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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Creating a high-value delivery system for health care.
Elizabeth O Teisberg1, Scott Wallace
1Darden Graduate School of Business, University of Virginia, Charlottesville, Virginia 22903, USA. eot3f@virginia.edu
Seminars in Thoracic and Cardiovascular Surgery
|July 28, 2009
Summary
Improving health care value enhances patient well-being and physician satisfaction. Fundamental system restructuring, including integrated care teams and value-based reimbursement, is crucial for significant progress.
Area of Science:
- Health Services Research
- Healthcare Management
- Value-Based Healthcare
Background:
- Current healthcare systems face challenges in balancing patient outcomes with costs.
- Existing efforts in safety and waste reduction are insufficient for substantial value improvement.
- Value in healthcare is defined as improved patient health outcomes relative to expenditure.
Purpose of the Study:
- To outline essential structural changes for enhancing healthcare value.
- To propose a pathway toward value-based care delivery.
- To emphasize the role of physician leadership in this transition.
Main Methods:
- Reorganization of care delivery into clinically integrated patient-centered teams.
- Systematic measurement and reporting of patient outcomes by clinical teams.
- Implementation of reimbursement models tied to healthcare value, not service volume.
Main Results:
- Proposed structural changes aim to simultaneously improve health outcomes and system efficiency.
- Physician leadership is identified as a key enabler for successful implementation.
- The discussion outlines practical steps for transitioning to value-based care.
Conclusions:
- Fundamental restructuring is necessary for dramatic improvements in healthcare value.
- Integrated care teams, outcome measurement, and value-based reimbursement are critical components.
- A strategic approach, driven by physician leadership, is essential for achieving value-based care.
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