PRESENTATION PROF. MICHAEL PORTER A S E L E C T I O N * O F T H E - - PowerPoint PPT Presentation

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PRESENTATION PROF. MICHAEL PORTER A S E L E C T I O N * O F T H E - - PowerPoint PPT Presentation

Jan 24, 2024 528 likes •694 views

PRESENTATION PROF. MICHAEL PORTER A S E L E C T I O N * O F T H E S L I D E S A S P R E S E N T E D A T T H E V B H C P R I Z E E V E N T 2 0 1 7 D A T E : 2 9 - 5 - 2 0 1 7 * Click here to become member of VBHC Center Europe and gain

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PRESENTATION

  • PROF. MICHAEL PORTER

A S E L E C T I O N * O F T H E S L I D E S A S P R E S E N T E D A T T H E V B H C P R I Z E E V E N T 2 0 1 7 D A T E : 2 9 - 5 - 2 0 1 7

1 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017

*Click here to become member of VBHC Center Europe and gain access to the

full presentation of Prof. Porter during the VBHC Prize event 2017.

@VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu

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2 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017

VBHC Prize event 2017

The VBHC Prize Event 2017 was a truly inspiring and celebratory event together with the VBHC community. Diabeter has won the prestigious VBHC Prize 2017.

@VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu

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3 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017

Membership benefits:

  • Unlimited access to breakthrough VBHC articles in the VBHC Knowledge Bank;
  • Free personal advise on the best VBHC education options;
  • Initiating, participating and have access to the work in Chapters;
  • Free participating for ‘How to write a winning application for the VBHC Prize’

(first session on November 9th 2017);

  • Exclusive (one time offer) two for the price of one VBHC masterclasses;
  • Free recertification for VBHC Certified Green Belts.

Click here to become member of VBHC Center Europe and gain access to the full presentation of Prof. Porter during the VBHC Prize event 2017.

Get access to the full presentation

The European platform for VBHC implementation

@VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu

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A selection of the presentation by Prof. Michael Porter

  • VBHC Prize Event 2017 – May 11
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Value-Based Health Care Delivery:

Latest Insights and Implications

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means — electronic, mechanical, photocopying, recording, or otherwise — without the permission of Michael E. Porter and Elizabeth O.Teisberg.

Professor Michael E. Porter 4th Annual VBHC Prize Landgoed de Salentein www.isc.hbs.edu May 11, 2017

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The Growth of Value-Based Health Care

Source: The Decision Group, Wiersma, VBHC Latest Insights

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  • 1. Re-organize Care around Patient Conditions, into Integrated

Practice Units (IPUs)

− For primary and preventive care, IPUs serve distinct patient segments

  • 2. Measure Outcomes and Costs for Every Patient
  • 3. Move to Value-Based Reimbursement Models, and Ultimately

Bundled Payments for Conditions

  • 4. Integrate Multi-Site Care Delivery Systems
  • 5. Expand or Affiliate Across Geography
  • 6. Build an Enabling Information Technology Platform

Creating Value-Based Health Care Delivery

The Strategic Agenda

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  • Focuses low-income older adults living in under-served

urban communities

– Four severity tiers

  • Multidisciplinary team covering the full care cycle: physicians,

PAs, NPs, RNs, medical assistants, scribes, care managers, social workers, clinical informatics specialists, and others

  • Co-located in dedicated facilities. 19 sites across the Midwest
  • Explicit processes to engage patients and reduce obstacles

to accessing care such as free rides/home-visits, in-house pharmacy and selected events for community residents

  • Selected in-house specialty services such as behavioral

health and podiatry. Close relationships with preferred

  • utside specialists and imaging partners
  • Meet daily and weekly to discuss patient care plans and

process improvement

  • Measure and accountable for outcomes, cost, and patient

experience

  • Single risk-adjusted payment covering overall care

– Including payment for specialty inpatient and post-acute care

Value-Based Primary Care

Oak Street Health

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Shared Primary Care Infrastructure

