What are the Components of Value Based Care?

Describe the essential components of an ideal high value health care system.

-clear, shared vision -leadership and professionalism of health care workers -robust IT infrastructure -broad access to care -reimbursement models that remove incentives for volume based care

In order to improve healthcare delivery, practitioners must be aware of high volume care practices. Which of the following best describes the current state of trainees' knowledge and practice of high value care?

The practice environment where the trainee trained impacts their high value care practice

Which of the following is true of the current health care payment system?

the current system promotes volume over value

Identify the key barriers to patient centered, high value healthcare

-lack of shared reality, poor integration, poor coordination -inadequate education of health care workers -fragmented health care IT systems -lack of broad access to health care services -insurance models are not structured to support the provisions of high value care

What is the first strategy physicians can use to promote high value care?

Identify and classify health care gaps that lead to waste, errors, and missed opportunities

What are the components of the triple aim

-Improving the health of a defined population -Enhancing patient care experience -Reducing per capita costs of care

List strategies physicians can use to promote high value care

1. Understand the benefits, harms, and relative costs of interventions 2. Decrease or eliminate the use of interventions that provide no benefit and / or cause harm 3. Choose interventions and care settings that maximize benefits, minimize harms and reduce costs 4. Customize care plans with patients that incorporate their values and address their concerns 5. Identify system-level opportunities to improve outcomes, minimize harms and reduce health care waste

Explain the concept of value and how it applies to health care

High value care is defined as the best care for the patient -- high quality outcomes, safety and service, delivered at a reasonable cost STEEP

Summarize the current state of value in US health care

Plagued by rapidly rising costs, uneven access to health care services, and patient outcomes consistently place us at the bottom Our issues: outcomes, safety, services, total cost

In the value equation, ______ is defined as _____, _____, and _____

quality outcomes, safety, and service