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Value-Based Healthcare Project Implementation in a Hierarchical Tertiary Hospital: Lessons Learned
Carolina Varela-Rodríguez1,2, Albert García-Casanovas3, Blanca Baselga-Penalva1
1Quality of Care Unit, Hospital Universitario 12 de Octubre, Madrid, Spain.
Frontiers in Public Health
|February 21, 2022
Summary
Implementing value-based healthcare (VBHC) requires addressing data quality, tools, professional effort, governance, and management support. Successful VBHC projects focus on continuous improvement and value addition in healthcare delivery.
Area of Science:
- Healthcare Management
- Health Services Research
- Quality Improvement
Background:
- Value-based healthcare (VBHC) offers a framework to address healthcare sustainability and quality improvement.
- Implementing VBHC in complex tertiary hospitals presents significant challenges.
Purpose of the Study:
- To present lessons learned from a 4-year implementation of VBHC projects.
- To detail aspects related to continuous improvement and value addition within VBHC.
Main Methods:
- The study outlines five key issues for VBHC implementation: data quality, tool development, minimizing professional effort, centralized governance, and managerial support.
- Six critical steps for successful implementation are described: feasibility testing, leadership establishment, patient-reported outcome measures, data tool development, piloting, and evaluation.
Main Results:
- Implementation duration is estimated at 18-24 months, with costs ranging from €90,000 to €250,000.
- Key challenges included institutional and professional resistance to change.
- A methodological approach focused on quality of care and patient safety provided an advantage.
Conclusions:
- Successful VBHC implementation hinges on addressing critical operational and organizational factors.
- A structured, phased approach with strong leadership and stakeholder buy-in is essential.
- Further research and published case studies are needed to advance VBHC adoption.
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