NEJM Catalyst

Insights Report: As health care organizations look to technology to support more systems and solve more problems, complex care programs appear to be falling short on innovation. Reliance on feeds tracking admission, discharge, and transfer data (51%), as well as an electronic health record–integrated care management platform (50%), are the top technologies cited by survey respondents. More advanced analytics and tools were further down the list.

Shared accountability around metrics was fundamental to aligning cross-institutional support of the University of Michigan Health and Trinity Health Ann Arbor partnership known as Michigan St. Joes. Program outcomes were evaluated across three domains: governance, operational, and patient metrics.

A study in Brazil concludes that participation in a coordinated, value-based health care-oriented maternity program was independently associated with improved perinatal outcomes and reduced high-acuity health care utilization. Read the study: https://nej.md/4jhFfiy

The Los Angeles County Department of Public Health’s Substance Abuse Prevention and Control (SAPC) Bureau launched a value-based strategy in July 2023. The model combines tiered base rates with additional value-based incentive payments to facilitate quality-focused investments, growth, and sustainability.

To care holistically for patients with congenital heart disease, Boston Children’s Hospital adapted a set of patient-reported outcome measures to identify and address patients’ unmet clinical and social needs. Read the Case Study: https://nej.md/3Tt1jfG

A new Case Study describes how a public–private partnership in São Paulo, Brazil, implemented a practical model for operationalizing health equity through codesign and improvement science across frontline public emergency and primary care services administered by Einstein Hospital Israelita within Brazil’s unified health system. See how it was done: https://nej.md/4h8fqPo

Drawing on the experiences of 10 international hospitals in value-based health care (VBHC), this article presents a model for transitioning toward a condition-based organization. The framework combines implementation lessons and best practices from the Value Catalyst hospitals to help health care organizations advance VBHC.

Paid Content from Elevance Health: Redefining Value-Based Care Through Intelligent Data Integration

How connected health data systems, integrated care delivery across multiple modalities, and AI-supported tools can support a more proactive and patient-centered approach to care delivery.

Read more: https://nej.md/4h9cvWE

Individuals with complex medical and social needs require targeted, coordinated, and whole-person care. To deliver the best care, providers need a comprehensive understanding of both clinical needs and social needs.

Pair Team, a San Francisco medical practice that manages Medicaid patients, developed an AI tool that quickly and accurately summarizes a diverse set of data sources to identify their health-related social needs.

Read the full Case Study: https://nej.md/4yQ4aOZ

Case Study: While University of Michigan Health faced increasing inpatient capacity constraints and nearby St. Joseph Mercy Hospital had underutilized capacity related to planned growth, the two institutions developed a shared inpatient service care unit named Michigan St. Joes. See how: https://nej.md/4AjVpOu