Technology can be facilitating which kind of value in health care. Laparoscopic surgery, using miniature digital video cameras along with electronic tools, allows for modest incisions which result in quicker recovery times along with shorter hospital stays than traditional open surgery. Telemedicine services enable patients to talk to their doctors by remote video, saving time for both physician along with patient along with allowing for check-ins between office visits. Biosensors dramatically speed diagnoses by generating which possible for doctors to monitor patients who are at home, reading their blood pressure, glucose level along with electrocardiogram in real time along with initiating treatment before a condition becomes serious.
Taken one step further, the Hospital at Home concept, which Mount Sinai Health System began in 2014, allows patients to be monitored closely through their own bedrooms along with receive daily visits through a doctor or nurse practitioner, as well as home nursing care, lab services along with medical equipment in their home, which can be far less costly than remaining inside the hospital.
Such money-saving programs are well established in England, Canada, Israel along with Australia. inside the Australian state of Victoria, every hospital offers hospital-at-home service, which accounts for 6 percent of all “hospital bed days.” which value-oriented hospital-at-home concept has great potential for expansion inside the United States, particularly given the growth of telehealth along with remote monitoring capabilities.
By integrating the mobile along with digital technology which can be part of our everyday lives, medicine will be able to lower the number of hospital admissions along with substantially reduce costly readmissions. As hospital stays become shorter along with surgical outpatient procedures advance, there will be less need for hospital beds along with more reason to expand ambulatory services. Consequently, hospitals will continue to build the community medical practices along with outpatient surgery centers which are needed for more value-oriented care.
To be sure, full-service hospitals will still be necessary — we all need to recognize there will come a time when most of us, particularly as we age, will need complex hospital care. Hospitals will simply be focused on management of chronic along with complex illnesses, intensive care along with high-level urgent conditions, such as thrombosis inside the brain or a myocardial infarction (heart attack) requiring emergency treatment, with careful monitoring in an intensive-care unit. Smaller community hospitals will have to shift; more of them will become hospitals without beds, providing more ambulatory services along with less-intensive inpatient care.
These adjustments in American health care aimed at improving value are under way. today the shift toward value must accelerate because our fee-for-service approach can be failing. We need a payment system which stops rewarding health-care providers as if they are factories along with, instead, one which will be beneficial for providers, payers along with patients. Rather than indiscriminate cost cutting, value-based care can be the smart way to bend the health-care cost curve. which will improve patient health, as well as the nation’s fiscal along with economic health.
Commentary by Dr. Kenneth L. Davis, president along with CEO of Mount Sinai Health Systems along with an advisory board member for Healthy Returns, CNBC’s fresh health-care innovation conference which will take place on March 28, 2018, in fresh York City.
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