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Quantifying the ROI of Performance Management in Value-Based Healthcare Models 

Excess readmissions, preventable hospital-acquired conditions, infections and complications, poor outcomes and low performance scores all translate into financial burdens for hospitals and health systems. These measures, along with the responsibility associated with satisfying new, mandatory reporting requirements have serious repercussions on a hospital’s bottom line. Independent research and in-depth interviews of Quantros hospital and integrated health system clients of varying sizes looked at specific value drivers, benefits and ROI associated with their adoption of Quality Management and Performance Analytics Solutions. These interviews revealed three top quality and performance management challenges associated with meeting clinical quality measures requirements and evaluating clinical and financial performance in inpatient healthcare settings. The study found that clients were able to enhance productivity, improve reimbursements and reduce costs for an overall positive impact on the hospitals’ bottom line.

This paper will address:

  • The implications of value-based care models impacting America’s healthcare           system
  • The study findings and examples of ROI realized by Quantros clients
  • How hospitals and health systems can maximize clinical and financial                         performance in the transition from fee-for-service to value-based  care models.