Value-based Learning Healthcare Systems: Integrative modeling and simulation

Description

Achieving value-based healthcare, increasing quality, reducing cost, and spreading access, has proven to be extremely challenging, in part due to research that is siloed and largely focused on singular risk factors, ineffective care coordination resulting from service fragmentation, and costly unintended consequences of reform that have emerged due to the complexity of healthcare systems. Understanding the behaviour of the overall system is becoming a major concern among healthcare managers and decision-makers intent on increasing value for their systems. This book fills a gap in the literature that is becoming more evident as reform efforts proliferate: a holistic Modeling and Simulation (M&S) approach to value-based healthcare within a framework that enables designing, testing and implementing concepts to integrate resource allocations, health phenomenon dynamics, individual behaviour, and population dynamics. It presents a pathways-based efficient coordination of care model involving all stakeholders including patients, providers, care deliverers, managers, and payers. It shows how M&S can help design a better service infrastructure and describes the information technologies that are necessary to implement it successfully. It also presents global and national healthcare perspectives from Europe, USA, Asia and Africa, as well as research directions needed to realize the value-based M&S healthcare vision. Contents......Page 6 About the authors......Page 12 Glossary......Page 14 Prologue......Page 18 References......Page 23 Part I. Modeling and simulation framework for value-based healthcare systems......Page 24 1. Healthcare systems modeling and simulation......Page 26 2. Multi-perspective architecture for holistic healthcare M&S......Page 70 3. Formalization of the multi-perspective architecture......Page 104 4. Methodological elements for simulation-based healthcare management......Page 132 Part II. Modeling and simulation of pathways-based care coordination......Page 154 5. DEVS methodology for coordination modeling......Page 156 6. Care coordination and pathways-based experimental frames......Page 186 7. Pathways-based care coordination simulation example......Page 206 8. Health information technology support for pathways-based care......Page 226 Part III. Application of the framework......Page 236 9. Pathways-based coordination of care in rural France......Page 238 10. Surveillance of avian influenza in Vietnam......Page 274 11. Multi-perspective modeling in relation to complex adaptive systems......Page 290 12. Extending the framework to value-based coordination architectures......Page 300 Epilogue: Where do we go from here—Global and National Healthcare Maturity......Page 314 Appendix D1......Page 327 Appendix D2......Page 333 Appendix D3......Page 339 Appendix D4......Page 358 Index......Page 362