Yolima Cossio-Gil1, Maisa Omara2, Carolina Watson1, Joseph Casey3, Alexandre Chakhunashvili4, María Gutiérrez-San Miguel1, Pascal Kahlem5, Samuel Keuchkerian6, Valerie Kirchberger7, Virginie Luce-Garnier8, Dominik Michiels9, Matteo Moro10, Barbara Philipp-Jaschek11, Simona Sancini10, Jan Hazelzet12, Tanja Stamm13. 1. Department of Information Systems, Vall d'Hebron, Barcelona Hospital Campus, Barcelona, Spain. 2. Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria and Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria. 3. King's Health Partners, London, England, UK. 4. Karolinska University Hospital, Stockholm, Sweden. 5. Scientific Network Management S.L., Barcelona, Spain. 6. CFE-Consulting Group, Saint-Amant-Tallende, France. 7. Charité, Berlin, Germany. 8. Assistance Publique des Hôpitaux de Paris, Paris, France. 9. Universitair Ziekenhuis Leuven, Leuven, Belgium. 10. Chief Medical Office, Ospedale San Raffaele, Milan, Italy. 11. Chief Medical Office, General Hospital and Medical University of Vienna, Vienna, Austria. 12. Erasmus University Medical Center, Rotterdam, The Netherlands. 13. Section for Outcomes Research, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria and Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, Austria. Electronic address: tanja.stamm@meduniwien.ac.at.
Abstract
OBJECTIVES: Value-based healthcare (VBHC) aims at improving patient outcomes while optimizing the use of hospitals' resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach. In this article, we present a blueprint for the implementation of VBHC in hospitals, based on our experience as members of the European University Hospital Alliance. METHODS: The European University Hospital Alliance is a consortium of 9 large hospitals in Europe and aims at increasing the quality and efficiency of care to ultimately drive better outcomes for patients. RESULTS: The blueprint describes how to prepare hospitals for VBHC implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways into a process that results in high-value care. Using a patient-centric approach, we identified 4 core minimum components that must be established as cornerstones and 7 organizational enablers to waive the barriers to implementation and ensure sustainability. CONCLUSION: The blueprint guides through pathway implementation and establishment of key performance indicators in 6 phases, which hospitals can tailor to their current status on their way to implement VBHC.
OBJECTIVES: Value-based healthcare (VBHC) aims at improving patient outcomes while optimizing the use of hospitals' resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach. In this article, we present a blueprint for the implementation of VBHC in hospitals, based on our experience as members of the European University Hospital Alliance. METHODS: The European University Hospital Alliance is a consortium of 9 large hospitals in Europe and aims at increasing the quality and efficiency of care to ultimately drive better outcomes for patients. RESULTS: The blueprint describes how to prepare hospitals for VBHC implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways into a process that results in high-value care. Using a patient-centric approach, we identified 4 core minimum components that must be established as cornerstones and 7 organizational enablers to waive the barriers to implementation and ensure sustainability. CONCLUSION: The blueprint guides through pathway implementation and establishment of key performance indicators in 6 phases, which hospitals can tailor to their current status on their way to implement VBHC.
Authors: Joanna R G Vijverberg; Kirsten Daniels; Gijs Steinmann; Mirjam M Garvelink; Marc B V Rouppe van der Voort; Douwe Biesma; Willem Jan W Bos; Frits van Merode; Paul van der Nat Journal: BMJ Open Date: 2022-08-16 Impact factor: 3.006