Clinical Outcomes
- Cost-Effectiveness in Health and Medicine by Marthe R. Gold , Joanna E. Siegel , Louise B. Russell , Milton C. Weinstein . Oxford University Press, USA; (July 18, 1996).
- Conducting Health Outcomes Research by Robert L. Kane and David M. Radosevich. Jones & Bartlett Learning; (August 25, 2010)
- Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects (Health Economics, Policy and Management) by Peter C. Smith , Elias Mossialos , Irene Papanicolas , Sheila Leatherman. Cambridge University Press; (February 15,
- Cost-Effectiveness Analysis in Health: A Practical Approach by Peter Muennig. Jossey-Bass; 2 edition (November 9, 2007).
- Risk Adjustment for Measuring Healthcare Outcomes, Third Edition by Lisa I. Iezzoni. Health Administration Press; 3 edition (October 2003).
- Outcomes & Effectiveness, AHRQ
- Evidence-based Practice, AHRQ
- Effecitve healthcare program, AHRQ
- Healthcare Cost & Utilization Project (HCUP), AHRQ
Business Modeling
Care-cycle
valuation starts by formulating a modeling design and/or scenario framing to
detect the best outcomes and lowest costs. Valuation requires integrating
several disciplines, namely clinical outcomes, risk adjustment, demand modeling,
and quality metrics.
Quality Metrics
- AHRQ patient safety network glossary
- The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs)
- National Quality Measures Clearinghouse by the US Department of Health & Human Services and Agency for Healthcare Research & Quality
- Measurement of Healthcare Quality and Efficiency Resources for Healthcare Professionals: Inventory of Programs and Organizations. By Ian Duncan, Greger Vigen, and Sheryl Coughlin. 2010. Society of Actuaries.
- Identifying, Categorizing, and Evaluating Health Care Efficiency Measures. Final Report (prepared by the Southern California Evidence-based Practice Center—RAND Corporation, under Contract No. 282-00-0005-21). By Elizabeth A. McGlynn. AHRQ Publication N
- The Challenge and Potential for Assuring Quality Health Care for the 21st Century
- Quality Diagnostic Tools for States, AHRQ
- AHRQ Tools and Resources for Better Health Care
- Evidence-based Practice Centers
- Institutes of Medicine Quality and Patient Safety
- Bridges to Excellence programs
- Office of Statewide Health Planning and Development
- Health System Performance Research Network (HSPRN)
Risk Adjustment
- Healthcare Risk Adjustment and Predictive Modeling by Ian G. Duncan. ACTEX Publications; (2011)
- Reimbursement methodologies for healthcare services by Lolita M. Jones (Editor), 2001. American Health Information Management Association (AHIMA)
- Predictive modeling basics and beyond. June 2009.
- Predictive modeling: Basics and beyond. June 2009.
- The Differences between Claim-Based Health Risk Adjustment Models and Cost Prediction Models. Guizhou Hu, Erik Lesneski. Disease Management. June 2004, 7(2): 153-158.
- “Impactibility Models”: Identifying the Subgroup of High-Risk Patients Most Amenable to Hospital-Avoidance Programs. GERAINT H. LEWIS. Milbank Quarterly. Jun 2010, Vol. 88, No. 2: 240-255.
- A Comparative Analysis of Claims-Based Tools for Health Risk Assessment by: Ross Winkelman and Syed Mehmud April 20, 2007
- Risk adjustment in health care markets: concepts and applications. By Randall P. Ellis. February 2007.
- Algorithmic Prediction of Health-Care Costs by Dimitris Bertsimas, Margrét V. Bjarnadóttir, Michael A. Kane, J. Christian Kryder, Rudra Pandey, Santosh Vempala, and Grant Wang. OPERATIONS RESEARCH Vol. 56, No. 6, November–December 2008, pp. 1382–139
- Risk adjustment basics by David Williams and Diane Laurent.June 10, 2010.
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Demand Modeling
- Realizing the full financial benefits of true integration. By Kathleen H. McCarthy and Alan M. Zuckerman. Healthcare Financial Management. 2010 Nov;64(11):78-82, 84, 86 passim.
- Healthcare Strategic Planning, Second Edition by Alan M. Zuckerman Health Administration Press; 2nd edition (March 2005)
- Hospital demand modeling, Marin General (Lewin Group) example
- Hospital demand modeling, Marin General (Lewin Group) example
- Hospital demand modeling, CPMC Master Plan example
- Hospital bonding
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