What is Value?
"Achieving high value for patients must become the overarching goal of healthcare delivery, with value defined as the health outcomes achieved per dollar spent. This goal is what matters for patients and unites the interests of all actors in the system"
- Porter, 2010.
Value-based healthcare delivery is being discussed in a variety of healthcare forums. This concept is of great importance in the reform of the U.S. healthcare delivery system. Defining and applying the principles of value-based competition in healthcare delivery models will permit future evaluations of various delivery applications. However, there are relatively few examples of how to apply these principles to an existing care delivery system. We strive to assess the value created when treating cancer patients in a multidisciplinary care setting within a comprehensive cancer center.
Understanding and managing the cost of cancer care delivery continues to be a priority for the Institute. ICCI has partnered with The Division of Finance to provide clinicians and administrators with appropriate cost related data for clinical decision making. ICCI continues to advocate and support accurate cost measurement in healthcare.
Patient-centered outcomes are a foundation of value-based healthcare and a priority for ICCI since 2008. Our approach aims to incorporate the patient’s ‘voice’ through routine use of validated patient-reported outcome questionnaires and strives to prioritize measures that are most relevant to patients, providers and insurers. Recently, we have dedicated efforts to prioritize the clinical workflow integration and systematic reporting of outcomes into MD Anderson’s new electronic health record.
MD Anderson’s Enhanced Recovery Program (ERP) is a collaborative effort led by anesthesiologist, surgeons, hospitalist, and oncologist. The vision for the multidisciplinary teams is “implementation of proven and emerging innovations in cancer care to deliver safe, effective, and value-based cancer care for an increasing number of patients.” The program aims to reduce patient symptom burden, reduce clinical complications and additional length of stay, in turn reducing the overall cost of care delivery to both patients and the hospital.
Perhaps more motivating is that patients undergoing care on enhanced recovery pathways benefit significantly from improved functional capability and an expeditious return to adjuvant therapies when included in their care plan. Efforts to achieve the goals are now integral drivers of the ongoing effort.
Under the ESP, we’ve taken action to clearly define, document and implement patient-centered care pathways to improve outcomes for every patient. The program has recently launched pilot programs in medical oncology inpatient service and stem cell transplant.
- Upcoming Courses
- Value Measurement for Health Care (Boston, November 29 - December 1, 2017; April 2018 dates TBD)
- Strategy for Health Care Delivery (Boston, January 3-5, 2018)
- Value-Based Health Care Delivery: An Intensive Seminar for Students & Practitioners (Boston, January 2018 dates TBD)
- Open Value-Based Care Forum - for all MD Anderson Employees (Houston, February 20, 2018)
- Faculty Leadership Academy - Value Based Education Session (Houston, February 23, 2018)
ICCI Research Assistants