Abstract
Background.The excessive growth of health care expenditures in the United States is widely acknowledged. Costs are anticipated to double by the year 2006. The intractable issue which remains before health care leaders is how to appropriately restrain these costs while not sacrificing a desired level of care quality. A variety of management approaches have been developed in pursuit of more rational and cost-effective use of health resources. Current management approaches have proven inadequate in stemming health care cost inflation and have raised increasing concerns about their negative impact on the quality of health care.
MethodOne group has created and operated a data and structured, expert consensus-driven health management technology for the management of catastrophic medical conditions, including severe brain and spinal cord injury and severe multiple trauma and burns, since 1992 and has recently applied this same technology to high risk neonates and organ transplants. This integrated, severity risk adjusted, delivery system incorporates adequate clinical data capture and analysis, coupled with empirically derived management principles and consensus expert clinical judgment.
Interpretation.Preliminary data analysis indicates that patients treated under the ParadigmHealth model experienced an improvement in the health care process, improved quality in health care delivery and outcomes, and overall cost reduction.
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Reference
Smith S, Freeland M, Heffler S, McKusick Det al(1998) The next ten years of health spending: what does the future hold? Health Affairs 17(5): 128–140
Smith S, Heffler S, Freeland Met al(1998) The next decade of health spending: a new outlook. Health Affairs 18(4): 86–95
Schwartz William B (1998) Life without disease: the pursuit of medical utopia. University of California Press, Berkeley, California, pp 92–94
Mechanic D (1997) Managed care as a target of distrust. JAMA, June 11,277(22): 1810–1811
Jenkins Jr HW (2000) Managed care meets its maker. Wall Street Journal, February 23
Ginzberg E (1997) Managed care and the competitive market in health care: what they can and cannot do. JAMA, June 11, 277(22): 1812–1813
Walters BC (1998) Clinical practice parameter development in neurosurgery. In: Bean J (ed) Neurosurgery in transition. Williams & Wilkins, Baltimore, MD, pp 99–106
Walters BC (1998) Clinical practice parameter development in neurosurgery. In: Bean J (ed) Neurosurgery in transition. Williams & Wilkins, Baltimore, MD, pp 99–106
Eddy DM (1996) Clinical decision making: from theory to practice. Jones and Bartlett Publishers, Sudbury, MA, pp 6–7
Horn SC, Sharkey PD, Tracy DM, Horn CE, James B, Goodwin F (1996) Intended and unintended consequences of HMO cost-containment strategies: results from the managed care outcomes project. Am J Managed Care 11(3): 253–264
Sutton J, DeJong G (1998) Managed care and people with disabilities: framing the issues. Arch Phys Med Rehab 79: 1312–1316
Kuhlthau K, Walker D, Perrin Jet al(1998) Assessing managed care for children with chronic conditions. Health Affairs 17(4): 42–52
Sandy L, Gibson R (1996) Managed care and chronic care: challenges and opportunities. Managed Care Qu 4(2): 5–11
Tanenbaum S, Hurley R (1995) Disability and the managed care frenzy: a cautionary note. Health Affairs 14(4): 213–219
Ellwood P (1988) Special report: Shattuck lecture — outcomes management. A technology of patient experience. NEJM, June 9,318(1): 549–1556
Eddy DM (1996) Clinical decision making: from theory to practice. Jones and Bartlett Publishers, Sudbury, MA, p 8
Cope N, Sundance P (1995) Conceptualizing clinical outcomes. In: Landrum Pet al(ed) Outcome oriented rehabilitation: principals, strategies, and tools for effective program management. Aspen Publishers, Gaithersburg, MD, pp 43–56
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Cope, D.N., Bryant, E.D., Sundance, P. (2002). Health Management Technology for Catastrophic Medical Conditions. In: von Wild, K.R.H. (eds) Functional Rehabilitation in Neurosurgery and Neurotraumatology. Acta Neurochirurgica Supplements, vol 79. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6105-0_14
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DOI: https://doi.org/10.1007/978-3-7091-6105-0_14
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