Value based healthcare Flashcards
Porters 3 tiers
Health status achieved or retained
Process of recovery
Sustainability of recovery
Tier 1
Health status achieved or retained
Survival
Degree of health or recovery
Tier 2
Process of recovery
Time to recover & time to return to normal activities
Disutility of care or treatment process
Tier 3
Sustainability of health
Sustainability of health or recovery and nature of recurrences
Long-term consequences of therapy
Disutility of care
Presence of stoma
Acute complications of treatment
Quality of death
Place of death
Hospital admission at the end of life
Degree of health
Fatigue
Pain
Depression
Health-related QoL
Stoma functioning
Sexual dysfunction
PROMs
Patient reported outcome measures
Any report of status of a patients health condition
VAS, NRS, Oxford hip score
PREM
Patient reported experience measures
Satisfaction and experience with care
CQ index
NPs
Likelihood of recommending a hospital to friends
NPS = % prospectors - $ detractors
Essence of value based health care
- Patient value
- Costs
- Organization of care
- Steering quality
Patient value
Cliniccal outcomes, PROMs & PREMs
SDM
Organization of care
Provide care in care pathway
Ensure patient involvement in developing pathway & choosing indicators
Costs
Only pay for value adding activities for patient
Apply financial incentives that encourage value over volume
Steering quality
Apply EB care
Formulate in addition to outcome & cost indicators also process indicators
