Ledina Lushko Revisted

Only available on StudyMode
  • Topic: Medicine, Health care, Health care provider
  • Pages : 5 (1555 words )
  • Download(s) : 170
  • Published : March 4, 2013
Open Document
Text Preview
Ledina Lushko Revisited: Insight from CDVC

Varun Segu Mohan

Sullivan University

Table of Content:

1. Introduction ………………………………………………………………… 3

2. Analyzing Care Delivery Value Chain..…………………………………….. 3

3. Conclusion and Recommendations ………………………………………… 6

4. References ………………………………………………………………….. 8

Ledina Lushko Revisited: CDVC

Mrs. Ledina Lushko was diagnosed with adrenocortical carcinoma (ACC) which is an aggressive cancer of adrenal gland. ACC is a very rare cancer that affects approximately 0.5-3 cases per millions. Mrs. Ledina and her family went through a tough period of consulting various doctors, many tests and differing opinions from specialists. In most cases ACC will be diagnosed only after it reaches an advanced stage which gives patients a very limited amount of survival period of three to six months. Due to its rare occurrence, effective treatment for ACC is a challenge to doctors as they had to rely only on the observational studies on small group of patients. Mrs. Ledina was used to getting healthcare at Albania which did not necessitate her to establish a primary care provider and she had purchased a low-cost high deductible plan for emergency situations. This led to Mrs. Lushko and her family taking time to select their PCP. She had to waste a lot of time and money for her initial evaluation as Johnson Medical center did not have any information about her medical history. Mrs. Lushko’s treatment and diagnosis reveals many shortcomings of US healthcare delivery system. We use this case study as a basis for analyzing Mrs. Lushko's Care Delivery Value chain against an ideal CDVC.

Analyzing Care Delivery Value Chain (CDVC)

Care Delivery Value Chain(CDVC) is designed around a medical condition and applies over the full cycle of healthcare delivery. CDVC is a systematic approach where one outlines the discrete activities required for the care, sequence and organization of the care, configure and analyze the delivery process around the medical condition to maximize the overall value for the patients. In CDVC framework, dedicated and tightly coordinated teams utilize facilities designed for the medical conditions, and patient information is extensively shared. Every entity in the CDVC carry equal responsibility as an team and are equally accountable for performance. Value for the patient care is not measured for individual activities in a cycle of care, instead value is measured as an outcome of the entire cycle. (Rhatigan, J. & Jain, S. & Mukherjee, J. S. & Porter, M. E., 2009) .

In current healthcare delivery system and for most of the providers has care delivery value chains for medical condition but they are not explicitly delineated. This framework is difficult to be analyzed and measured for outcomes/value of the health outcomes. To implement CDVC model, providers need to go through a transformation where one has to define and measure the outcome of the process on the medical condition level. Once the process is defined, configuring and organizing the structure are the next steps to deliver the increased value based services for patients.

According to Porter and Tiesberg, Care Delivery Value chain begins with monitoring and prevention that includes tracking patients medical conditions, risk evaluation, steps to prevent illness/injury. Then the value chain progresses to diagnosing, preparing, intervening, rehabilitation and monitoring and managing. Last step in the value chain is as important as other steps as not only constantly managing patients condition to sustain the recovery but also taking preventative steps to avoid reoccurrences are a part of monitoring and managing.

Let us now track back to Mrs. Ledina Lushko's treatment and diagnosis to analyze the kind of care she received. Mrs. Ledina Lushko did not have any form of medical history in US as she was receiving most of her care in Albania. Mrs. Lushko and her family took some time...
tracking img