• Transparancy of qualtity of care goes beyond mortality rates

    Zorgvisie – December 3rd, 2012

    In December 2012 a number of hospitals made their mortality rate or so called HSMR (Hospital Standarised Mortality Ratio) public. This is an important step towards transparency of quality of care delivery.  However, we cannot rely on HSMR warns Piet-Hein Buiting the new CEO of Santeon (joint force of six top clinical Dutch hospitals). Comparing hospitals based on HSMR is unreliable and the number tells us nothing about the performance of individual departments. If we really want to give insight in quality of care, we need more specific data. In this respect Piet-Hein Buiting praises Meetbaar Beter, the joint effort of  the heart centres of Catharina  Hospital, St. Antonius Hospital Nieuwegein and The Decision Group.

    Outcome Measures

    With the Value Based Healthcare Center Europe, The Decision Group strives to develop patient relevant medical outcome measures that facilitate decision making and dialogue, making quality comprehensible. We provide clear insight in the whole cycle of care around a medical condition. Together with medical specialists, professionals and patients, the outcomes that are most relevant for the patient are successfully determined. Our methodology was successfully implemented in the project Meetbaar Beter.

    If you are interested to learn more about Value Based Healthcare and the use of Outcome Measures, please refer to our Clinical Management Workshop Series and our specialized Masterclasses Value Based Health Care.

    Visit our Value Based Health Care Center and learn, share and inspire!

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  • Meetbaar Beter Outcome Books available for download

    The first outcome measures and results for several medical conditions in cardiology are known! Download the Meetbaar Beter books by clicking the seperate books for the Heart Centers of Catharina and St Antonius hospitals.

    Meetbaar Beter – Value Based Health Care

    With Meetbaar Beter, The Decision Group, together with the cardiologists and cardio thoracic surgeons of Catherina and St Antonius Nieuwegein Hospitals developed patient relevant medical Outcome Measures for 5 medical conditions in cardiology and new medical conditions are being explored.

    Meetbaar Beter is based on the concepts of Value Based Health Care.  The outcome measures are developed from the perspective of the patient. What are the value adding activities for the patient and how can value be measured? Learn more and visit the dedicated website: www.vbhc.nl

    Learn More? Masterclass Outcome Measures – October 30

    Learn how Outcome Measures can be developed and implemented during the Masterclass Outcome Measures of  October 30, 2012 or March 6th, 2012.  Sign up or send an email to Niels van Gorp for more information. Best practices in the field of clinical management are discussed at the Clinical Management Workshop Series based on Harvard Business Cases. Discover how the Cleveland Clinic implemented outcome measures or how Intermountain optimized its processes. Visit the website for more information.

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  • Compliments for Meetbaar Beter & Value Based Health Care

    The first outcome measures and results for several medical conditions in cardiology are known! More than 250 visitors attended the impressive symposium in the Ruwenberg St. Michielsgestel on October 12, 2012. Prof. Dr. Fred van Eenennaam, partner of The Decision Group, led the afternoon, and told how Value Based Health Care works and how the outcome measures have been established.

    Patient Value

    The outcome measures are developed from the perspective of the patient. What are the value adding activities for the patient and how can value be measured? Maarten Koomans, partner of The Decision Group and chairman of Value Based Health Care Center Europe explains: “The results are for the total care of the patient. Not limited to the hospital and not only for the treatment by the medical specialist.” This is underlined by Dennis van Veghel, project leader Meetbaar Beter. “We give the patient insights into what he or she may expect of us”.

    Support

    The patient organization Heart & Vascular Group was enthusiastic about the approach. It is: “durven, doen en doorpakken“. The Consumentenbond added: “There is widespread support created and it is started by the medical specialist“. The cardiologists and cardio thoracic surgeons have worked with The Decision Group to develop  outcome measures. “It’s works like a mirror,” admits Jacques Koolen cardiologist Catharina Ziekenhuis. Through intensive collaboration we learned from each other, and the dialogue was based on quality.

    Enthusiasm

    Several websites (nu.nl, skipr, zorgvisie), radio (radio 1) and television (including nos-journal) paid attention to the symposium. Achmea Senior Medical Advisor Ben Crul complimented Meetbaar Beter with its speed and scientific argumentation. Joel Gijzen Director Zorg Inkoop CZ stressed that attention should be paid on improving the care process with outcome measures as a clear internal quality control. Comparing with other hospitals is secondary. VGZ Maarten van der Vorst shared the view of Achmea and CZ and was particularly pleased with the acceptance of the field.

    Meanwhile, four hospitals indicated to participate in Meetbaar Beter. Veronique Esman-Peeters Director Curatieve Zorg hopes that people will cooperate with Meetbaar Beter. She is very happy with the speed of the project.

    Learn More?

