NEJM Catalyst’s Post

The July 2024 issue of NEJM Catalyst Innovations in Care Delivery is a special theme issue focused on patient-centered health care innovation. This issue includes articles, case studies, and research reports on patient-centered care, PROMs and PREMs, at-home acute care, and payment for patient safety. View the issue: https://nej.md/3RtKX22 Read or listen to the letter from our guest editor, James Merlino, MD, FACS, EVP and Chief Innovation Officer for Joint Commission, "Innovation in Pursuit of Patient-Centered Care" https://nej.md/45rDTbW Insights Report, "Keys to Measuring Patient-Centered Care," with expert advisor James Merlino: https://nej.md/3VJvzQL Insights Interview, "Understanding What Matters to Patients" https://nej.md/4clFi66 with Susan Edgman-Levitan, Mass General Hospital; Luci Leykum, Harbor Health; Marcelo Pellizzari, Hospital Universitario Austral In Depth, "Mass General Brigham’s Patient-Reported Outcomes Measurement System: A Decade of Learnings" https://nej.md/3RgoNQH with Jason Liu, Robert Kaplan, David Bates, Maria Orlando Edelen, Rachel Sisodia, and Andrea Pusic, Mass General Brigham Case Study, "Emergency Department in Home (EDiH): A Novel Approach to Delivering Acute Care" https://nej.md/3x8kC2T with Evan Berg, M.D., Daniela Estrella, Vasiliki Patsiogiannis, MPH, CPH, Meghan McGrath, MD, Chloé Eustache, John Zambrano, MD MHS, Tor Ekstrom, Yoni Dvorkis, Gregory Snyder, Atrius Health and Medically Home Case Study, "The Amsterdam PROM Implementation Strategy: Policy and Pathway" https://nej.md/4c02rvd with Anouk Groenewegen, Maud van Muilekom, Cenne Sieben, Michiel Luijten, Sharon Janssen, Nynke Venema-Taat, Mira Korte, Caroline Terwee, Piet ter Wee, Hedy van Oers, Lotte Haverman, Amsterdam UMC Article, "How Payers Can Help Hospitals Become Safer Through Value-Based Programs" https://nej.md/3VrQkQy with Eugene Hsu, MD, MBA, Sai Ma, Bryony Winn, Shantanu Agrawal, Elevance Health Commentary, "Outcomes or Experiences — What Do Patients Value More When Evaluating Medical Teams?" https://nej.md/45rE07m with Gregory KATZ, Rosalind Bell-Aldeghi, Lise Radoszycki, Damien Testa, Ph.D., Peter Pitts, Zirui Song, ICHOM, Universite Paris Cite Medical School, PromTime, EvidentIQ Group

Jeremy Cauwels, Chief Physician at Sanford Health, and Tom Lee discuss innovative examples of overcoming challenges in rural health care access caused by distance, weather, clinician shortages, and other reasons: https://nej.md/4bteikx

Public health and care delivery theme issue early release: A collaborative effort spearheaded by public health professionals at the City of Philadelphia – Department of Public Health used landscape analysis to gain insights from various segments of the health care community that would be affected directly and indirectly by the U.S. Supreme Court’s 2022 decision to overturn the federally protected health care right to abortion: https://nej.md/3RXrib4 Alice Abernathy Nadia Haerizadeh-Yazdi, PhD Shaiza Sinha, MPH Courtney Schreiber, Aasta Mehta

A pilot program in China’s Shandong province to improve pharmacy services at a hospital’s five primary clinic satellite facilities has led to improvements not only in pharmacy services, but also in general uptake of primary clinic utilization: https://nej.md/4ezKnK9

Survey data from four European countries indicate that patients place greater importance on patient-reported outcome measures than on patient-reported experience measures: https://nej.md/45rE07m

Value-based care's impact on patient safety will remain limited unless contracts and hospital-commercial payer relationships are reimagined to explicitly highlight and reward clinical performance on patient safety measures: https://nej.md/3VrQkQy

Amsterdam University Medical Centers' multidisciplinary patient-reported outcome measure implementation team deployed a PROM Policy and PROM Pathway to guide a centralized, evidence-based process for integrating PROMs into routine patient-centered care: https://nej.md/4c02rvd

This article describes how an on-demand care-in-place program using community paramedics can generate savings in a value-based care model: https://nej.md/3x8kC2T