Framing Value Based Healthcare in Practice: Introducing the Complex Case and Recovery Management Framework (The...

Area of Science:

• Healthcare Management
• Integrated Care Systems
• Value-Based Healthcare

Background:

• Bridging the gap between aspiring to co-produce value in integrated healthcare and practical realization.
• Leveraging value-based healthcare principles for a conceptual framework.
• Addressing challenges in complex needs and multi-stakeholder environments.

Observation:

• The Complex Care and Recovery Management Framework (CCaRM) was co-produced with clinicians and service users in a learning disability service.
• Six value-making themes were identified for building collaborative value over time.
• The framework demonstrated practical sense and activated both service users and clinicians ('experience-in-use').

Findings:

• The CCaRM approach was found to be implementable, offering encouragement for its practical application.
• Key themes for progress include local participant collaboration, training support, and reconciling case-level perspectives with broader systems.
• The framework contributes to operationalizing collaborative value-based healthcare for complex cases.

Implications:

• The CCaRM provides a model for co-platforming value-based healthcare at the case level.
• It highlights the need for a refreshed focus on case-based views and operationalizing complexity in integrated care.
• Further empirical evaluation is essential to validate and refine the CCaRM approach.