This piece by Thomas H. Lee, M.D., in NEJM Catalyst discusses how four very different institutions have worked to move to value-based care to volume-based care.
It looks at:
“Intermountain Medical Group clinics, where mental-health care is integrated with primary-care as a default practice.”
“Mayo Clinic, where surgeons who perform lumpectomies or partial mastectomies for breast cancer work during the operation with the Frozen Section Pathology Lab to determine whether all the cancer has been removed.”
“The American College of Radiology (ACR), which in 1993, developed clinical-practice guidelines for radiologic services.”
“Intermountain Healthcare, which initiated a care-process model for febrile infants in 2008, including guidelines for the use of physical exams, lab tests, antibiotics, and discharge criteria.“