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.
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.
“Heart centers measure the quality using outcome measures” is the title of the Skipr article on the Value Based Healthcare initiative “Meetbaar Beter”. Within 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. Additional medical conditions are being explored.
- Download the excellent article of Skipr via the link, and learn more on Outcome Measures & Value Based Healthcare.
Value Based Healthcare Center Europe
In october 2012, a new center is launched: The Value Based Healthcare Center Europe. It is the vision, and the aim of Value Based Health Care – Center Europe, to share good and best practices, indepth knowledge and implementation insights on Value Based Health Care, putting Patient Value at the core.
“We have been working with Harvard Business School, Harvard Medical School and the University through Prof. M. Porter on the concepts of Value-based Healthcare. We are official partner of Prof. Porter for implementation in NL and the EU.” – ir Maarten Koomans, Partner The Decision Group.
The center provides a platform where visitors can learn about the VBHC concepts, share their own knowledge and get inspired to start the discussion on Patient Value. It stimulates and supports implementation and change of health organizations towards Value Based Health Care in The Netherlands and Europe.Continue reading
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.Continue reading
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.Continue reading
‘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
- 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 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:
- Learn more on our methodology, by visiting the healthcare website.
- Get a feeling of a Value Based Healthcare by exploring the Meetbaar Beter Project.
- Follow a masterclass by affliliate the The Decision Institute to understand the steps of implementation.
- Contact Barbara Schooneveldt for more information on implementation possibilities.
An enthusiastic group of academic health administration professionals visited The Netherlands last week. Together with AUPHA, The Decision Group’s affiliate The Decision Institute organized a study tour of the Dutch Healthcare System. The purpose of tour was to provide new ways to think about specific health management and policy issues. How the Netherlands has excelled or experimented with innovative programs and what are the unique challenges to learn from.
Large (academic) network
A large network of main players in healthcare was provided; from policy makers, and (academic) hospitals till insurers and patient organisations. The connections of The Decision Group were the focus of this week. The group visited amongst others the Ministry of Health, Menzis Healthcare and the Catharina Ziekenhuis. The participants were impressed by the Dutch System. The approval of the Obama Care Act gave a special touch to the tour.
- Visit our Healthcare page, to learn more on our Healthcare projects and methods.
- Read the blog of the CEO of AUPHA Lydia Middleton for more information on the activities of the special week.
- Contact ir. Niels van Gorp to connect to our large healthcare & academic network or for further questions.
See alsoContinue reading
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 email@example.com. For more information on the other masterclasses in the Value Based Healthcare series, download the brochure or visit our healthcare website.
See also:Continue reading
- Diagnostics influences as much as 60-70% of healthcare decision making
- Expenditure on diagnostics is even less than 6% of the total health expenditure
Diagnostics does not receive the attention it deserves. It is the missing link for a sustainable healthcare system, providing immediate opportunities to reduce costs and to deliver higher quality of care.
The Value of Diagnostics – The Study
The Decision Group and Isala Klinieken proudly present the results of the study “the Value of Diagnostics”. This study resulted in the first decision framework for diagnostics. It will help you and your organization to assess the value of different types of diagnostics and provides a much more efficient mechanism to take reimbursement, investment and portfolio decisions.
On Tuesday June 5th, the latest insights will be shared on our study results, the new framework and the method. The event will take place on 14.00u-18.00u in Hotel Wientjes, Stationsweg 7, Zwolle.
To register for participation, please fill out the online application form or contact Kim Bruheim (firstname.lastname@example.org). For more information on the Value of Diagnostics visit our special website and download the Executive Summary.
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– Academic Connections
– Executive Education Programs Healthcare by affiliate The Decision Institute:
– Clinical Management Workshop Series
– Masterclass Healthcare ‘New&Improved’
‘ Measuring the quality of healthcare: principles and challenges’ was the title of the symposium Aantoonbaar Beter organized by the Nederlandse Federatie van Universitair Medische Centra (NFU) and Gezondheidsraad on April 5, 2012. The interesting speakers and enthusiastic participants discussed the relevance and examples of outcome measures. Partcipating stakeholders all endorsed the relevance of outcome measures – the guiding the principle of Value-Based Healthcare. This is truly a step in the right direction. But how to get Outcome Measurement started?
The Decision Group & Value-Based Healthcare
During the symposium many ideas were brought about on Outcome Measures. But ideas are not enough. It is important to convert these ideas into a practical approach for implementation. The Decision Group helps to implement Value-Based Healthcare and our Outcome Measures methodology in your organization. We are Prof. Michael Porter’s European partner to roll out Value Based Healthcare in Europe and The Netherlands. Currently, The Decision Group is running various pilot projects. Our flagship project “Meetbaar Beter” sets and collects Outcome Measures for the heart centers of Catharina and Sint Antonius Hospitals. For more information about The Decision Group and Outcomes, you can visit our special website.
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Prof. Porter emphasized our fine relationship by introducing the Decision Group as “our (Harvard Business School. red.) partner in unrolling the concepts of Value Based Healthcare in the Netherlands and Europe.”
Value Based Healthcare
During the Strategy for Healthcare Delivery Workshop, the latest insights were shared on Value Based Healthcare. Business cases of best practice hospitals were discussed with subjects like Time-driven Activity Based Costing, Outcome Measures, Integrated Practice Units and Network Strategy. Prof. Kaplan, the world renowned expert on accounting, was a keynote speakers during the workshop.
The Decision Group has expertise on all Value Based Healthcare topics and integrates the best practices in our Healthcare projects. The “flagship project” is the definition of Outcome Measures for both Catharina Hospital and Antonius Hospital. In our Clinical Management Workshop Series the latest insights on Value Based Healthcare are shared with participating stakeholders in Dutch Healthcare.
The Decision Group Healthcare Consulting:Continue reading
– Healthcare Consulting