Moderator: Robb Russell, DC
Current management practices for low back and neck pain, irrespective of the approach taken, have largely failed to stem rising costs or improve clinical outcomes. Spine pain remains a diagnostic and management challenge and with low back and neck pain now thought to be, respectively, the first and fourth leading global causes of disability. Incremental solutions, such as eliminating fraud and conflicts of interest, prior authorization for services, care coordination, electronic health records, evidence-based guidelines and even the increase in multidisciplinary management, have been insufficient.
This session will explore how restructuring the delivery of spine care is necessary, as opposed to incremental improvements. Further, the session faculty will discuss why maximizing value is a fundamental goal for patients and how value is created in caring for a patient’s condition over the full cycle of care, not by a hospital, a care site, a specialty, an episode or an intervention. A panel including a prominent health economist along with experienced spine clinicians and researchers will review and discuss real-world case scenarios.
Upon completion of this session, participants should gain strategies to:
- Understand the factors driving costs in spine care;
- Appreciate the concept of value and how to maximize value for patients;
- Apply real-word organization and procedures to improve outcomes and control costs.
Agenda
How Do Consumers Envision Spine Care?
Joel Keehn, Consumer Reports
Why Improving Healthcare Value in Spine Care Delivery is Essential
Christine Goertz, DC, PhD, Palmer Center for Chiropractic Research, Davenport, IA
The Economics of Integrated Health in Spine Care
William Weeks, MD, PhD, Geisel School of Medicine at Dartmouth, Lebanon, NH
Discussion
Implementing Team-based Care in Practice
Kevin Bozic, MD, Dell Medical School at the University of Texas, Austin, TX
Implementing Team-based Care in Practice
Ian Paskowski, DC, Beth Israel Deaconess Specialty Group, Spine Care, Plymouth, MA
Implementing Team-based Care in Practice
Eugene Carragee, MD, Orthopaedic Spine Center at Stanford, Stanford Hospital and Clinics, Redwood City, CA
Discussion