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Presentation, Harvard, Value Based Care

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Anna Essén
Anna Essén

Presentation at Harvard, ISC, 2011

Santé & MédecineTechnologie
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Operationalizing value in Chronic Care: The case of Swedish Rheumatology ,[object Object]
The cycle of disease: Rheumatoid Arthritis REHAB- SERVICES Lifestyle & self-medication - SPECIALIST CARE LAB TESTS X-RAY HOSPITALIZATIONS
DAS28 (Disease Activity) Time
Disease cycle captured in the SRQ registry
Disease cycle captured in the SRQ registry REHAB- SERVICES
Capturing the entire disease cycle
Prioritizing measures based on the stage of the disease: defining two phases
First phase of disease: reaching low or no disease activity Early & aggressive treatment ,[object Object],[object Object],[object Object]
Second phase: long-term management and prevention Maintain low DAS28 ,[object Object],[object Object],[object Object]
Second phase: long-term management and prevention Detect and curb flares ,[object Object]
RA outcome measures in the three tiers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Cost per patient - RA 2009 Karolinska data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Costs – micro level ,[object Object]
Questions to discuss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You! ,[object Object],[object Object],[object Object]

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