    Learn how Outcome Measures can be developed and implemented during the Masterclass Outcome Measures of  October 30, 2012. Sign up or send an email to Niels van Gorp for more information. Best practices in the field of clinical management are discussed at the Clinical Management Workshop Series based on Harvard Business Cases. Discover how the Cleveland Clinic implemented outcome measures or how Intermountain optimized its processes. Visit the website for more information.

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  • Heart Centers share their results on Outcome Measures

    For the first time in the Netherlands, patient relevant medical Outcome Measures will be presented. The Decision Group, together with the cardiologists and cardio thoracic surgeons of Catherina and St Antonius Nieuwegein Hospitals developed patient relevant medical Outcome Measures for 5 medical conditions in cardiology.

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  • Patient Relevant Medical Outcome Measures for Cardiology

    On October 12 2012, for the first time in the Netherlands, patient relevant medical Outcome Measures will be presented. The Decision Group, together with the cardiologists and cardio thoracic surgeons of Catherina and St Antonius Nieuwegein Hospitals developed patient relevant medical Outcome Measures for 5 medical conditions in cardiology.

    Symposium MeetBaar Beter

    The results of  MeetBaar Beter  (measurably better) will be presented on a special symposium. The initiative has been embraced by all stakeholders in the field and it is supported by specialists. The Outcome Measures are developed to facilitate decision making and dialogue  at all levels  and have already led to improvements in the quality of care delivered at the two hospitals. The full program can be found on the dedicated website Meetbaar Beter.

    Develop Outcome Measures for your specialism

    The Decision Institute offers together with the Value-Based Health Care Center Europe, a range of workshops and masterclasses. Learn how you can implement Outcome Measures in our Masterclass Outcome Measures on 30 October 2012. Subscribe now via our website for our accredited programs or send an email to Niels van Gorp for more information.

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  • Understand your customers – Innovation & Growth

    “Understand your customers, your own DNA and design your own business model! But formost, timing. Timing of strategic moves is crucial.” These were the two main conclusions of case teacher and innovation expert Ir. Maarten Koomans during the workshop Innovation & Growth of the Strategy & Governance Excellence Series of affiliate The Decision Institute.

    Apple Inc as best practice

    Take Apple. It has been a rocky-ride for most of their existence. Sure, now they are the most valueable company with a P/E of 13, but not always. What connects their NOW with their PAST is the profile of their customer base, innovation capabilities combined with their own true understanding of design and users. The Intel move should not have happened two years earlier or later. Both would have been disasterous. The Business Model Canvas serves in this discussion as a super conversation tool to understand where your core is, and where you might look to find a starting point for new approaches/products/services.

    Continuously, business environments change; new competitors enter the market, new technologies appear and other substitution services or products reach your clients. To stay ahead of the curve, it is necessary to think about your business model over and over again.

    • What is the added value for the client?
    • What are the key activities of the business?
    • What are the costdrivers of the business?

    Partnering with Business Models Inc., The Decision Group can visualize and develop a value proposition for your business, with the tool: Advanced Business Model Canvas.

    More Information

    For more information about the Strategy & Governance Excellence Series of affiliate The Decision Institute, can be found on our website.

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  • Experts give vision on implementation and use Outcome Measures

    ‘Determining Outcome Measures based on the Value Based Healthcare methodolgy is very practical and forces to think in small steps. A bottom-up perspective that can result in  major culture changes.’ These were the two main conclusions of the healthcare experts during the masterclass Outcome Measures of affiliate The Decision Institute.

    Establishing Outcome Measures is an essential step in creating Patient Value. It results in putting the patient at the core of the Healthcare system. From a historical perspective, outcome measures are developed to provide information to several governmental institutions.  However, these measures can also be used beyond compliance to function as a tool to improve quality and efficiency.  The implementation requires a company culture change. However, by starting with small steps, these changes will roll out automatically.

    Implementation: Do and Don’ts

    Do

    • Select the right outcome measures; first the most relevant outcome measures for patients and the medical staff, then for the board and insurance companies.
    • Improve the culture of the organization from bottom up.
    • The quality of decision making by indicators, depends on clearly defined medical conditions.
    • Your own leading medical professionals, with outside help and references, will lead this process most effectively.

    Do not

    • Do not fall in the trap of availability of data, process or structure measures and health economic methodologies.
    • Avoid making this a staff accreditation excercise.
    • Do not bother with the many and unsuccesful indicator efforts in The Netherlands, they have obstructed clinical delivery and decision making.

    Value Based Healthcare: How to start?   

