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"This book grew out of conversation among senior faculty and administrators from the University of Pennsylvania (Penn)'s Wharton School, School of Nursing, Perelman School of Medicine and Health System as well as Children's Hospital of Philadelphia, all part of the Leonard Davis Institute of Health Economics at Penn, that transformed into an informal seminar-at first in person and then virtual because of the pandemic. The subject was our disappointment at the relative neglect by real world decisionmakers in health systems and health insurers of our major product-rigorous research findings on the effectiveness (or lack thereof) of managerial and financial interventions in health care. There was also an acute awareness among the group of experts that clinical research results were required for the approval and use of drugs and devices and were disseminated widely, while equally consequential interventions in management, whether published in peer reviewed journals or developed in the health system's innovation center, were not required and were less well disseminated"--
List of contents
1. Baseline observations Mark Pauly; 2. Evidence and growth in aggregate spending and changes in health outcomes Mark Pauly and Benjamin Chartock; 3. The benchmark decision model, the value of evidence, and alternative decision processes Mark Pauly; 4. Care coordination Lawton R. Burns and Rachel M. Werner; 5. Evidence-based programs to improve transitional care of older adults Mary Naylor and Rachel M. Werner; 6. Vertical integration of physician and hospitals: three decades of futile building upon a shaky foundation Lawton R. Burns, David Asch, and Ralph Muller; 7. Evidence on provider payment and medical care management Ralph Muller and Mark Pauly; 8. Evidence on ways to bring about effective consumer and patient engagement Kevin Volpp and Mark Pauly; 9. The unmet and evolving need for evidence-based telehealth Krisda Chaiyachati and Bimal Desai; 10. Evidence and the management of health care for disadvantaged populations Mark Pauly, Ralph Muller, and Mary Naylor; 11. Driving innovation in health care: external evidence, decision-making and leadership Flaura Winston and Mark Pauly; 12. Concluding chapter.
About the author
Mark Pauly is Bendheim Professor in the Department of Health Care Management at the Wharton School at the University of Pennsylvania.Flaura Winston is Professor of Pediatrics and Distinguished Chair in the Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania. She is Director of the Innovation Ecosystem and Scientific Co-Director of the Center for Injury Research and Prevention, Children's Hospital of Philadelphia, PA, and is a member of the National Academy of Medicine.Mary Naylor is Marian S. Ware Professor in Gerontology and Director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing.Kevin Volpp is Director of the Center for Health Incentives and Behavioral Economics, Health Policy Division Chief of the Department of Medical Ethics and Health Policy, and the Founders President's Distinguished Professor of Medicine, Medical Ethics and Policy, and Health Care Management, at the Perelman School of Medicine and the Wharton School, all at the University of Pennsylvania.Lawton Robert Burns is James Joo-Jin Kim Professor of Health Care Management at the Wharton School and Co-Director of the Roy & Diana Vagelos Program in Life Sciences and Management, all at the University of Pennsylvania.Ralph Muller is former Chief Executive Officer (CEO) of the University of Pennsylvania Health System.David Asch is John Morgan Professor at the Perelman School of Medicine and the Wharton School and Executive Director of the Center for Health Care Innovation at Penn Medicine.Rachel Werner is the Executive Director of the Leonard Davis Institute of Health Economics, Professor of Medicine at the Perelman School of Medicine, and the Robert D. Eilers Professor of Health Care Management at the Wharton School, all at the University of Pennsylvania.Bimal Desai is Assistant Vice President and Chief Health Informatics Officer at Children's Hospital of Philadelphia and Associate Professor of Clinical Pediatrics, Perelman School of Medicine, University of Pennsylvania.Krisda Chaiyachati is Assistant Professor, Medicine, at the Perelman School of Medicine and a senior fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania as well as Medical Director, Penn Medicine OnDemand Virtual Care (telemedicine).Benjamin Chartock is a doctoral candidate in the Department of Health Care Management at the Wharton School, University of Pennsylvania.
Summary
Experts in the management of health care systems and insurance explain which innovations to improve quality or control spending are backed by evidence, and which are not. Furthermore, the authors advise on how to make decisions about seeking evidence and choosing what to do when evidence is incomplete.
Foreword
Informs stakeholders about which changes in health care provision and financing work and which don't. Provides evidence on the evidence.
