Implementing systematic outcomes measurement: making it work in - - PowerPoint PPT Presentation

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Implementing systematic outcomes measurement: making it work in - - PowerPoint PPT Presentation

ICHOM Congress 2019 Implementing systematic outcomes measurement: making it work in practice Francisco Nuno Rocha Gonalves, PhD Director of Healthcare Technologies Management, LUZ Sade Researcher at IPO-Porto Research Center Value Based


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Francisco Nuno Rocha Gonçalves, PhD

Director of Healthcare Technologies Management, LUZ Saúde Researcher at IPO-Porto Research Center

Implementing systematic outcomes measurement: making it work in practice

ICHOM Congress 2019

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Value Based Health Care in Portugal

  • 11 integrated pathology clinics
  • ICHOM standards & others
  • Outcomes Research Lab
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Value Based Health Care in Portugal

  • 11 integrated pathology clinics
  • ICHOM standards & others
  • Outcomes Research Lab
  • AllCan / ICHOM
  • 3F project:

– FAROL: Value Based Contracts / Payments – POLARIS: Integrating and Empowering

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Value Based Health Care in Portugal

  • 11 integrated pathology clinics
  • ICHOM standards & others
  • Outcomes Research Lab
  • Full Clinical Transformation: 14 disease areas
  • Measuring Outcomes, PROMs & Costs
  • Changing Markets Rules – OBPayments
  • AllCan / ICHOM
  • 3F project:

– FAROL: Value Based Contracts / Payments – POLARIS: Integrating and Empowering

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7

VBHC in Portugal

Integration and Growth Measuring Costs and Outcomes Value based decisions on contracts, management and financing IT infrastructure

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Implementing systematic outcomes measurement: making it work in practice

  • 1. What has worked well
  • 2. Why this is important for patients and professionals
  • 3. What key challenges in lung cancer care such systematic data collection

may help address

  • 4. Lessons learnt for others wishing to implement systematic outcomes data

collection.

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Designing Pathways Multidisciplinary Team Defining Metrics Training Professionals Discussing and implementing Metrics Educating / Involving patients

What has worked well

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What has worked well

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Why this is important for patients and professionals

@ IPO-Porto Lung Clinic

100 200 300 400 2015 2016 1st semester 2017

Counting

Female Male 0% 20% 40% 60% 80% 100% 2015 2016 1st semester 2017

Staging

I II IIIA IIIB IV 0% 5% 10% 15% 20% 25% 30% 2015 2016 1st semester 2017

Knowing better

% EGFR Positive % ALK Positive % ROS Positive

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Why this is important for patients and professionals @ IPO-Porto Lung Clinic

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What key challenges in lung cancer care such systematic data collection may help address

  • A new financing model for Lung Cancer
  • To Benchmark the Lung Clinic of IPO-Porto
  • To identify areas of further improvement
  • To increase health gains for patients
  • To increase efficiency in health care delivery
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  • Motivation: work with highly motivated core teams
  • Communication: foster close communication between the members
  • Collaboration: implement in a way embedded with daily routines
  • Patients: they are active part (also) at measuring outcomes
  • Do & Leverage: use this experience to (future) reproduce the

experience to the next disease area / cycle of care

  • Celebrate innovation: if we move to better outcomes to the patients,

and lower costs, we have gone into the right direction

Lessons learnt for others wishing to implement systematic outcomes data collection

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“Achieving good patient health outcomes is the fundamental purpose of healthcare”

Michael E. Porter, Harvard University

Lessons learnt for others wishing to implement systematic outcomes data collection