Value Driven Outcomes (VDO): a pragmatic, modular, and extensible software framework for understanding and improving health care costs and outcomes
To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes). In 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly...
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Published in | Journal of the American Medical Informatics Association : JAMIA Vol. 22; no. 1; pp. 223 - 235 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Oxford University Press
01.01.2015
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Abstract | To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes).
In 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly developing a pragmatic and actionable analytics framework for understanding and enhancing healthcare value. Based on an analysis of relevant prior work, a value analytics framework known as Value Driven Outcomes (VDO) was developed using an agile methodology. Evaluation consisted of measurement against project objectives, including implementation timeliness, system performance, completeness, accuracy, extensibility, adoption, satisfaction, and the ability to support value improvement.
A modular, extensible framework was developed to allocate clinical care costs to individual patient encounters. For example, labor costs in a hospital unit are allocated to patients based on the hours they spent in the unit; actual medication acquisition costs are allocated to patients based on utilization; and radiology costs are allocated based on the minutes required for study performance. Relevant process and outcome measures are also available. A visualization layer facilitates the identification of value improvement opportunities, such as high-volume, high-cost case types with high variability in costs across providers. Initial implementation was completed within 6 months, and all project objectives were fulfilled. The framework has been improved iteratively and is now a foundational tool for delivering high-value care.
The framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value. |
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AbstractList | Abstract
Objective To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes).
Materials and methods In 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly developing a pragmatic and actionable analytics framework for understanding and enhancing healthcare value. Based on an analysis of relevant prior work, a value analytics framework known as Value Driven Outcomes (VDO) was developed using an agile methodology. Evaluation consisted of measurement against project objectives, including implementation timeliness, system performance, completeness, accuracy, extensibility, adoption, satisfaction, and the ability to support value improvement.
Results A modular, extensible framework was developed to allocate clinical care costs to individual patient encounters. For example, labor costs in a hospital unit are allocated to patients based on the hours they spent in the unit; actual medication acquisition costs are allocated to patients based on utilization; and radiology costs are allocated based on the minutes required for study performance. Relevant process and outcome measures are also available. A visualization layer facilitates the identification of value improvement opportunities, such as high-volume, high-cost case types with high variability in costs across providers. Initial implementation was completed within 6 months, and all project objectives were fulfilled. The framework has been improved iteratively and is now a foundational tool for delivering high-value care.
Conclusions The framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value. Objective To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes). Materials and methods In 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly developing a pragmatic and actionable analytics framework for understanding and enhancing healthcare value. Based on an analysis of relevant prior work, a value analytics framework known as Value Driven Outcomes (VDO) was developed using an agile methodology. Evaluation consisted of measurement against project objectives, including implementation timeliness, system performance, completeness, accuracy, extensibility, adoption, satisfaction, and the ability to support value improvement. Results A modular, extensible framework was developed to allocate clinical care costs to individual patient encounters. For example, labor costs in a hospital unit are allocated to patients based on the hours they spent in the unit; actual medication acquisition costs are allocated to patients based on utilization; and radiology costs are allocated based on the minutes required for study performance. Relevant process and outcome measures are also available. A visualization layer facilitates the identification of value improvement opportunities, such as high-volume, high-cost case types with high variability in costs across providers. Initial implementation was completed within 6 months, and all project objectives were fulfilled. The framework has been improved iteratively and is now a foundational tool for delivering high-value care. Conclusions The framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value. To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes). In 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly developing a pragmatic and actionable analytics framework for understanding and enhancing healthcare value. Based on an analysis of relevant prior work, a value analytics framework known as Value Driven Outcomes (VDO) was developed using an agile methodology. Evaluation consisted of measurement against project objectives, including implementation timeliness, system