Ledina Lushko Revisted
Ledina Lushko Revisited: Insight from CDVC
Varun Segu Mohan
Sullivan University
Table of Content:
1. Introduction ………………………………………………………………… 3
2. Analyzing Care Delivery Value Chain..…………………………………….. 3
3. Conclusion and Recommendations ………………………………………… 6
4. References ………………………………………………………………….. 8
Ledina Lushko Revisited: CDVC
Mrs. Ledina Lushko was diagnosed with adrenocortical carcinoma (ACC) which is an aggressive cancer of adrenal gland. ACC is a very rare cancer that affects approximately 0.5-3 cases per millions. Mrs. Ledina and her family went through a tough period of consulting various doctors, many tests and differing opinions from specialists. In most cases ACC will be diagnosed only after it reaches an advanced stage which gives patients a very limited amount of survival period of three to six months. Due to its rare occurrence, effective treatment for ACC is a challenge to doctors as they had to rely only on the observational studies on small group of patients. Mrs. Ledina was used to getting healthcare at Albania which did not necessitate her to establish a primary care provider and she had purchased a low-cost high deductible plan for emergency situations. This led to Mrs. Lushko and her family taking time to select their PCP. She had to waste a lot of time and money for her initial evaluation as Johnson Medical center did not have any information about her medical history. Mrs. Lushko’s treatment and diagnosis reveals many shortcomings of US healthcare delivery system. We use this case study as a basis for analyzing Mrs. Lushko's Care Delivery Value chain against an ideal CDVC.
Analyzing Care Delivery Value Chain (CDVC)
Care Delivery Value Chain(CDVC) is designed around a medical condition and applies over the full cycle of healthcare delivery. CDVC is a systematic approach where one outlines the discrete activities required for the care, sequence and organization of the care, configure and
Varun Segu Mohan
Sullivan University
Table of Content:
1. Introduction ………………………………………………………………… 3
2. Analyzing Care Delivery Value Chain..…………………………………….. 3
3. Conclusion and Recommendations ………………………………………… 6
4. References ………………………………………………………………….. 8
Ledina Lushko Revisited: CDVC
Mrs. Ledina Lushko was diagnosed with adrenocortical carcinoma (ACC) which is an aggressive cancer of adrenal gland. ACC is a very rare cancer that affects approximately 0.5-3 cases per millions. Mrs. Ledina and her family went through a tough period of consulting various doctors, many tests and differing opinions from specialists. In most cases ACC will be diagnosed only after it reaches an advanced stage which gives patients a very limited amount of survival period of three to six months. Due to its rare occurrence, effective treatment for ACC is a challenge to doctors as they had to rely only on the observational studies on small group of patients. Mrs. Ledina was used to getting healthcare at Albania which did not necessitate her to establish a primary care provider and she had purchased a low-cost high deductible plan for emergency situations. This led to Mrs. Lushko and her family taking time to select their PCP. She had to waste a lot of time and money for her initial evaluation as Johnson Medical center did not have any information about her medical history. Mrs. Lushko’s treatment and diagnosis reveals many shortcomings of US healthcare delivery system. We use this case study as a basis for analyzing Mrs. Lushko's Care Delivery Value chain against an ideal CDVC.
Analyzing Care Delivery Value Chain (CDVC)
Care Delivery Value Chain(CDVC) is designed around a medical condition and applies over the full cycle of healthcare delivery. CDVC is a systematic approach where one outlines the discrete activities required for the care, sequence and organization of the care, configure and
References: Jain, S. H. & Porter, M. E. & Akrouh, F. & Daly, C. A. Case Study-Ledina Lushko: Navigating Health Care Delivery. Harvard Business School. 9-710-459. January 25, 2010. Porter, M. E. & Teisberg, E. O. (2006). Redefining Health Care: Creating value-based competition on results. Boston: Harvard Business School Press. Rhatigan, J. & Jain, S. & Mukherjee, J. S. & Porter, M. E. ( 2009). Applying the Care Delivery Value Chain: HIV/AIDS care in resource poor settings. Boston: Harvard Business School Press.