TRENDING: “Then you would have this market force thing that we’re all looking for,” Lee said, “to drive care higher and better.”

Lee calls the resulting metric the “perfect care index,” a tool to measure which targets are met. Did the patient avoid infections? Did she regain mobility? Can she play with her kids?  And once that’s done, the hospital can redesign its care, make it more affordable — and use the proof of its performance to …

By Casey Ross @byCaseyRoss  October 17, 2016

SALT LAKE CITY — Doctors in this mountain city are chasing answers that could transform medicine nationwide.

Their quest is unfolding not in a lab or an operating room, but on the screen of an iPad that asks patients a straightforward question: What do you want from your care?

A father with a bad knee might answer that he wants to dance at his daughter’s wedding. A woman with back pain might simply want to regain focus at work. It sounds so simple. But it’s a radical step in a health care system that traditionally defines success by technical benchmarks and government quality metrics — not by the patient’s own goals.

“That’s the holy grail for me,” said Dr. Vivian Lee, chief executive of the University of Utah Health Care system, a network of four hospitals, a cancer institute, and 10 neighborhood clinics. “Now we’re really going to start to define value in terms that matter to the patients.”

Lee has revolution on her mind.

During the last decade, her health system has repeatedly challenged the conventions of medical care and upended the relationships between doctors and patients.



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