Shine: Improving the value of local healthcare services

"How healthcare teams took on the challenge to improve quality while reducing the cost of services."

Shine: Improving the value of local healthcare services
The Health Foundation
February 2014

Read more here.

Shared decision making to improve care and reduce costs

"A 2011 Cochrane Collaborative review of 86 studies showed that as compared with patients who received usual care, those who used decision aids had increased knowledge, more accurate risk perceptions, reduced internal conflict about decisions, and a greater likelihood of receiving care aligned with their values."

Shared decision making to improve care and reduce costs
E Oshima Lee, EJ Emanuel
New England Journal of Medicine, 2013, 368(1):6-8

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Organizational road maps for value-driven health care

"Healthcare provider organizations must work to close the value gap by improving quality while reducing the total cost of care to the purchaser."

Organizational road maps for value-driven health care
Healthcare Financial Management Association
November 2012

Read more here.

Proton pump inhibitors: potential cost reductions by applying prescribing guidelines

"There are opportunities for substantial cost savings in relation to proton pump inhibitors prescribing if implementation of clinical guidelines in terms of generic substitution and step-down therapy is implemented on a national basis."

Proton pump inhibitors: potential cost reductions by applying prescribing guidelines
C Cahir, T Fahey, L Tilson, C Teljeur, K Bennett
BMC Health Services Research, 2012, 12:408

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Liaison psychiatry - the way ahead

"The study set out to identify how liaison psychiatry can most effectively contribute to the Government’s quality, innovation, productivity and prevention (QIPP) challenge of improving health outcomes while also reducing healthcare costs."

Liaison psychiatry - the way ahead: issue 249
Mental Health Network
NHS Confederation
November 2012

Read more here.

Allied Health Professionals' QIPP Toolkits

"The Strategic Health Authority Allied Health Professionals (AHP) Leads for England have worked with NHS London to compile AHP QIPP Toolkits, designed to help commissioners design services that are of high quality whilst reducing cost."

Access the toolkits below:

• AHP Stroke Toolkit
• AHP Oral Nutritional Support Toolkit
• AHP Musculoskeletal Care Toolkit
• AHP Cancer Toolkit
• AHP Diabetes Toolkit

Cost reduction in central government

"Despite the short timescale, departments successfully managed within their reduced spending allocations for 2010-11."

Cost reduction in central government: summary of progress
Cabinet Office and HM Treasury
February 2012

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Improving patient care and reducing costs

"This report synthesizes findings and lessons from case studies of four diverse health care organizations participating in the Brookings–Dartmouth ACO Pilot Program, launched in 2009 to support selected provider groups that are collaborating with private payers to form accountable care organizations (ACOs)."

Four health care organizations' efforts to improve patient care and reduce costs
AD van Citters, BK Larson, KL Carluzzo, JN Gbemudu, SA Kreindler, FM Wu, SM Shortell, EC Nelson, ES Fisher
The Commonwealth Fund
January 2012

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Why clinical quality improvement fails to deliver bottom-line results

"As the U.S. health care system begins shifting its focus from volume to value, hospitals will need to adapt their cost structures and capacity to accommodate lower per capita utilization rates as well as reductions in the per-episode intensity of care."

The savings illusion - why clinical quality improvement fails to deliver bottom-line results
SS Rauh, EB Wadsworth, WB Weeks, JN Weinstein
New England Journal of Medicine, 2011, 365:e48

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Improving care and reducing costs for high-risk patients

"Our objective was to pilot a novel patient-centered intervention for high-risk patients with frequent hospital admissions to determine its potential to improve care and reduce costs."

An intervention to improve care and reduce costs for high-risk patients with frequent hospital admissions: a pilot study
MC Raven, KM Doran, S Kostrowski, CC Gillespie, BD Elbel
BMC Health Services Research, 2011, 11:270

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Do clinical guidelines reduce clinician dependent costs?

"The purpose of this review was to summarize recent evidence, relevant to both developed and developing countries on whether evidence based clinical guidelines can change hospitals variable costs which are clinician dependent, and the degree of financial savings achieved at hospital level."

Do clinical guidelines reduce clinician dependent costs?
G Kosimbei, K Hanson, M English
Health Research Policy and Systems, 2011, 9:24

Read more here.

Reducing expenditure on low clinical value treatments

"This briefing looks at primary care trusts'(PCTs) spending on low clinical value treatments and how some PCTs have successfully reduced their spending in this area."

Reducing expenditure on low clinical value treatments: a health briefing
Audit Commission
April 2011

Read a summary or download the full version here.

Can we save money by improving quality

"This paper uses research evidence to assess the contribution that quality-improvement can make as a central component of cost reduction."

Can we save money by improving quality
M Marshall, J Ovretveit
BMJ Quality and Safety, 2011, 20(4):293-296

Read more here.

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Many of the other articles in this issue focus on quality-improvement collaboratives.