Primary Care IPUs (ADULTS) Shared Infrastructure

Shared Site for Low Cost, Convenient Routine Services After Hours Access

  • Smoking

cessation

  • Alcohol addiction
  • Weight loss

Complex addiction (e.g. opioids) and complex behavioral health care by specialty IPU

  • Clinics in retail

stores or other convenient sites

  • Shared walk-in

clinics in primary care or specialty sites

  • 24 hour nurse

hotline ‒ Nurse contacts

  • n-call

pediatrician if necessary

  • After hours

clinics in primary care or outpatient specialty sites

  • Housing
  • Income support
  • Nutrition support
  • Violence
  • Transportation

Close relations with social services, school nurses, community centers

Healthy Complex Acute Frail Elderly /Disabled Low Income Elderly Complex Chronic/ Multiple Chronic At-Risk

Prevention Hubs Social and Behavioral Support Services

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Integrating Primary Care With Specialty Care

Specialty IPUs Primary Care IPUs

Relationships and regular referrals to Specialists Experienced with the Segment Specialist Rotation in PC IPUs (e.g. one day per week) Embedded specialists in PC IPUs Telemedicine Consultations Specialty IPU take over primary care for serious, complex conditions

Healthy Complex Acute Frail Elderly /Disabled Low Income Elderly Complex Chronic/ Multiple Chronic At-Risk Specialty IPUs

Disease training and protocols from Specialty IPUs to PC Teams

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Patient Experience/ Engagement / Adherence

E.g. PSA, Gleason score, surgical margin Protocols/Guidelines

Patient Initial Conditions, Risk Factors Processes Indicators Outcomes

Structure

E.g., Staff certification, facilities standards

  • 2. Measure Outcomes for Every Patient

The Quality Measurement Landscape

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18% 35% 45%

1. Localized Prostate Cancer * 2. Lower Back Pain * 3. Coronary Artery Disease * 4. Cataracts *

Standard Sets Complete (2013)

13. Breast Cancer* 14. Dementia 15. Frail Elderly 16. Heart Failure 17. Pregnancy and Childbirth 18. Colorectal Cancer 19. Overactive Bladder 20. Craniofacial Microsomia 21. Inflammatory Bowel Disease

Standard Sets Complete (2015-16)

5. Parkinson’s Disease 6. Cleft Lip and Palate* 7. Stroke * 8. Hip and Knee Osteoarthritis* 9. Macular Degeneration* 10. Lung Cancer* 11. Depression and Anxiety 12. Advanced Prostate Cancer *

Standard Sets Complete (2014)

22. Chronic Kidney Disease 23. Oral Health 24. Inflammatory Arthritis 25. Congenital Hand and Upper Limb Malformations 26. Facial Palsy 27. Hypertension* 28. Diabetes 29. Atrial Fibrillation 30. Mental Health

Committed/ In Process

Burden of Disease Covered

Standardizing Minimum Outcome Sets

ICHOM Standard Sets

* Published Thus Far in Peer- Reviewed Journals

To learn more about ICHOM please visit us at www.ichom.org

59%

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End of the selection of the presentation by Prof. Michael Porter

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14 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017

Membership benefits:

  • Unlimited access to breakthrough VBHC articles in the VBHC Knowledge Bank;
  • Free personal advise on the best VBHC education options;
  • Initiating, participating and have access to the work in Chapters;
  • Free participating for ‘How to write a winning application for the VBHC Prize’

(first session on November 9th 2017);

  • Exclusive (one time offer) two for the price of one VBHC masterclasses;
  • Free recertification for VBHC Certified Green Belts.

Click here to become member of VBHC Center Europe and gain access to the full presentation of Prof. Porter during the VBHC Prize event 2017.

Get access to the full presentation

The European platform for VBHC implementation

@VBHCEurope Value-Based Health Care Center Europe www.vbhc.eu