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Noel Baxter Co-lead NHS London Respiratory Team

Measuring value in COPD. Noel Baxter Co-lead NHS London Respiratory Team. Patient outcome measures vs. the provider process or outcome. Health Outcomes Patient defined bundle of care. Value = Health Outcomes Cost of delivering Outcomes. Cost.

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Noel Baxter Co-lead NHS London Respiratory Team

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  1. Measuring value in COPD Noel Baxter Co-lead NHS London Respiratory Team

  2. Patient outcome measures vs. the provider process or outcome Health Outcomes Patient defined bundle of care Value = Health Outcomes Cost of delivering Outcomes Cost Porter ME; Lee TH NEJM 2010;363:2477-2481; 2481-2483

  3. We know what interventions are good value – when they are done in the right way

  4. We know how to allocate resource at population level http://www.impressresp.com/index.php?option=com_content&view=article&id=167:impressions-28-relative-value-of-copd-interventions&catid=11:impressions&Itemid=3

  5. Patient outcomes dependent on multiple providers Hospital CCG & Community http://www.londonhp.nhs.uk/publications/copd/copd-profiles-2012/

  6. Increasing appropriate admissions

  7. Using general practice data to show value across the pathway

  8. The low value pyramid and hospital providers !

  9. What ‘reliable’ outcome measure can we start with ?

  10. Patient facing outcome standard results in London Prevalence of smoking in long-term conditions to be included for informational purposes

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