![]() Value and patient satisfaction are also commonly confused. The goal of value-based health care is better health outcomes. 2Ĭertainly clinicians should practice with the consistency demanded by scientific methods and follow evidence-based care guidelines. Diabetes care in Italy provides one example of process compliance not ensuring better outcomes: Analysis of regional variations in process compliance and in outcome indicators showed better process compliance in the north but better outcomes for patients in the south. In addition, requirements to track and report process compliance may distract caregivers from the more significant goal of improving health outcomes. Quality improvement efforts may not improve patients’ health outcomes, however even given similar processes, different teams’ results vary. Value-based health care is often conflated with quality, a vague concept that implies myriad virtues and in health care often focuses on inputs and process compliance. Reducing costs is important but not sufficient: If the real goal of value-based health care were cost reduction, pain killers and compassion would be sufficient. ![]() Because value is created only when a person’s health outcomes improve, descriptions of value-based health care that focus on cost reduction are incomplete. 1 The goal of value-based care transformation is to enable the health care system to create more value for patients. Value in health care is the measured improvement in a patient’s health outcomes for the cost of achieving that improvement. The authors suggest medical schools should incorporate education on the principles and implementation of value-based health care throughout the undergraduate medical curriculum to prepare their graduates to lead the transformation to value-based health care as they enter the physician workforce. It also asks physicians to think differently about their role within the larger care team and about the services that team provides. Care provided in this way aligns delivery with how patients experience their health and reconnects clinicians to their purpose as healers. The team measures the health outcomes and costs of its care for each patient and uses that information to drive ongoing improvements. An interdisciplinary team of caregivers then comes together to design and deliver comprehensive solutions to address those needs. A decade of research into organizations that have achieved better outcomes while often lowering costs suggests a strategic framework for value-based health care implementation that starts with identifying and understanding a segment of patients whose health and related circumstances create a consistent set of needs. While some descriptions conflate value-based health care and cost reduction, quality improvement, or patient satisfaction, those efforts-while important-are not the same as value, which focuses primarily on improving patient health outcomes. Value in health care is the measured improvement in a person’s health outcomes for the cost of achieving that improvement. ![]()
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