The only successful program I can think of that was packed with value for patients was implemented by the Institute for Healthcare Improvement. The 100,000 Lives Campaign was successful. The reason for success was due to the simplicity: only 6 very relevant items were the focus for a goal of saving 100,000 lives. Changing behaviors to focus on 6 items would directly lead to accomplishing the goal.
The three ways to improve hospital value based programs hinge on reducing the complexity of these type of programs.
2. Eliminate all reporting of measurements that do not pertain to the final goal or outcome. The reporting needs to be less burdensome for providers. Boatloads of required measurements dilute efforts.
In the rehabilitation world, FOTO has been integral in value based purchasing payment models. The power of a very large outcomes database that not only measures outcomes, but also predicts outcomes based on risk adjusted patient factors, allows for accurate comparisons of care. Patients desire care that allows them to reach their highest level of function in the shortest amount of time. That is the key data that matters.
Until next time,