VBC means a reorganization of systems around the needs of the patient, necessitating shifts in perspective and culture. Switching medical provision to teams and units that integrate the full cycle of care together is another key element. The integrated practice units (IPUs) are a group of wards that care for patients with similar clinical needs.
A switch to patient-focus drives benefits that patients can see. Sixty-seven percent of Leaders said patients were more satisfied with their care in the past year, versus 39% of Followers; 70% of Leaders said patients reported a better quality of life than a year ago, compared to 46% of Followers.
A new report from innovation consultancy PA Consulting examines the de rigueur healthcare approach, and how the industry can get the ball rolling.
Healthcare systems are under increasing pressure as populations grow and age, and more people deal with chronic conditions. The traditional fee-for-service model, which incentives volume of treatment over the “right” treatment, seems increasingly unsustainable. Value-based care, which links processes, structures, and reimbursement to patient outcomes, is widely viewed as a better and more sustainable healthcare model going forward.
Developed in 2006 by noted US academics Michael Porter and Elizabeth Teisberg, value-based care rebuilds healthcare systems around giving patients a better quality of life. The approach prioritizes the quality of treatment over quantity, avoiding duplication and waste, and delivering more for less.
Value-based care has already wooed policymakers struggling with escalating healthcare costs. The NHS’ Five Year Forward View stresses measuring patient outcomes and improving preventative measures – both key parts of value-based care. The US Department of Health and Human services, meanwhile, set a goal of tying 50% of Medicare benefits to value-based payment models by 2018.
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