Cost and Resource Utilization Analyses
This module discusses how healthcare organizations are using cost and resource utilization analyses to improve efficiency.
Evolution of the Outcomes Movement
This module describes the evolution of today’s outcomes movement in healthcare, including key milestones in its development, and key ways in which researchers and organizations have used outcomes measurement to help establish standards for quality delivery of healthcare.
Focus of Outcomes Management
This module begins with a discussion of the various ways that healthcare organizations are attempting to manage clinical, economic, and humanistic outcomes. It then discusses the roles of stakeholders in outcomes management..
Forces Shaping Today’s Outcomes Movement
This module will look at forces shaping the 21st century outcomes movement, particularly from the perspectives of healthcare delivery organizations, patients, and payers (including Medicare and Medicaid, the nation’s largest payers).
Health Plan Accreditation and Related Performance Measures
This module describes the primary organizations involved in the accreditation (and accreditation-related performance measures) of health plans, which include:
• The Joint Commission.
• The National Committee for Quality Assurance (NCQA).
• The National Alliance of Healthcare Purchaser Coalitions.
It also describes the role of the Healthcare Effectiveness Data and Information Set (HEDIS®) in quality programs and the impact it is having on healthcare organizations.
Health-Related Quality of Life (HRQOL) Measures
This module describes the components of HRQOL measures and the use of instruments for measuring general health status, as well as disease-specific instruments. The module concludes with examples of how HRQOL data are being gathered and applied within healthcare organizations.
Medication Adherence: Issues and Outcomes
Patients often fail to take their medication as directed, which has a negative impact on clinical and financial outcomes in healthcare. This module defines adherence concepts and discusses some of the barriers to medication adherence, as well as several strategies that may help patients follow their treatment plans.
Outcomes Research and Management
To better understand what pharmacoeconomics is, it may help to view it in its larger research context: outcomes research, comparative effectiveness research (CER), pharmacoeconomics. Likewise, to better understand how pharmacoeconomics can improve healthcare delivery, it may help to view it in the larger context of outcomes management, and to see how it is applied to a subset of that discipline, disease management. This module provides that context, with a detailed look at outcomes research and comparative effectiveness research, and outcomes management, including disease management programs.
This module describes the five major types of pharmacoeconomic analyses:
The module also discusses the importance of identifying the perspective of pharmacoeconomic analyses.
This module discusses how the application of pharmacoeconomics can demonstrate the value of prescription drugs. It also discusses the role of the ECHO model in pharmacoeconomic outcomes research.
Role of Outcomes in Clinical Practice Guidelines and Disease Management
This module provides an overview of how clinical practice guidelines are developed and implemented. It also discusses the key elements of disease management, including outcomes assessments.
Role of Structure, Process, and Outcomes in Quality Management
This module discusses how structure, process, and outcomes are interrelated in quality management. It also discusses the role of the ECHO model in outcomes research.
Stakeholder Perspectives on Outcomes
This module discusses the perspectives of stakeholders in outcomes research and management.
Structure of a Pharmacoeconomic Study
This module describes the basic structure of a true pharmacoeconomic study and explains the role of each of its necessary components.
The Life Science Industry and Outcomes Management
This module discusses how life science companies are collaborating with managed care and integrated care customers and pharmacy benefit managers (PBMs) to participate in outcomes research and management. It also describes the role of key decision-makers within healthcare organizations who are interested in outcomes management.
The Role of the Field Sales Team in Outcomes Management
This module discusses how healthcare sales professionals can help meet the outcomes management needs of their customers.
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