AACVPR News & Views - November/December 2017 - 8

ROADMAP >> TO REFORM

Roadmap to Reform
Value-Based Care: Crucial
Conversations and State of Mind
Karen Lui, RN, MS, MAACVPR

M

atthew Stiefel and
Kevin Nolan (2013)
wrote, "The three
parts of the Triple
Aim [1. Improving
the patient experience of care,
2. Improving the health of
populations, and 3. Reducing the
per capita cost of health care],
taken together, provide a useful
framework for measurement of
value in health care. Value can be
conceptualized as the optimization
of the Triple Aim, recognizing that
different stakeholders may weigh
the three parts differently. The
combination of care experience
and cost enables measurement
of efficiency. Similarly, the
combination of population
health outcomes and care
experience enables measurement
of effectiveness of care, or
comparative effectiveness when
comparing alternative treatments.
Combining all 3 parts of the Triple
Aim enables measurement of costeffectiveness, or overall value."
Hopefully, the previous paragraph
resonates with AACVPR members
following the Annual Meeting, what
with the numerous R2R-related
presentations that were focused on
the crucial conversations and state
of mind of our health-care system
delivering value-based care (VBC).

8

R2R
ROADMAP TO REFORM

Start the crucial conversations
Clinicians have the responsibility
to ensure the right patients reach
the right care services, and their
outcomes can be measured as a
value of the health-care delivery
process. In light of this messaging,
the Health Care Reform Committee
has formed a VBC workgroup with
Tracy Herrewig and Amy Knight
as co-chairs. The mission of the
VBC Workgroup is to support
the Roadmap to Reform Initiative
by evaluating and executing
deliverables that educate and
create awareness centered on
value-based care.
To create more rapid improvement,
many medical centers are
engaging in learning collaboratively
to catalyze shared innovations.
As an example, the High Value
Healthcare Collaborative (HVHC),
a consortium of 13 healthcare delivery systems and the
Dartmouth Institute for Health
Policy & Clinical Practice, has

R2R is sponsored by:

News&Views NOVEMBER/DECEMBER 2017

created a data trust that includes
a number of "marts" customized
for specific conditions. The mission
of the HVHC is to improve health
care value-defined as quality
and outcomes over costs, across
time-for its service population,
in a sustainable manner, while
serving as a model for national
health-care reform. The Teaching
Value in Healthcare Learning
Network, which is sponsored
by the nonprofit Costs of Care
and the American Board of
Internal Medicine Foundation, is
a community of health system
managers and educators who
share educational resources and
strategies related to teaching
health care value. The member
benefits include:
*

Influence on national agenda of
healthcare and payment reform
through data-driven findings
Continued on page 15
https://www.highvaluehealthcare.org/ https://www.highvaluehealthcare.org/
Table of Contents for the Digital Edition of AACVPR News & Views - November/December 2017
