PROF. MICHAEL PORTER - VBHC Center Europe
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P R E S E N TAT I O N
P R O F. M I C H A E L P O RT E R
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 AT
THE VBHC PRIZE EVENT 2017
D AT E : 2 9 - 5 - 2 0 1 7
*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.
1 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017
www.vbhc.eu @VBHCEurope Value-Based Health Care Center Europe
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.
2 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017
www.vbhc.eu @VBHCEurope Value-Based Health Care Center Europe
Get access to the full presentation
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.
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.
The European platform for VBHC implementation
3 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017
www.vbhc.eu @VBHCEurope Value-Based Health Care Center Europe
A selection of the presentation
by Prof. Michael Porter
-
VBHC Prize Event 2017 – May 11
4
Value-Based Health Care Delivery:
Latest Insights and Implications
Professor Michael E. Porter
4th Annual VBHC Prize
Landgoed de Salentein
www.isc.hbs.edu
May 11, 2017
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.
5
The Growth of Value-Based Health Care Source: The Decision Group, Wiersma, VBHC Latest Insights 6
Creating Value-Based Health Care Delivery
The Strategic Agenda
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
7
Value-Based Primary Care
Oak Street Health
• 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
outside 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
8
Shared Primary Care Infrastructure
Primary Complex
Chronic/ Low Frail
Care Complex
Healthy At-Risk Income Elderly
IPUs Acute Multiple Elderly /Disabled
(ADULTS) Chronic
Shared Site for
Shared Social and
Low Cost, After Hours Prevention
Behavioral
Infrastructure Convenient Access Hubs
Support Services
Routine Services
• Clinics in retail • 24 hour nurse • Smoking • Housing
stores or other hotline cessation • Income support
convenient sites ‒ Nurse contacts • Alcohol addiction • Nutrition support
• Shared walk-in on-call • Weight loss • Violence
clinics in primary pediatrician if • Transportation
care or specialty necessary Complex addiction
sites • After hours (e.g. opioids) and Close relations
clinics in primary complex with social
care or outpatient behavioral health services, school
specialty sites care by specialty nurses, community
IPU centers
9
Integrating Primary Care With Specialty Care
Specialty Specialty
IPUs IPUs
Relationships Telemedicine Disease training Specialist Embedded Specialty IPU
and regular Consultations and protocols Rotation specialists in take over
referrals to from Specialty in PC IPUs PC IPUs primary care for
Specialists IPUs to PC (e.g. one day serious,
Experienced Teams per week) complex
with the conditions
Segment
Complex
Chronic/ Low Frail
Primary Complex
Healthy At-Risk Income Elderly
Care IPUs Acute Multiple Elderly /Disabled
Chronic
102. Measure Outcomes for Every Patient
The Quality Measurement Landscape
Patient
Experience/
Engagement
/ Adherence
Patient Initial
Conditions, Processes Indicators Outcomes
Risk Factors
Protocols/Guidelines E.g. PSA, Gleason
score, surgical margin
Structure
E.g., Staff certification,
facilities standards
11Standardizing Minimum Outcome Sets
ICHOM Standard Sets
Standard Sets Standard Sets Standard Sets
Committed/
Complete Complete Complete
In Process
(2013) (2014) (2015-16)
1. Localized Prostate Cancer * 5. Parkinson’s Disease 13. Breast Cancer* 22. Chronic Kidney Disease
2. Lower Back Pain * 6. Cleft Lip and Palate* 14. Dementia 23. Oral Health
3. Coronary Artery Disease * 7. Stroke * 15. Frail Elderly 24. Inflammatory Arthritis
4. Cataracts * 8. Hip and Knee Osteoarthritis* 16. Heart Failure 25. Congenital Hand and
9. Macular Degeneration* 17. Pregnancy and Childbirth Upper Limb Malformations
10. Lung Cancer* 18. Colorectal Cancer 26. Facial Palsy
11. Depression and Anxiety 19. Overactive Bladder 27. Hypertension*
12. Advanced Prostate Cancer * 20. Craniofacial Microsomia 28. Diabetes
21. Inflammatory Bowel Disease 29. Atrial Fibrillation
30. Mental Health
* Published Thus Far in Peer-
Reviewed Journals
Burden of
Disease 18% 35% 45% 59%
Covered
To learn more about ICHOM please visit us at www.ichom.org
12End of the selection of the
presentation by Prof. Michael Porter
13Get access to the full presentation
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.
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.
The European platform for VBHC implementation
14 | VALUE-BASED HEALTH CARE CENTER EUROPE | V1 | HOLSTEIJN | MAY 2017 | VBHC PRIZE EVENT 2017
www.vbhc.eu @VBHCEurope Value-Based Health Care Center EuropeYou can also read
