What is value-based healthcare? How to ensure that you’ll have qualified and fair priced services? Read on!
Value-based healthcare is a model in which providers – hospitals and physicians – аre paid based on patient health outcomes. Providers are rewarded for helping patients reduce the effects and incidence of chronic disease and improve their health. All the positive changes should be fixed and documented for the objectivity of the process.
Value-based care differs from other approaches, in which providers are paid based on the amount of health care services they deliver. Value-based health care is derived from measuring health outcomes against the cost of achieving them.
Sounds nice, isn’t it? In order to provide such a service – data about patients should be well structured and efficient. In the modern society of high technologies that goal might be obtained by following these steps data lifecycle:
1. Gather information.
Where is located all the medical data? Different hospitals, doctors and private specialists, who provide pieces of information about treatment and services that influence health. Some documents are in the paper, other – as a digital data. Some data might proceed by computer and some require manual retrieval. Some data might be available freely and some need additional requirements. More data is available – more precise might be the treatment or service.
2. Standardizing the information.
There is a worldwide standard for hospital blanks and specialist’s personal notes. Information from different sources should be processed in order to be used in the same way. Normalization makes the information unambiguous.
Provide comprehensive information to healthcare organizations and providers will quicken the resolving of a variety of problems, like balancing between quality and cost of treatment and services.
3. Aggregate the data.
This step is important for value-based care because it gathers the data from individual patients to groups and gives a general picture of particular issues. Aggregating the data is necessary for analyzing the overall impact and performance of applied methods and risks, that are likely to happen with some groups of patients. Possibilities and reasons for epidemics, cancer, heart attacks, and dozens of other issues might be recognized and prevented, using aggregated data.
4. Use the information.
Don’t matter how efficient and useful the data is until it’s not have applied. The main function of this data is improving processes, increasing quality of services, reducing costs, providing more pleasant experience, and effective outcomes for patients.
5. Report the intel.
Reporting of healthcare data will help to ease previous steps for related organizations (like Centers for Medicare & Medicaid Services). Moreover – reporting will provide even more integral to health care quality as private payers follow the CMS lead toward value-based care.
Following these steps allows resolving the issues of quality, cost and ultimately the outcome of treatment in favor of the patient.