Our team members are leaders in advancing frameworks and principles that can help stakeholders understand how to strategically implement solutions that improve quality or address spending. Examples of this work:
Care Standardization & Variation Reduction
Implementation Issue(s): Though care standardization is thought of as way to reduce unwarranted variation and improve care, its success depends on how it is implemented.
Work: Drs. Leah Marcotte, Christopher Chen, and Joshua Liao have created a framework for how health care organizations can strategically implement and manage clinical pathways as care standardization initiatives.
From Chen CP, Marcotte LM, Herner K, Liao JM. Value-Based Management of Clinical Pathways: An Applied Framework. Journal of Clinical Pathways. 2019.
Pathways In Population-based Payment Models
Implementation Issue(s): Clinical pathways are often conceived as solutions for episode-based payment models. Though they can also be potentially used in population-based models, little is known about how to design and implement such pathways.
Work: Drs. Leah Marcotte, Anders Chen, and Joshua Liao defined principles that can be used to design and effectively implement primary care-oriented pathways within population-based payment models such as accountable care organizations. For instance, they identified several principles related to unique features of such pathways:
* cadence of care delivery
* timeline for expected benefits
* breadth of clinical focus
From Marcotte LM, Chen A, Hwang CS, Liao JM. Primary Care-Oriented Pathways to Support Population-Based Payment Models. Journal of Clinical Pathways. 2019.
Implementation Issue(s): There are multiple forms of care management, each with different emphases. Successful care management involves a framework for distinguishing between these forms and executing one the desire one(s).
Work: Drs. Leah Marcotte and Joshua Liao are creating a set of principles that can be used by stakeholders to define and implement care management activities to increase the benefit to patients.