The key principles of a VBHC system aim at balancing quality, financial and process considerations .
In order to achieve higher value in the healthcare system, it is necessary:
- to reduce wasteful care by basing decision-making on information
- to ensure that healthcare providers reduce care costs while maintaining high quality
- to provide and communicate care that patients perceive as high value
- to aim at higher patient involvement in order to match patients’ needs
- to follow a deeper value-based behaviour
- to establish a stronger clinical and financial rapport
- to keep track of all the activities conducted from start to end
Michael Porter, who introduced the definition of value in a VBHC system, developed the strategic agenda for moving to a high-value health care delivery system . According to Porter, such agenda has six components.
The integrated practice units (IPUs) are teams that consist of various professionals that are responsible for the total care of a medical condition and its complications . Such teams follow the patient’s wellbeing over the entire journey, minimising additional costs created by unnecessary interventions .
It is essential to track and measure the relevant patient data to ensure that patient outcomes are improved. Data analysis shows how outcomes have improved throughout time while linking them to incurred costs .
The idea is to ultimately develop bundled payments for reimbursing providers for improving patient outcomes.
Rather than directing the patient to multisite organisations where to get treatments, there is the need to integrate systems in order to eliminate the fragmentation and duplication of care, and to optimize the types of care delivered at each location.
If value is to be increased on a large scale, providers for a particular medical condition need to serve patients beyond their immediate geographic areas: they need to extend their reach through the strategic expansion of excellent IPUs. Following the VBHC principles, geographic expansion should focus on improving value and not volume.
 World Economic Forum. Value in Healthcare: Accelerating the Pace of Healthcare System Transformation. Geneva, Switzerland: World Economic Forum; 2018.
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