    The Decision Group has 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’.  One of our Value Based Healthcare projects is the development of outcome measures for the heart centers of Catharina-hospital Eindhoven and Antonius hospital Nieuwegein. In case, you would like to learn more:

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  • The Decision Group Framework: a new way of looking at diagnostics

    At the successful event on The Value of Diagnostics of June 5th 2012, The Decision Group Framework was launched. This decision framework for diagnostics will help organizations to asses the value of diagnostics. The framework and methodology received very positive replies from the audience:

    • The event was very usefull and inspiring. It gave me a new vision on how to interpret costs and value. – Medical specialist
    • The Decision Framework is innovative and can result in product improvement. The Value of Diagnostics is the ‘new thinking’  – Director of Life Sciences company
    • The Decision Group succeeded to open a new discussion on diagnostics, via a differen point of view and a practical approach’  – Head Clinical Chemistry

    A large variety of stakeholder groups were present at the event. A sample of the companies and organisations represented:

    Borstkankervereniging Nederland IKNL
    Check-Points B.V.  Isala Klinieken
    Citeq Health Products Ned. Ver. voor Radiologie
    De Friesland Zorgverzekeraar Nucletron
    Diaconessenhuis Meppel NVOG
    Distrilab BV Philips Healthcare Benelux
    E-nose Radboud University Nijmege MC
    Erasmus MC Roche Diagnostics Nederland
    Flevoziekenhuis Saltro 
    Forbion Capital Partners Saxenburgh groep
    GE Healthcare St Lucas Andreas Ziekenhuis
    Glaxo Smith Kline Virtual Proteins BV
    Haga Teaching Hospital Vu University Medical Center
    Hycult Biotech  

     

    During the discussion it became clear that this new approach brings high added value for the different stakeholders.  Actions to learn more:

    See also

    – The Decision Group Healthcare Consulting
    – The Decision Group Life Sciences Consulting

    Executive Education Programs Healthcare by affiliate The Decision Institute: 
    Clinical Management Workshop Series
    Masterclasses Value Based Health Care
    Strategy & Goverancence Excellence Series
    Masterclass Healthcare ‘New&Improved’

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  • New perspectives on the cost crisis in healthcare

     Our befriended affiliates at Harvard Business School; Prof. R.S. Kaplan and Prof. M.E. Porter published a new article in the New York Times. “Why Medical Bills Are a Mystery”.(Click to download)  The piece sheds light on the broken costing practices in health care and the opportunities that arise from accurately measuring the costs of resources used at the medical condition level. Combining improved costing practices with rigorous measurement of patient outcomes allows for targeted process redesign and care delivery improvements, which yield substantial savings and may be the only way to truly “bend the curve” of rising health care costs.

    The Decision Group hopes you enjoy the article and that it engenders discussion of these issues at your organization.

    Masterclass Health Costing

    The Decision Group and The Decision Institute work as the European partner of prof. Porter to roll out the principles of Value Based Healthcare, of which Health Costing forms an integral part.  Our new Masterclass Health Costing is now available to help you and your organization with a practical approach towards Health Costing and decisionmaking on costs. For more information on our open or inhouse Masterclass Health Costing or to run a pilot program, please contact Barbara Schooneveldt at b.schooneveldt@thedecisiongroup.nl. For more information on the other masterclasses in the Value Based Healthcare series, download the brochure or visit our healthcare website.

    See also:

    – The Decision Group Healthcare Consulting
    Academic Connections

    Executive Education Programs Healthcare by affiliate The Decision Institute: 
    Clinical Management Workshop Series
    Masterclass Healthcare ‘New&Improved’

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  • Outcome Measures: Value Creation for Patients

    An inspiring and successful Clinical Management Workshop was organized at the first spring day of 2012, March 21st. The workshop was part of the Clinical Management Workshop Series. A large group of healthcare professionals from various hospitals and participants from the industry actively discussed the latest insights and Dutch situation regarding the subject of ‘Outcome Measures: value creation for patients’.

    The key learnings of the workshops were connected to the following topics:

    • Health outcomes are both the starting point to create patient value, as steering indicators for internal organization.
    • Outcomes, costs, and the activities in the care cycle are interrelated, change in any of these elements has effects on the other two.
    • Practice units should be integrated and be uncoupled from finance units. The financial structure should not be leading the organizational structure.
    • Medical AND managerial coordinators are essential for optimal collaboration between units

    Value-based Healthcare & Outcome Measures

    Next to the Clinical Management Workshop Series, we organize several other programs and projects:

    • Inhouse masterclasses and workshops on outcome measures
    • Co-development projects on new outcome measures
    • Tailored projects on ‘Value-based Healthcare’

    Check our proceedings at Catharina Hospital (Eindhoven) and Antonius Hospital (Nieuwegein) – Meetbaar Beter Project

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

    See also:

    Strategy Consulting for Healthcare & Life Sciences:
    – Consulting for Healthcare
    – Consulting for Life Sciences

    The Decision Institute Healthcare Masterclasses & Workshops:
    Clinical Management Workshop “Outcome Measures”
    – Clinical Management Workshop “Managing Hospital Safe – Guards”.
    – Clinical Management Workshop “Concentration and Distribution”.
    – Masterclass Healthcare ‘New&Improved’
    – Masterclass Outcome Measures

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