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COLLECTIONS

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COLLECTION 1: INTRODUCTION TO VALUE-BASED HEALTH CARE

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1 There's a Better Way
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2 Measuring What Matters
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3 Understanding Costs in Health Care
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COLLECTION 2: VALUE-BASED HEALTH CARE DELIVERY

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4 Coordinating Care for Patients
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5 Bringing It All Together: Value-Based Health Care Delivery
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COLLECTION 3: IMPROVING VALUE AT THE BEDSIDE

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6 Enhancing Affordability for Patients through High-Value Prescribing
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7 High-Value Communication
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COLLECTION 4: IMPROVING VALUE IN SYSTEMS

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8 Creating a High-Value Culture
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9 Shifting Payments from Volume to Value
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10 Leading Value-Improvement Programs on the Frontlines
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Estimated Time to Complete
01 HR 45 MIN
Module Progress
75% COMPLETE
MODULE 1 OUTCOMES
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COLLECTION 1 OUTCOMES
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What is value in health care? This collection contains three modules, which introduce the concept of value in health care - outcomes that matter to patients / total costs of care - and describes what it means for both patients and clinicians. Module 2 explores different types of measures and discusses the importance of measuring outcomes that matter to patients (the numerator of the value equation). Module 3 confronts the confusing world of costs in health care (the denominator of the value equation), defining different cost terms and payment models, and exploring cost accounting and insurance coverage structure.

Collection two examines what value-based health care delivery can look like in practice. The collection contains two modules that cover the importance of working with teams to coordinate care around the needs of patients, including the description of two example delivery structures: Integrated Practice Units (IPUs) and Patient Centered Medical Homes (PCMHs). Module 5 brings the concepts from modules 1-4 all together and covers the 6 guiding principles of value-based health care delivery.

How can clinicians integrate high-value care into their day-to-day work? This collection contains two modules and describes ways clinicians can enhance affordability for patients and communicate about costs and value. Module 6 primarily describes high-value prescribing and decreasing out-of-pocket costs for patients. Module 7 addresses the communication techniques that enable the delivery of high-value care.

How can the systems we work in better contribute to high-value care, and how can we affect change from within them? Our final collection in Discovering Value-Based Health Care examines organizational culture, payment structures, and systems change methodologies for promoting authentic and large-scale high-value care initiatives. Module 8 focuses on recognizing how organizational culture affects care delivery, Module 9 examines health care reimbursement strategies and alternatives to the current predominant fee-for-service system, and Module 10 describes how individuals can lead improvement initiatives in their institutions.

  • Reflect on the causes of waste and inefficiencies in health care.
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  • Define ‘value’ for patients
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  • Define ‘health care waste’
  • Identify the major contributing components of healthcare waste
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  • Connect how the pursuit of high-value care for patients supports the professionalism of clinicians.
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  • Introduce the concept of health care outcomes
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  • Examine a case that presents strategies and tools for increasing value in health care.
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  • Explore data to gain understanding and appreciation of the perspectives of patients, individual clinicians, and health systems as it pertains to value-based health care.
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  • Appreciate and reflect on outcomes that are meaningful to the patient.
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  • Define the measurement of ‘patient outcomes’ as they relate to value-based health care.
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  • Define the measurement of ‘patient outcomes’ as they relate to value-based health care.; Examine resources for defining and measuring patient outcomes.
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  • Describe different types of measures and when they would be used; Identify the reasons for collecting ‘patient-reported outcomes.’
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  • Apply a measures framework to evaluate the success of health care value programs from the perspective of patient outcomes.
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  • Examine resources for defining and measuring patient outcomes; Apply a measures framework to evaluate the success of health care value programs from the perspective of patient outcomes. Appreciate and reflect on how patient outcomes define physicians’ success.
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  • Reflect on the impact of cost on patient care and the overall value of provided health care.
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  • Describe basic principles of health care delivery, organization, and financing.
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  • Define terms used in discussing health care costs.
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  • Compare the application of traditional and value-based costing methods in the course of a patient’s treatment.
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  • Reflect on the impact of cost on patient care and the overall value of provided health care; Evaluate various charging and payment methods used in health care.
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  • Describe new methods for health care cost accounting and value-based payments.
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  • Study methods to measure and evaluate the success of health care value programs.
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  • Reflect on the inefficiencies for patients and clinicians coordinating care in the current system.
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  • Identify how inefficiencies contribute to harm to patients and clinicians.
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  • Recognize the benefits of team-based care interactions organized around patient circumstances or conditions.
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  • Define key components of patient-centered medical homes (PCMHs).
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  • Evaluate the purpose of PCMHs.
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  • Define integrated practice units (IPUs).
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  • Evaluate the benefits and limitations of IPU models.
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  • Demonstrate ability to design care models coordinated around the needs of patients.
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  • Analyze the features of a high-functioning value-based health care delivery system
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  • Recognize the benefits of team-based care interactions organized around patient medical needs and conditions
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  • Reflect on the importance of measurement focused on patient health outcomes
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  • Recognize the benefits of measuring and capturing actual costs of providing patient care
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  • Reflect on the causes and impacts of waste in health care

