Noel Baxter Co-lead NHS London Respiratory Team
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Transcript of Noel Baxter Co-lead NHS London Respiratory Team
Patient outcome measures vs. the provider process or outcome
Health OutcomesPatient definedbundle of care
CostValue=
Health Outcomes Cost of delivering
Outcomes
Porter ME; Lee TH NEJM 2010;363:2477-2481; 2481-2483
We know what interventions are good value – when they are done in the right way
Triple Therapy
£35,000-£187,000/QALY
LABA
£8,000/QALY
Tiotropium
£7,000/QALY
Pulmonary Rehabilitation
£2,000-8,000/QALY
Stop Smoking Support with pharmacotherapy £2,000/QALY
Flu vaccination £1,000/QALY in “at risk” population
We know how to allocate resource at population level
http://www.impressresp.com/index.php?option=com_content&view=article&id=167:impressions-28-relative-value-of-copd-interventions&catid=11:impressions&Itemid=3
Patient outcomes dependent on multiple providers
Hospital CCG & Community
http://www.londonhp.nhs.uk/publications/copd/copd-profiles-2012/