Defining the Value of Spine Care

Jeffrey A Rihn MDAssistant Professor.Department of Orthopaedic SurgeryThomas Jefferson University and Hospitals.The Rothman Institute.Philadelphia, PAAlexander R Vaccaro MD PhDProfessor of Orthopaedic Surgery, Professor of Neurosurgery, Thomas Jefferson University and Hospitals, The Rothman Institute, Philadelphia, PATodd J Albert MDDepartment 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 Care4. Disease-Specific Health-Related Quality of Life Measures: Lumbar Degenerative Disease.5. Disease-Specific Health-Related Quality of Life Measures: Cervical Degenerative Disease6. Disease-Specific Health-Related Quality of Life Measures: Spinal Deformity.7. General Measures of Health-Related Quality of Life: SF-36 and Related Measures8. Numerical Rating Scales9. Health Status Preference, Utility, and Health-Related Quality of Life in the Assessment of Spinal Disorders and Other Medical Conditions10. 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 Technology15. 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 Disorders17. 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