As the landscape of healthcare delivery and reimbursement policy continues to shift towards ‘value-based’ care, the assessment of value and financial return have become more prominent as a way to evaluate the merits of quality improvement activities. Both private and public payers (like the Centers for Medicare and Medicaid Services) employ some type of value-based mechanism to establish the amount physicians and hospitals are reimbursed for providing care. Additionally, funding opportunities that focus on improving care quality are starting to require a value assessment (e.g., ROI) as part of the application process. In Return on Investment for Healthcare Quality Improvement, Craig A. Solid, PhD explores the basic concepts of value and financial return, and details the necessary steps and procedures for performing a full ROI analysis as either a prospective analysis to assess financial viability or as a retrospective exercise to determine the main drivers of value. From defining the scope and perspective, to identifying costs and benefits, and finally to interpreting the results with the appropriate context to inform future activities, this text can serve as a guide and a resource for healthcare professionals performing return on investment analyses.

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Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model founded by Malaz Boustani, MD, MPH and Jose Azar, MD. In today’s complex healthcare environment, implementing evidence-based care into real-world practices is difficult and time consuming. Even methods that are known to be effective allow for limited flexibility and therefore fail as often as they succeed. Through much study and experimentation, Malaz Boustani, MD, MPH, Jose Azar, MD, and Craig A. Solid, PhD have come to understand how individuals’ interactions within the complex social systems of hospitals, clinics, and other care delivery organizations shape the decisions and behaviors of those involved. Upon this foundation and through leveraging theories of behavioral economics, we have developed the Agile Implementation Model, a process for selecting, adapting, implementing, evaluating, sustaining, and scaling evidence-based healthcare interventions. In tandem with illustrative examples, Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model.

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As part of the “agile” series, The Agile Network dives deeper into concepts of network science and diffusion to reveal how best to construct a network of providers and facilities to promote innovation and quality improvement.

Imagine a healthcare system where care is evidence-based and personalized.

What if you and your loved ones could receive care from a system that was designed to be compassionate, earned your trust, and worked to develop a long-term relationship with you and your community?

Currently, the quality of care in the United States’ healthcare system varies greatly. Poor or outdated practices persist despite new findings and updated clinical guidelines. Misleading advertisements, inappropriate procedures, and medical errors are common. Providers and health systems have little incentive to act proactively or treat the entire patient. Patients and families are not empowered to choose or direct their care and have limited access to information and clinical care team members.

There is a better way. Transforming healthcare requires a large network of passionate change agents to make healthcare better for everyone. Join the leading innovators in healthcare to discover what needs to change in healthcare today—and how to do just that.

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