Return on Investment for Healthcare Quality Improvement

Chapter 1. Introduction1.1 The Current Healthcare Environment1.1.1 Funding Requirements for Those Looking to Improve Care Quality1.2 Concepts of Value in Quality Improvement1.2.1 A Discussion of "Value" in Health Care1.2.2 The Journey of Understanding Value in Relation to that of Quality1.3 Quality Improvement as an Exercise in Influence1.4 Return on Investment1.4.1 How ROI is Used in Other Industries1.4.2 How We Will Define ROI1.4.3 Unique Challenges for Examining ROI in the Healthcare Setting1.4.4 Differences in Prospective Versus Retrospective Analyses of ROI1.5 Who this Book Is For1.6 Chapter Summary1.7 Key ConceptsReferences
Chapter 2: Planning an ROI Analysis2.1 The Motivation to Assess Value in Health Care2.2 The Critical Aspects of Quality Improvement2.2.1 Defining Quality2.2.2 Measuring Quality2.2.3 Assessing and Evaluating Quality2.3 Measuring Value2.3.1 Considering What Can Be Improved, Measured, and Monetized2.3.2 Planning the Value Assessment in Tandem with the Quality Assessment2.4 Definitions and Terms2.4.1 ROI2.4.2 Benefit-to-Cost Ratio (Benefits per Dollar Spent) 2.4.3 Savings per Patient2.4.4 Payback Period2.4.5 Other Metrics2.5 Basic ROI Design2.5.1 Scope and Perspective2.5.2 Costs and Benefits2.5.3 Base Case and Sensitivity Analyses2.5.4 Interpretation2.6 Hypothetical Case Studies2.6.1 Example 1: Nursing Home Falls2.6.2 Example 2: Improved Hospital Discharge Process2.6.3 Example 3: Introducing a Collaborative Care Model2.6.4 Example 4: Investing in Facility Improvements2.7 Chapter Summary2.8 Key ConceptsReferences
Chapter 3: Initial Steps3.1 Define Scope and Perspective3.1.1 Perspective3.1.2 Scope3.1.3 Practical Examples of Defining the Scope and Perspective3.1.4 Major Assumptions and Their Implications3.2 Determine What to Measure3.2.1 Process Versus Outcome Measures3.2.2 Individual Versus Composite Measures3.2.3 One Versus Many Measures3.2.4 The Impact of Project Characteristics on Measures3.3 How to Select Quality Improvement Opportunities for Value3.3.1 Questions to Ask3.4 How to Estimate the Expected Effectiveness and Associated Value3.4.1 Pulling from Your Own Experience3.4.2 Pulling from Published Literature3.5 Secure Buy-In and Recruit Partners3.6 Chapter Summary3.7 Key Concepts
Chapter 4: Costs and Benefits4.1 The Impact of Scope and Perspective on Costs and Benefits4.2 Costs4.2.1 Identifying Cost Sources4.2.2 Estimating and Monetizing Costs4.2.3 Aggregating Costs4.3 Benefits4.3.1 Measurable, Monetizable, and Directly Attributable Benefits4.3.2 Estimating MMA Benefits4.3.3 Estimating Non-MMA Benefits4.3.4 Calculating Benefits (Formulas) 4.4 Discounting4.5 Chapter Summary4.6 Key ConceptsReferences
Chapter 5: Performing Base Case and Sensitivity Analyses5.1 Prospective versus Retrospective ROI Analyses5.2 Developing the Base Case Scenario5.2.1 General Considerations for the Base Case5.2.2 Identifying Usable Estimates5.2.3 Applying the Perspective and Scope to the Base Case5.2.4 A Base Case Example5.3 Sensitivity Analysis5.3.1 General Consideratio