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[Practical considerations for implementing health outcomes measurement projects within a healthcare organization:
A Garcia-Casanovas1, P M Ruiz-López2, C Blanch3
1Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
Journal of Healthcare Quality Research
|March 11, 2022
Summary
Implementing value-based healthcare (VBHC) requires expert consensus on outcome measurement activities. Key factors for success include data protection, professional motivation, available technology, and funding, while complexity arises from multi-unit involvement and care levels.
Area of Science:
- Healthcare Management
- Health Outcomes Research
- Value-Based Healthcare
Background:
- Value-based healthcare (VBHC) necessitates robust measurement of patient outcomes and costs.
- Implementing systematic outcome measurement in clinical practice is crucial for VBHC.
Purpose of the Study:
- To achieve expert consensus on the essential activities for implementing outcome measurement in VBHC.
- To identify critical success factors and complexities in applying outcome measurement in routine clinical practice.
Main Methods:
- A two-round modified Delphi study was conducted.
- Participants included healthcare professionals, methodologists, and managers with expertise in outcome measurement.
- Consensus criteria involved a median score of ≥4 and a relative interquartile range (RIQR) of ≤25%.
Main Results:
- Consensus was reached on 91% of proposed items (74/81).
- Highly feasible factors included data protection, professional motivation, ICT availability, and funding.
- Complexity factors involved the number of involved units, availability of monitoring indicators, and multiple care levels.
Conclusions:
- Practical aspects for systematic outcome measurement in routine clinical practice are outlined.
- These findings can guide prioritization, resource planning, and cost estimation for VBHC implementation.
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