PRESENTATION PROF. MICHAEL PORTER A S E L E C T I O N * O F T H E S L I D E S A S P R E S E N T E D A T T H E V B H C P R I Z E E V E N T 2 0 1 7 D A T E : 2 9 - 5 - 2 0 1 7 * Click here to become member of VBHC Center Europe and gain access to the full presentation of Prof. Porter during the VBHC Prize event 2017. 1 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017 @VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu
VBHC Prize event 2017 The VBHC Prize Event 2017 was a truly inspiring and celebratory event together with the VBHC community. Diabeter has won the prestigious VBHC Prize 2017. 2 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017 @VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu
Get access to the full presentation Click here to become member of VBHC Center Europe and gain access to the full presentation of Prof. Porter during the VBHC Prize event 2017. Membership benefits: Unlimited access to breakthrough VBHC articles in the VBHC Knowledge Bank; Free personal advise on the best VBHC education options; Initiating, participating and have access to the work in Chapters; Free participating for ‘ How to write a winning application for the VBHC Prize ’ (first session on November 9 th 2017); Exclusive (one time offer) two for the price of one VBHC masterclasses; Free recertification for VBHC Certified Green Belts. The European platform for VBHC implementation 3 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017 @VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu
A selection of the presentation by Prof. Michael Porter - VBHC Prize Event 2017 – May 11 4
Value-Based Health Care Delivery: Latest Insights and Implications Professor Michael E. Porter 4th Annual VBHC Prize Landgoed de Salentein www.isc.hbs.edu May 11, 2017 No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means — electronic, mechanical, photocopying, recording, or otherwise — without the permission of Michael E. Porter and Elizabeth O.Teisberg. 5
The Growth of Value-Based Health Care Source: The Decision Group, Wiersma, VBHC Latest Insights 6
Creating Value-Based Health Care Delivery The Strategic Agenda 1. Re-organize Care around Patient Conditions, into Integrated Practice Units (IPUs) − For primary and preventive care, IPUs serve distinct patient segments 2. Measure Outcomes and Costs for Every Patient 3. Move to Value-Based Reimbursement Models, and Ultimately Bundled Payments for Conditions 4. Integrate Multi-Site Care Delivery Systems 5. Expand or Affiliate Across Geography 6. Build an Enabling Information Technology Platform 7
Value-Based Primary Care Oak Street Health • Focuses low-income older adults living in under-served urban communities – Four severity tiers • Multidisciplinary team covering the full care cycle: physicians, PAs, NPs, RNs, medical assistants, scribes, care managers, social workers, clinical informatics specialists, and others • Co-located in dedicated facilities . 19 sites across the Midwest • Explicit processes to engage patients and reduce obstacles to accessing care such as free rides/home-visits , in-house pharmacy and selected events for community residents • Selected in-house specialty services such as behavioral health and podiatry . Close relationships with preferred outside specialists and imaging partners • Meet daily and weekly to discuss patient care plans and process improvement • Measure and accountable for outcomes, cost, and patient experience • Single risk-adjusted payment covering overall care – Including payment for specialty inpatient and post-acute care 8
Shared Primary Care Infrastructure Complex Primary Low Frail Chronic/ Care Complex Healthy At-Risk Income Elderly IPUs Acute Multiple Elderly /Disabled (ADULTS) Chronic Shared Site for Social and Shared Low Cost, After Hours Prevention Behavioral Infrastructure Convenient Access Hubs Support Services Routine Services • Clinics in retail • 24 hour nurse • Smoking • Housing • Income support stores or other hotline cessation ‒ Nurse contacts • Alcohol addiction • Nutrition support convenient sites • Shared walk-in • Weight loss • Violence on-call • Transportation clinics in primary pediatrician if care or specialty necessary Complex addiction • After hours sites (e.g. opioids) and Close relations clinics in primary complex with social care or outpatient behavioral health services, school specialty sites care by specialty nurses, community IPU centers 9
Integrating Primary Care With Specialty Care Specialty Specialty IPUs IPUs Relationships Telemedicine Disease training Specialist Embedded Specialty IPU and regular Consultations and protocols Rotation specialists in take over referrals to from Specialty in PC IPUs PC IPUs primary care for Specialists IPUs to PC (e.g. one day serious, Experienced Teams per week) complex with the conditions Segment Complex Low Frail Chronic/ Primary Complex Healthy At-Risk Income Elderly Acute Care IPUs Multiple Elderly /Disabled Chronic 10
2. Measure Outcomes for Every Patient The Quality Measurement Landscape Patient Experience/ Engagement / Adherence Patient Initial Indicators Outcomes Processes Conditions, Risk Factors Protocols/Guidelines E.g. PSA, Gleason score, surgical margin Structure E.g., Staff certification, facilities standards 11
Standardizing Minimum Outcome Sets ICHOM Standard Sets Standard Sets Standard Sets Standard Sets Committed/ Complete Complete Complete In Process (2013) (2014) (2015-16) 1. Localized Prostate Cancer * Parkinson’s Disease 5. 13. Breast Cancer* 22. Chronic Kidney Disease 2. Lower Back Pain * 6. Cleft Lip and Palate* 14. Dementia 23. Oral Health 3. Coronary Artery Disease * Frail Elderly Stroke * 15. 24. Inflammatory Arthritis 7. 4. Cataracts * 16. Heart Failure 25. Congenital Hand and 8. Hip and Knee Osteoarthritis* 17. Pregnancy and Childbirth Upper Limb Malformations 9. Macular Degeneration* 18. Colorectal Cancer 26. Facial Palsy 10. Lung Cancer* 19. Overactive Bladder 27. Hypertension* 11. Depression and Anxiety 20. Craniofacial Microsomia 28. Diabetes 12. Advanced Prostate Cancer * 21. Inflammatory Bowel Disease 29. Atrial Fibrillation 30. Mental Health * Published Thus Far in Peer- Reviewed Journals Burden of 35% 45% 59% Disease 18% Covered To learn more about ICHOM please visit us at www.ichom.org 12
End of the selection of the presentation by Prof. Michael Porter 13
Get access to the full presentation Click here to become member of VBHC Center Europe and gain access to the full presentation of Prof. Porter during the VBHC Prize event 2017. Membership benefits: Unlimited access to breakthrough VBHC articles in the VBHC Knowledge Bank; Free personal advise on the best VBHC education options; Initiating, participating and have access to the work in Chapters; Free participating for ‘ How to write a winning application for the VBHC Prize ’ (first session on November 9 th 2017); Exclusive (one time offer) two for the price of one VBHC masterclasses; Free recertification for VBHC Certified Green Belts. The European platform for VBHC implementation 14 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017 @VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu
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