Defining the Value of Spine Care

Jeffrey A Rihn MD Assistant Professor.Department of Orthopaedic SurgeryThomas Jefferson University and Hospitals.The Rothman Institute.Philadelphia, PA Alexander R Vaccaro MD PhD Professor of Orthopaedic Surgery, Professor of Neurosurgery, Thomas Jefferson University and Hospitals, The Rothman Institute, Philadelphia, PA Todd J Albert MD Department of Orthopaedic Surgery, Professor of Neurosurgery, Thomas Jefferson University and Hospitals.Philadelphia, PA

1. Introduction: Understanding the Value of Spine Care.

2. Definition of Common Terminology.

3. The Use of Process Measures in Measuring the Quality of Spine Care

4. Disease-Specific Health-Related Quality of Life Measures: Lumbar Degenerative Disease.

5. Disease-Specific Health-Related Quality of Life Measures: Cervical Degenerative Disease

6. Disease-Specific Health-Related Quality of Life Measures: Spinal Deformity.

7. General Measures of Health-Related Quality of Life: SF-36 and Related Measures

8. Numerical Rating Scales

9. Health Status Preference, Utility, and Health-Related Quality of Life in the Assessment of Spinal Disorders and Other Medical Conditions

10. The Quality-Adjusted Life Year.

11. How to Calculate the Cost of Spine Care.

12. Decision Tree Analysis and Simulation Modeling in Spine Care.

13. Cost Utility Analysis: Use of Average Cost Per Quality-Adjusted Life Year Versus the Incremental Cost-Effectiveness Ratio.

14. Value-Based Evaluation of New Spine-Related Technology

15. Determining Value with Outcome Measures: Perspectives from Each of the Stakeholders of Spine Care Delivery.

16. Developing Value-Based Guidelines for the Treatment of Spinal Disorders

17. Comparative Effectiveness Research in Spine Care.

18. Comparative Effectiveness Research in Spine Care: Sport as an Example.

19. Logistics: How to Get Started.Appendices. Index