    Explore methods to curb overuse in health care

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  • Describe reimbursement mechanisms that support value of care provided across a full care cycle for medical conditions
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  • Explore examples of how health information technology can be leveraged to help restructure care delivery and accurately measure results
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  • Describe key structures of a delivery system focused on moving from volume to value
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  • Review key components of value-based health care
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  • Reflect on the impacts of high medication costs on patients
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  • Recognize the harms of cost-related medication non-adherence
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  • Define high-value prescribing
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  • Explore the principles of conservative prescribing
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  • Articulate how to identify patients who are having difficulty paying for their medications
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  • Describe strategies to reduce out-of-pocket drug costs for patients
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  • Reflect on how Kaiser Permanente has achieved better outcomes for patients through high rates of generic prescribing and affordable medications
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  • Practice methods for decreasing the costs of necessary medications for a patient
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  • Identify the challenges to addressing misconceptions at the point-of-care
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  • Suggest strategies for promoting high-value, shared decisions
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  • Develop an approach to discussing optimal use of resources with colleagues, consultants, and supervisors
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  • Discuss opportunities to improve interprofessional communication to limit less helpful tests and treatments and promote patient-centered, team-based care
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  • Use tools that help patients actively engage in their health
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  • Reflect on the key principles of the communication program developed at Cleveland Clinic
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  • Apply high-value communication techniques during a patient encounter
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  • Describe the ways ingrained institutional cultures contributes to low-value care
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  • Identify how organizational culture influences the value of health care delivery
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  • Define how culture can be measured and analyzed

    Analyze the key domains that contribute to a high-value care culture

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  • Characterize change management strategies
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  • Describe conditions that support culture change related to overuse
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  • Define ‘nudge’ strategies

    Describe how nudge strategies can used to minimize waste in health care

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  • Recognize personal responsibility in promoting cultural change
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  • Apply nudge theories to advance behavior change toward high-value care
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  • Reflect upon your local organizational culture in order to make a commitment to create change
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  • Characterize the ways in which low-value care is incentivized
  • Apply your knowledge of reimbursement mechanisms
  • Describe the current predominant fee-for-service payment model
  • Describe the drawbacks of the pay-for-performance reimbursement model
  • Recognize the pros and cons of bundled payment models
  • Recognize the pros and cons of capitation and global payment models
  • Explore the value of combining elements of different reimbursement models
  • Define value-based insurance design

    Summarize the current evidence supporting the VBID strategy

  • Discuss the CMS application of the bundled payment model
  • Compare systems and policies for clinical care reimbursement that maximize value and reduce costs
  • Articulate the ways in which issues can often have complex, system-ingrained causes
  • Describe common improvement methodologies
  • Build an actionable foundation for change implementation

    Identify tools that can help grow understanding of an issue

  • Evaluate the “COST” framework for value improvement efforts
  • Utilize tools for change measurement and tracking
  • Identify methods to measure and evaluate the success of health care value programs
  • Evaluate examples of successful value improvement projects and systems
  • Compare a lean health care system approach to a problem in your local organization
  • Apply the concepts of change implementation and/or change analysis in authentic situations
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