Colon and rectal cancer accounts for 8.0% of all new cancers with estimated 132,700 new cases and 49,700 deaths in 2015 . The National Colorectal Cancer Round Table views colorectal cancer as a major public health problem . The Round Table has brought together more than 170 organizations committed to screening 80% of eligible patients for colorectal cancer by 2018. Such goals reflect the increased emphasis on population health. One challenge is to determine appropriate test(s) for screening colon and rectal cancer.
As the US health care system moves more toward population health and more prospective approaches to care, different models will be implemented. This is an aspect of the shift from volume to value. Models such as Accountable Care Organizations shift from a fee for service model to a shared risk model. Incentives, goals, what is measured, and what is paid for will change. This change in alignment of incentives will change the practice of medicine and impact everyone throughout the spectrum of health—well-being, prevention, diagnosis, and treatment.
In this setting, the Institute for Healthcare Improvement developed the Triple Aim . These guidelines for changes, improvements, and new models in health care suggest that we need to simultaneously optimize three dimensions:
improving the patient experience of care (including quality and satisfaction);
improving the health of the population;
reducing the per capita cost of health care.
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
Get Radiology Tree app to read full this article<
References
1. SEER Stat Fact Sheets: colon and rectum cancer. Available at: http://seer.cancer.gov/statfacts/html/colorect.html . Accessed April 27, 2015.
2. Organizations working together to advance colorectal cancer control efforts. Available at: http://nccrt.org/tools/80-percent-by-2018/ . Accessed April 27, 2015.
3. The Triple Aim Initiative. Available at: http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx . Accessed April 27, 2015.
4. Seeking perfection in healthcare. Available at: http://www.longwoods.com/content/22056 . Accessed April 27, 2015.
5. Fuchs V.R., Sox H.C.: Physicians’ views of the relative importance of thirty medical innovations. Health Aff 2001; 20: pp. 30-42.
6. Batlle J.C., Hahn P.F., Thrall J.H., et. al.: Patients imaged early during admission demonstrate reduced length of hospital stay: a retrospective cohort study of patients undergoing cross-sectional imaging. J Am Coll Radiol 2010; 7: pp. 269-276.
7. Lee D.W., Foster D.A.: The association between hospital outcomes and diagnostic imaging: early findings. J Am Coll Radiol 2009; 6: pp. 780-785.
8. Hulten E., Pickett C., Bittencourt M.S., et. al.: Outcomes after coronary computed tomography angiography in the emergency department: a systematic review and meta-analysis of randomized, controlled trials. J Am Coll Cardiol 2013; 61: pp. 880-892.
9. Rawson J.V.: Comparative effectiveness research in radiology: patients, physicians and policy makers. Acad Radiol 2011; 18: pp. 1067-1071.
10. Pandharipande P.V., Gazelle G.S.: Comparative effectiveness research: what it means for radiology. Radiology 2009; 253: pp. 600-605.
11. Zafar H.M., Yang J., Armstrong K., et. al.: Cost differences after initial CT colonography versus optical colonoscopy in the elderly. Acad Radiol 2015; 22: pp. 1-7.