Overtreatment, undertreatment, overdiagnosis, underdiagnosis, uncontrolled costs and budgets, medical treatment errors and wrongly placed incentives have been reported across health systems in the developed world. The framework, concepts, practices; theories and tools of Value Based Healthcare (VBHC) are described by Prof. Porter in his famous article in the New England Journal of Medicine (Porter, M.E. 2010), and have and are being developed internationally by amongst others Prof. Porters and Prof. Teisberg’s group at Harvard University and Business School as a central node reference. The ideas have proven their worth in renowned centers worldwide, including the Cleveland Clinic, UCLA Medical Center, Joslin Diabetes Center, MD Anderson Cancer Center, Children’s Hospital of Philadelphia and the Schön Klinik.
Value Based Healthcare is about creating Value for patients throughout the full cycle of care. It is about maximizing the Health Outcome per Euro spent (Cost). A focus on Patient Value is needed when making responsible decisions by decision makers and clinical management, within the health system and health delivery organizations. More precisely, clinical management, doctors, nurses and other (para)medical teams should compare their (non)interventions across the whole Medical Condition with the patient outcome and costs.
Patient Value is the balance between patient relevant health outcomes and the costs of delivering these outcomes. Patient centered – doctor driven.
(Free after Michael E. Porter, What is value in healthcare? English Journal of Medicine, 363:26, December 2010)
Prof. Dr. Fred van Eenennaam and his team have bundled the existing information to write a methodology based on the principles of Value-Based Health Care by Harvard Professors Porter, Teisberg and Kaplan, and have had a lot of feedback from international colleagues. The methodology is based on starting the dialogue with medical professionals, care providers and executives on Patient Value. With practical tools, workshops and pressure-cooker sessions, a hands-on approach is provided to ‘change’ the view of the organization and its employees.
The resulted methodology is described in the following articles:
- Note 5: Outcome Measures: Practices and methodologies
- Outcome measures and Patient Initial Conditions (only available in Dutch)
Read more about VBHC: www.vbhc.nl