Dallas Morning News)
- UnitedHealthcare To Pay Bundled Fee for Cancer Care (Forbes)
- Morning Break: Flat Rate for Cancer Tx (MedPage Today)
- MD Anderson, UnitedHealth devise bundled payments pilot for cancer care (MedCity News)
- M.D. Anderson, UnitedHealthcare try pilot payment program (Houston Chronicle)
- UnitedHealth tests bundled-payment cancer care (Minneapolis St. Paul Business Journal)
- New holistic approach to cancer treatment (News Medical)
- MD Anderson, UnitedHealthcare launch new cancer care payment model (Phys.org)
- UnitedHealth to bundle payment for MD Anderson Cancer Care; Three-year agreement could cover as many as 150 patients (FierceHealthPayer)
- UnitedHealth launches pilot payment program at MD Anderson Cancer Center (Star Tribune)