Better Care and Better Value for Hip and Knee Replacement

"Robert Kaplan from the Harvard Business School explains the Time-Driven Activity-Based Costing (TDABC), a powerful way to capture and analyze every step and cost of the joint replacement process. IHI has been working with some 32 hip and knee replacement providers over the past year on TDABC and subsequent improvements as part of the IHI Joint Replacement Learning Community. We learn about them and their exciting work on this episode of WIHI."

WIHI: Better Care and Better Value for Hip and Knee Replacement (audio broadcast)
RS Kaplan, K Luther, C Abbott, J Rosengrant
Institute for Healthcare Improvement
October 2014

Listen to the recording here.

Exploring the cost of care at the end of life

"The results suggest that cost savings might be available if community-based support were made more widely available to help people to die in their own homes, where that was their preference."

Exploring the cost of care at the end of life
T Georghiou, M Bardsley
Nuffield Trust
September 2014

Read more here.

Multiple sclerosis (relapsing remitting) - dimethyl fumarate: costing report

"The costing template can be used by health communities to assess the local impact of implementing the recommendations, based on the local population. The national assumptions used in the template can be altered to reflect local circumstances."

TA320 Multiple sclerosis (relapsing remitting) - dimethyl fumarate: costing report
NICE
August 2014

Read more here.

NHS Atlas of Variation: Procurement

The NHS Atlas of Variation for procurement shows how much hospitals are paying for items such as gloves, dressings, aprons and other everyday basics. The data can be used to compare and highlight where Trusts may be paying too much, and help them to make cost savings.

Access the Atlas here.

Using health worker opinions to assess changes in structural components of quality

"Compared to usual care, managed care was significantly associated with better process in terms of diabetes care, fewer secondary care consultations and lower health care costs. The same trends were seen for protocolized care, however they were not statistically significant."

Resource use and costs of type 2 diabetes patients receiving managed or protocolized primary care: a controlled clinical trial
A van der Heijden, et al.
BMC Health Services Research 2014, 14:280

Read more here.

Can we live with how we’re dying? advancing the case for free social care at the end of life

"this report provides an assessment of the views of senior health and social care decision makers about the economic case for free social care at the end of life."

Can we live with how we’re dying? advancing the case for free social care at the end of life
Macmillan Cancer Support
June 2014

Read more here.

Socio-technical allocation of resources

"This Casebook describes a new approach to priority setting called Star (Socio-technical allocation of resources). The approach combines value for money analysis with stakeholder engagement. This allows those planning services to determine how resources can be most effectively invested, while the engagement of stakeholders means the decisions are understood and supported by those most affected." 

STAR – Socio-technical allocation of resources: engaging stakeholders in decisions 
M Airoldi
London School of Economics
March 2014

Read more here. You can access the accompanying case study here.

The importance of multimorbidity in explaining utilisation and costs

"This work forms a basis for identifying groups that would most benefit from improved integrated care, which might be facilitated by integrated financial arrangements and better pathway management."

The importance of multimorbidity in explaining utilisation and costs across health and social care settings: evidence from South Somerset’s Symphony Project
P Kasteridis, A Street, M Dolman, L Gallier, K Hudson, J Martin, I Wyer
Centre for Health Economics, University of York
February 2014

Read more here.

Cost benefit analysis guidance for local partnerships

"This document outlines a methodology for a cost-benefit analysis (CBA) model originally developed by New Economy, local authorities and other public sector agencies across Greater Manchester (GM). It is designed to simplify and to lower the cost of performing CBA in the context of local programmes to improve public services where analytical and research resources may be relatively limited." 

Supporting public service transformation: cost benefit analysis guidance for local partnerships
HM Treasury, Public Service Transformation Network, New Economy
April 2014

Read more here.

Unit costs of health and social care 2013

"With increased demand for health and social care expected, health and local authorities are faced with more pressure than ever to keep a tight rein on expenditure, so information on the costs of services continues to be an important contribution to accurate planning and commissioning."

Unit costs of health and social care 2013 
L Curtis
Personal Social Services Research Unit, University of Kent

Read more here.

Impact of 'Virtual Wards' on hospital use

"The costs of providing health care are highly skewed across the population, with a small number of patients accounting for a large proportion of expenditure."

Impact of 'Virtual Wards' on hospital use: a research study using propensity matched controls and a cost analysis
GH Lewis, T Georghiou, A Steventon, R Vaithianathan, X Chitnis, J Billings, I Blunt, L Wright, A Roberts, M Bardsley
National Institute for Health Research Service delivery and Organisation Programme
November 2013

Read more here.

English hospitals can improve their use of resources

"The findings suggest that all hospitals have scope to make efficiency savings in at least one of the clinical areas considered by this study."

English hospitals can improve their use of resources: an analysis of costs and length of stay for ten treatments
CHE Research Paper 78
J Gaughan, A Mason, A Street, P Ward
Centre for Health Economics, University of York
July 2012

Read more here.