3. Providing value for Patients

MODULE 1 | Section 3 of 9

Providing Value for Patients

WHAT IS VALUE FOR PATIENTS?

There is general agreement among health care providers that when high-value care is consistently considered from the perspective of our patients, we can achieve the goal of delivering the best care for patients. That means focusing on outcomes that matter to patients.

WE CAN IMPROVE VALUE BY:

Improving outcomes for patients without raising costs
Maintaining good outcomes while decreasing costs
Improving outcomes dramatically for a smaller increase in costs
Improving outcomes for patients AND decreasing costs simultaneously

Scroll over each one for examples

This requires us to be dedicated to measurement and to achieving outcomes that matter to our patients. And yes, it means we also must consider and address costs.

 

 

Each of these goals is complicated, and there are many intricacies involved in considering these measures for health care. We will delve into this topic in much more detail in the following modules.

A LOT OF BUCKS, NOT A LOT OF BANG: THE HEALTH CARE COST AND QUALITY CRISIS

Watch the interactive video below. When the video pauses, you will have the opportunity to answer on-screen questions about the material. The video will resume once you have answered the question correctly.

In that statement (2011), Dr. Berwick makes the strongest argument for the goal of improving value for patients. Improving value requires us to attend to both outcomes and costs. Efforts based on the primary goal of improving efficiency have not achieved enough. Health care costs are still too high in 2017, and it is ever-clearer that value for patients, that is, outcomes achieved for the money spent, needs to define the true north of clinicians’ efforts.

 

Better outcomes reduce costs. Whenever we prevent or slow disease progression, get the right diagnosis (the first time), improve outcomes in ways that reduce the need for repeated care, reduce disability, improve effectiveness of treatments, reduce invasiveness of treatments, or reduce wasteful and redundant treatments, we are reducing the costs associated with health care. Health care waste is anything that does not add value for the patient. This includes tests, medications, and procedures that are not making people healthier.

 

 

Remember our obligation to “First, Do No Harm”!

REFERENCES

  1. 1. Porter ME and Teisberg EO. Redefining Health Care: Creating Value-Based Competition on Results. Boston, MA: Harvard Business Press; 2006.
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  3. 2. High value care. American College of Physicians website. https://www.acponline.org/clinical-information/high-value-care?utm_medium=referral&utm_source=r360. Accessed November 30, 2016.
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  5. 3. Committee on the Learning Health Care System in America; Institute of Medicine. Achieving and rewarding high-value care. In: Smith M, Saunders R, Stuckhardt L, et al., eds. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington,DC: National Academies Press (US); 2013. https://www.ncbi.nlm.nih.gov/books/NBK207237/?utm_medium=referral&utm_source=r360. Accessed November 30, 2016.
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  7. 4. Moriates C, Arora V, Shah N. Understanding Value-Based Healthcare. Columbus, OH: McGraw-Hill Education; 2015.
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  9. 5. Institute for Healthcare Improvement. “Picker Award Presentation to Donald Berwick, MD, MPP.” 23rd Annual National Forum on Quality Improvement in Health Care, December 2011.

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