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Surgical Outcomes Club
September 2017

Transforming the National Surgical Quality Improvement Program to the Delivery of Precision Medicine to Improve the Value of Surgical CareSummary of the John R. Clarke Keynote Address for the Surgical Outcomes Club 2016 Annual Meeting

Author Affiliations
  • 1Saint Luke’s Mid America Heart Institute, University of Missouri–Kansas City
  • 2Department of Surgery, University of Michigan, Ann Arbor
JAMA Surg. 2017;152(9):815-816. doi:10.1001/jamasurg.2017.1610

At the 2016 John R. Clarke Keynote Address to the Surgical Outcomes Club, we challenged the audience to begin thinking about implementing precision medicine in routine care. The audience was full of academic surgeons and researchers who seemed to embrace this challenge. However, a path to personalize care to the needs of each individual patient needs to be developed.

The profession of medicine is undergoing an unprecedented transformation from fee-for-service to value-based reimbursement. Medicare is pioneering this effort through bundled payments for orthopedic surgery, cardiology, and oncology, but this practice is sure to become widespread in the near future. While some may view this as an effort to reduce reimbursement, others see this as an opportunity to rethink current practice patterns and redesign health care delivery to improve patients’ experiences and outcomes while lowering costs.

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