performance, completeness, accuracy, extensibility, adoption, satisfaction, and the ability to support value improvement. A modular, extensible framework was developed to allocate clinical care costs to individual patient encounters. For example, labor costs in a hospital unit are allocated to patients based on the hours they spent in the unit; actual medication acquisition costs are allocated to patients based on utilization; and radiology costs are allocated based on the minutes required for study performance. Relevant process and outcome measures are also available. A visualization layer facilitates the identification of value improvement opportunities, such as high-volume, high-cost case types with high variability in costs across providers. Initial implementation was completed within 6 months, and all project objectives were fulfilled. The framework has been improved iteratively and is now a foundational tool for delivering high-value care. The framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value. OBJECTIVETo develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes).MATERIALS AND METHODSIn 2012, a multidisciplinary team was assembled by the leadership of the University of Utah Health Sciences Center and charged with rapidly developing a pragmatic and actionable analytics framework for understanding and enhancing healthcare value. Based on an analysis of relevant prior work, a value analytics framework known as Value Driven Outcomes (VDO) was developed using an agile methodology. Evaluation consisted of measurement against project objectives, including implementation timeliness, system performance, completeness, accuracy, extensibility, adoption, satisfaction, and the ability to support value improvement.RESULTSA modular, extensible framework was developed to allocate clinical care costs to individual patient encounters. For example, labor costs in a hospital unit are allocated to patients based on the hours they spent in the unit; actual medication acquisition costs are allocated to patients based on utilization; and radiology costs are allocated based on the minutes required for study performance. Relevant process and outcome measures are also available. A visualization layer facilitates the identification of value improvement opportunities, such as high-volume, high-cost case types with high variability in costs across providers. Initial implementation was completed within 6 months, and all project objectives were fulfilled. The framework has been improved iteratively and is now a foundational tool for delivering high-value care.CONCLUSIONSThe framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value. |
Author | Martin, Cary J Fedderson, Matthew B Kawamoto, Kensaku Hunter, Cheri Pendleton, Robert C Mulvihill, Sean J Lee, Vivian S Williams, Kip Morris, Scott J Turnbull, James Staes, Catherine J Crabtree, Gordon L Strong, Michael B Tu, Ming-Chieh Deshmukh, Vikrant G Holbrook, Reid A Sletta, Amy Entwistle, David E McKenna, Quinn L Park, Charlton G Bray, Bruce E |
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Cites_doi | 10.1377/hlthaff.2012.0344 10.1056/NEJMp1011024 10.1056/NEJMsa022615 10.1186/2191-1991-2-15 10.1377/hlthaff.2011.0358 10.1007/s10729-006-9096-y 10.1377/hlthaff.2013.0721 10.1097/00001888-200511000-00009 10.1016/j.healthpol.2012.09.008 10.1097/PTS.0b013e3182948a69 10.1016/j.ijnurstu.2008.10.015 10.1007/s10198-008-0101-x 10.1136/amiajnl-2012-000964 10.1136/jamia.2009.002691 10.2307/248851 10.1017/S1744133111000314 10.1620/tjem.208.213 10.1007/s10729-006-9097-x |
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References | Kaplan (2020110613030431100_R27) 2004; 82 Porter (2020110613030431100_R10) Tan (2020110613030431100_R15) 2009; 10 Oostenbrink (2020110613030431100_R21) 2006; 9 Vogl (2020110613030431100_R17) 2012; 2 Vogl (2020110613030431100_R19) 2013; 109 O'Reilly (2020110613030431100_R22) 2012; 7 McGlynn (2020110613030431100_R5) 2003; 348 Central Intelligence Agency (2020110613030431100_R6) Kaplan (2020110613030431100_R9) 2011; 89 Bellanger (2020110613030431100_R20) 2006; 9 Doll (2020110613030431100_R23) 1988; 12 Ohno-Machado (2020110613030431100_R11) 2012; 19 James (2020110613030431100_R18) 2011; 30 Cuckler (2020110613030431100_R2) 2013; 32 Chiang (2020110613030431100_R14) 2009; 46 James (2020110613030431100_R4) 2013; 9 Chute (2020110613030431100_R24) 2010; 17 Porter (2020110613030431100_R1) 2010; 363 Organisation for Economic Co-operation and Development (OECD) (2020110613030431100_R3) West (2020110613030431100_R12) 1996; 50 Office of the National Coordinator for Health IT (2020110613030431100_R28) Frakt (2020110613030431100_R7) 2012; 31 Barnett (2020110613030431100_R16) 1999; 37 Glass (2020110613030431100_R25) 2002; 17 Dewitt (2020110613030431100_R26) 2005; 80 Husten (2020110613030431100_R8) Cao (2020110613030431100_R13) 2006; 208 |
References_xml | – volume: 31 start-page: 1951 year: 2012 ident: 2020110613030431100_R7 article-title: Beyond capitation: how new payment experiments seek to find the ‘sweet spot’ in amount of risk providers and payers bear publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2012.0344 contributor: fullname: Frakt – volume: 363 start-page: 2477 year: 2010 ident: 2020110613030431100_R1 article-title: What is value in health care? publication-title: N Engl J Med doi: 10.1056/NEJMp1011024 contributor: fullname: Porter – volume: 348 start-page: 2635 year: 2003 ident: 2020110613030431100_R5 article-title: The quality of health care delivered to adults in the United States publication-title: N Engl J Med doi: 10.1056/NEJMsa022615 contributor: fullname: McGlynn – ident: 2020110613030431100_R10 contributor: fullname: Porter – volume: 2 start-page: 15 year: 2012 ident: 2020110613030431100_R17 