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Navy Medicine Introduces Value-Based Health Care.

Alee Hernandez1, Robert S Kaplan2, Mary L Witkowski3

  • 1Alee Hernandez ( ahernandez@hbs.edu ) is a senior researcher in the Institute for Strategy and Competitiveness, Harvard Business School, in Boston, Massachusetts.

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|August 6, 2019
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Summary
This summary is machine-generated.

A Navy pilot project using integrated practice units (IPUs) improved patient outcomes for three of four conditions, demonstrating value-based health care

Keywords:
Delivery ScienceHealth ServicesIntegrated Practice UnitsLeadershipLow Back PainMilitary HealthNavyOsteoarthritisPatient Reported OutcomesTime-Driven Activity Based CostingValue-Based Health Carediabetesimplementationpregnancy

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Area of Science:

  • Health Services Research
  • Military Health
  • Value-Based Healthcare

Background:

  • The Navy launched a value-based healthcare pilot in 2016 at Naval Hospital Jacksonville.
  • The project aimed to assess if integrated practice units (IPUs) and outcome measurement could enhance personnel readiness and reduce healthcare costs.

Purpose of the Study:

  • To describe the implementation of a value-based healthcare pilot project.
  • To evaluate the impact of IPUs on patient outcomes and costs for specific conditions.

Main Methods:

  • Formation of a project leadership structure.
  • Selection of four conditions: low back pain, osteoarthritis, diabetes, and high-risk pregnancy.
  • Creation of multidisciplinary care teams (IPUs) for each condition and measurement of outcomes and costs over a 12-month period.

Main Results:

  • Patient outcomes improved for three of the four selected conditions during the pilot.
  • Factors contributing to the project's success were identified.
  • Post-pilot, IPUs were consolidated or continued based on performance, with one discontinued.

Conclusions:

  • The pilot demonstrated success in improving patient outcomes and offered insights into key success factors for value-based care.
  • The model shows potential for broader implementation within the Military Health System and other healthcare settings.