Healthcare

Background

The Decision Group has a top focus on healthcare. In cooperation with several academic institutes we frequently perform research on the developments in healthcare in order to give our clients access to the latest international insights. Our expertise ranges from

  • Hospital or medical department strategy; to
  • Business model development for practice units; to
  • In-depth knowledge on developing hospital quality measures; to
  • Expertise in Time-driven Activity Based costing, a proven method to determine real cost; and
  • Action Learning Programs on change, translating theory into daily practice.

We have an internationally leading expertise on the development of patient relevant medical outcome measures. As official Partner of Prof. Michael Porter at Harvard Business School we have developed practical ways to implement his theory of ‘Value-based Healthcare’.

In our projects and studies we work for and with all the various players in the Dutch healthcare system: healthcare providers, patient organizations, policy makers, and health insurers. We believe that costs in healthcare can be reduced by focusing first and foremost on improving quality of healthcare delivery.

We deliver…

  • Open programs on Clinical Management: Case teaching workshops that provide insight on hospital management and strategy based on international practices. Profound discussion is key.
  • Masterclass on various aspects of Value-Based Healthcare: Short but intensive tastings of the methods to implement Value-Based Health Care into your own care/cure practice unit/organization. Down-to-earth-learning through simulation. 
  • Lectures on Value-Based Health Care
  • Co-development of new outcome measures: We develop new outcome measures in co-creation with care providers, guided by our international academic council. See also our referral project at the heart centers of Catharina hospital (Eindhoven) and Antonius hospital (Nieuwegein).
  • Tailored projects on ‘Value-based Healthcare’: Our translation of the ‘Value-based Healthcare’ concept into an easy-to-implement approach has generated a great diversity of solutions to a number of needs:
    • Creating insight in patient value (registration of patient value in a scoped geographical area)
    • Defining the proper medical condition
    • Developing an internal steering model based on outcomes
    • Setting up a health costing model using time driven activity based costing (TDABC)  (in cooperation with Prof. Bob Kaplan)
    • Organizing empowerment conferences; delivering insight, vision and inspiration to groups of professionals
    • Investigation of value-adding steps in the care delivery chain with the aim to increase efficiency and effectiveness, or clarify potential patient safety leaks
    • Retrieval of outcome measure data (datamanagement)
    • Building the value proposition for your patients
    • Learning how to be a better negotiator to insurers, boards, and other demanding parties

For more information, please contact us at 0346-574942, or send an e-mail to Barbara Schooneveldt; b.schooneveldt@thedecisiongroup.nl.

Milestones

Quality-based selection of hospitals for Transcatheter Heart Valve Intervention (Study, 2011)
The study resulted in a description of an international standard for quality-based selection of hospitals. Immediate cause was a report of the Dutch Healthcare Inspection (IGZ) on the quality of hospitals regarding Transcatheter Heart Valve Interventions, a state-of-the-art treatment, which offers an alternative to surgical valve replacement. The study compares the results of the IGZ with international best-practices. It shows the relevance of outcome measures as prime indicators to measures the quality of healthcare delivery. Click here for a presentation of prof. dr. Fred van Eenennaam on the results.

Changing Roles and Configurations of Hospitals (Study, 2008-ongoing)
This study shows that classic business theories do not apply to (Dutch) hospitals. A new method is developed that supports hospital portfolio decisions based on one overall joint hospital strategy. The method has been extensively tested among 20+ hospital board members and 50+ medical staff.

The future of the Dutch Healthcare System; Options and Roles of Health Insurers (Study, 2008)
Recent changes in the Dutch Healthcare system give health insurers a more central role. One of the main results of this study is the identification of different roles for health insurers in the new healthcare system. Four archetypes of roles for health insurers have been developed. Health insurers can steer on six key drivers, depending on the role they choose to play in the healthcare system.

Examples of recent projects

Outcome Measures Project
A unique new project, where The Decision Group uses its internationally leading expertise on outcome measures to identify quality reporting for the heart centers of Catharina-hospital Eindhoven and Antonius hospital Nieuwegein. The project is executed in cooperation with an International Academic Advisory Council of The Decision Group with participation of Prof Dr. Lars Svensson of the Cleveland Clinic, Leonard Friedman of The George Washington University and Federico Lega of Bocconi University participate in this council.

Outcome Measures Symposium
Catharina-hospital Eindhoven and The Decision Group organized a symposium on Outcome Measures. Speakers included Wim van der Meeren, CEO of CZ. Prof. dr. Svensson of the Cleveland Clinic was keynote speaker. Click here for more information on the program and articles that appeared in the media.

Real-action learning in healthcare
In cooperation with the Dutch Association of Medical Specialists (de Orde van Medisch Specialisten), The Decision Group developed a real-action learning program on hospital strategy. It is a 4-month program to educate medical staff, medical board and hospital board regarding the newest international insights on hospital strategy. Medical staff is educated on how to make strategic decisions within the strategic direction of the hospital overall. The program results in an actionable hospital strategy which is supported at all layers of the hospital.