article-title: Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany publication-title: Health Econ Rev doi: 10.1186/2191-1991-2-15 contributor: fullname: Vogl – volume: 30 start-page: 1185 year: 2011 ident: 2020110613030431100_R18 article-title: How Intermountain trimmed health care costs through robust quality improvement efforts publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2011.0358 contributor: fullname: James – volume: 9 start-page: 287 year: 2006 ident: 2020110613030431100_R21 article-title: Cost assessment and price setting of inpatient care in the Netherlands. The DBC case-mix system publication-title: Health Care Manag Sci doi: 10.1007/s10729-006-9096-y contributor: fullname: Oostenbrink – volume: 32 start-page: 1820 year: 2013 ident: 2020110613030431100_R2 article-title: National health expenditure projections, 2012–22: slow growth until coverage expands and economy improves publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2013.0721 contributor: fullname: Cuckler – volume: 80 start-page: 1019 year: 2005 ident: 2020110613030431100_R26 article-title: Development of a data warehouse at an academic health system: knowing a place for the first time publication-title: Acad Med doi: 10.1097/00001888-200511000-00009 contributor: fullname: Dewitt – volume: 109 start-page: 290 year: 2013 ident: 2020110613030431100_R19 article-title: Improving patient-level costing in the English and the German ‘DRG’ system publication-title: Health Policy doi: 10.1016/j.healthpol.2012.09.008 contributor: fullname: Vogl – ident: 2020110613030431100_R28 contributor: fullname: Office of the National Coordinator for Health IT – volume: 9 start-page: 122 year: 2013 ident: 2020110613030431100_R4 article-title: A new, evidence-based estimate of patient harms associated with hospital care publication-title: J Patient Saf doi: 10.1097/PTS.0b013e3182948a69 contributor: fullname: James – volume: 46 start-page: 716 year: 2009 ident: 2020110613030431100_R14 article-title: Estimating nursing costs—a methodological review publication-title: Int J Nurs Stud doi: 10.1016/j.ijnurstu.2008.10.015 contributor: fullname: Chiang – volume: 10 start-page: 39 year: 2009 ident: 2020110613030431100_R15 article-title: Comparing methodologies for the cost estimation of hospital services publication-title: Eur J Health Econ doi: 10.1007/s10198-008-0101-x contributor: fullname: Tan – volume: 19 start-page: 327 year: 2012 ident: 2020110613030431100_R11 article-title: Cost-effectiveness of informatics and health IT: impact on finances and quality of care publication-title: J Am Med Inform Assoc doi: 10.1136/amiajnl-2012-000964 contributor: fullname: Ohno-Machado – volume: 17 start-page: 131 year: 2010 ident: 2020110613030431100_R24 article-title: The Enterprise Data Trust at Mayo Clinic: a semantically integrated warehouse of biomedical data publication-title: J Am Med Inform Assoc doi: 10.1136/jamia.2009.002691 contributor: fullname: Chute – volume: 12 start-page: 259 year: 1988 ident: 2020110613030431100_R23 article-title: The measurement of end-user computing satisfaction publication-title: MIS Q doi: 10.2307/248851 contributor: fullname: Doll – volume: 7 start-page: 73 year: 2012 ident: 2020110613030431100_R22 article-title: Paying for hospital care: the experience with implementing activity-based funding in five European countries publication-title: Health Econ Policy Law doi: 10.1017/S1744133111000314 contributor: fullname: O'Reilly – volume: 89 start-page: 46 year: 2011 ident: 2020110613030431100_R9 article-title: How to solve the cost crisis in health care publication-title: Harv Bus Rev contributor: fullname: Kaplan – ident: 2020110613030431100_R3 contributor: fullname: Organisation for Economic Co-operation and Development (OECD) – volume: 17 start-page: 225 year: 2002 ident: 2020110613030431100_R25 article-title: Relative value units: from A to Z (Part I of IV) publication-title: J Med Pract Manage contributor: fullname: Glass – ident: 2020110613030431100_R6 contributor: fullname: Central Intelligence Agency – volume: 37 start-page: AS63 issue: (4 Suppl Va) year: 1999 ident: 2020110613030431100_R16 article-title: Use of the Decision Support System for VA cost-effectiveness research publication-title: Med Care contributor: fullname: Barnett – ident: 2020110613030431100_R8 article-title: Free Cardiac and Spine Surgery for Walmart Employees at Six Hospitals contributor: fullname: Husten – volume: 208 start-page: 213 year: 2006 ident: 2020110613030431100_R13 article-title: Development of a practical costing method for hospitals publication-title: Tohoku J Exp Med doi: 10.1620/tjem.208.213 contributor: fullname: Cao – volume: 82 start-page: 131 year: 2004 ident: 2020110613030431100_R27 article-title: Time-driven activity-based costing publication-title: Harv Bus Rev contributor: fullname: Kaplan – volume: 9 start-page: 295 year: 2006 ident: 2020110613030431100_R20 article-title: Accounting and reimbursement schemes for inpatient care in France publication-title: Health Care Manag Sci doi: 10.1007/s10729-006-9097-x contributor: fullname: Bellanger – volume: 50 start-page: 54 year: 1996 ident: 2020110613030431100_R12 article-title: Contrasting RCC, RVU, and ABC for managed care decisions. A case study compares three widely used costing methods and finds one superior publication-title: Healthc Financ Manage contributor: fullname: West |
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SubjectTerms | Cost-Benefit Analysis Health Care Costs Humans Research and Applications Software Treatment Outcome Utah |
Title | Value Driven Outcomes (VDO): a pragmatic, modular, and extensible software framework for understanding and improving health care costs and outcomes |
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