Endless Forms Most Beautiful: Evolving Toward Higher-Value Care

Document Type

Article

Publication Date

7-23-2018

Publication Title

NEJM Catalyst

Keywords

Financial Risk; Management in Health Care; Value Based Care

Abstract

In health care, variation is the state of nature. Despite efforts to introduce protocols, care pathways, order sets, checklists, and standardized quality measures, providers vary in their practice to a remarkable degree. Differences in outcomes and cost of care are visible when comparing countries, geographical regions, hospitals within a single city, and providers in the same practice. Some of this variation is doubtless benign. In other cases, it contributes to poor outcomes. And sometimes, perhaps frequently, it results in waste — greater cost without better outcomes.

Department

Health Care Administration

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