VALUE BASED HEALTHCARE

VALUE-BASED HEALTHCARE

LEADERSHIP FOR SUSTAINABLE VALUE-BASED HEALTHCARE

THE HEALTH CAPTAINS CLUB PROMOTES TO FOCUS ON VALUE AND POSITIVE OUTCOMES FOR THE PATIENT IN THE TRANSFORMATION FROM DISEASE-REACTIVE HEALTHCARE TOWARDS MORE PREDICTIVE, PREVENTIVE, PRECISION AND PARTICIPATORY MEDICINE FOR MORE SUSTAINABLE VALUE-BASED HEALTHCARE DELIVERY AT SCALE IMPLEMENTING AND BALANCING SUSTAINABLE MEDICINE WITH HEALTHSPAN MEDICINE FOR ALL TO REDUCE THE SICKSPAN BASED ON THE VALUE-BASED HEALTHCARE DELIVERY MODELL AS DEVELOPED AND DEPLOYED BY PROFESSOR MICHAEL PORTER AT HARVARD BUSINESS SCHOOL AND TILL TODAY REVISED, ADAPTED AND EXPANDED BY MANY COLLEAGUES WORLDWIDE

WELCOME ABOARD

 

Value-Based Healthcare (VBHC):

Summary

Definition:

Value-Based Healthcare (VBHC) is a healthcare delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. Unlike traditional fee-for-service models that reward volume, VBHC rewards value: the quality and efficiency of care delivered. The goal is to improve patient outcomes while reducing overall healthcare costs.

Key equation: Value = Health outcomes / Cost of delivering outcomes

The concept was popularized by Michael E. Porter and Elizabeth Teisberg in their 2006 book “Redefining Health Care.”

“The fundamental goal in healthcare must be value for patients, not access, volume, convenience, or process.”

Michael Porter – Distinguished Professor Harvard Business School

International Showcases of VBHC

1. Netherlands – St. Antonius Hospital

Implemented integrated care pathways and outcome measurement in cardiovascular care.
Partnered with insurers to reimburse based on outcomes, not services.

2. Sweden – Karolinska University Hospital

Developed comprehensive outcome registries.
Focused on value-driven care by restructuring around patient conditions (e.g., prostate cancer).

3. USA – Cleveland Clinic

Restructured care delivery around patient outcomes.
Established patient-centered care teams and rigorous outcome measurement.

4. United Kingdom – NHS England’s VBHC Programme

Launched pilot projects measuring and rewarding improvements in outcomes for chronic conditions like diabetes and cancer.

5. Spain – Ribera Salud Group (Valencia Region)

Public-private integrated model with a capitation-based payment tied to performance and patient satisfaction.

6. Germany – University Medical Center Schleswig-Holstein (UKSH)

  • Focus: Holistic, patient-centered psychiatric care.

  • Approach: Interdisciplinary collaboration and use of big data to tailor personalized treatments.

  • Impact: Improved outcomes for patients with mental health conditions through integrated care strategies.

7. Germany – University Hospital Essen

  • Focus: Integrated care for migraine patients.

  • Approach: Combines medical, psychological, and physiotherapy services at a single location.

  • Impact: Enhanced patient outcomes and cost savings through coordination and specialization.

8. Germany – Gesundes Kinzigtal (Healthy Kinzigtal)

  • Focus: Regional population health management.

  • Approach: Implements the Triple Aim (better care, better health, lower cost) by linking local doctors, hospitals, and insurers.

  • Impact: Demonstrated improved population health and reduced healthcare spending.

9. Germany – Schön Klinik

  • Focus: Quality-driven specialty care.

  • Approach: Uses outcome measurement and continuous quality improvement, inspired by Michael Porter’s VBHC framework.

  • Impact: Recognized for improved patient outcomes and operational efficiency, particularly in orthopedic and mental health care.

10. Germany – Martin Klinik Hamburg

  • Specialization: Focused exclusively on prostate cancer, facilitating deep expertise and high surgical volumes.

  • Patient-Centric: Emphasizes quality of life metrics and long-term follow-up.

  • Data-Driven: Utilizes real-world data to drive clinical improvements and innovation.

  • Collaborative: Integrated within a university hospital network to provide holistic care.

  • Transparent: Regularly shares outcomes data to promote accountability and continuous learning.

  • Martini-Klinik exemplifies VBHC by aligning clinical outcomes with patient priorities, fostering a culture of continuous improvement, and leveraging data to enhance care quality

Key Organizations in the VBHC Field

1. International Consortium for Health Outcomes Measurement (ICHOM)

Develops standardized outcome sets for conditions worldwide.

2. World Economic Forum (WEF)

Promotes VBHC as a path to sustainable healthcare systems.

3. Health Outcomes Observatory (H2O)

EU initiative focused on enabling patient-reported outcomes.

4. Institute for Strategy and Competitiveness (Harvard Business School)

Led by Michael Porter, supports VBHC theory and practice.

5. OECD – Health Division

Evaluates and recommends health policy reforms including VBHC frameworks.

References and Suggested Reading

1. Porter, M.E. & Teisberg, E.O. (2006). Redefining Health Care: Creating Value-Based Competition on Results.
2. ICHOM ([https://www.ichom.org](https://www.ichom.org))
3. World Economic Forum Reports on VBHC ([https://www.weforum.org](https://www.weforum.org))
4. OECD Health at a Glance reports ([https://www.oecd.org/health/](https://www.oecd.org/health/))
5. European Commission on Value-Based Healthcare ([https://health.ec.europa.eu/](https://health.ec.europa.eu/))
6. Gray, M. (2017). Value Based Healthcare. BMJ Books.

Some value-based Healthcare Lectures by Professor Michael Porter to highlight #VBHC

  • Professor Michael Porter, in an interview with Charlie Rose
  • Michael Porter on Paving the Way for Value-Based Health Care
  • Michael Porter on “Value Based Health Care Delivery”

#SustainableHealth & #SustainableHealthcare

World Health Summit: Perspectives on sustainable Health

LEADERSHIP FOR EXPLORING SUSTAINABLE HEALTH – You are welcome to engage:

Become a Member and Engage @ THE HEALTH CAPTAINS CLUB.

Leadership starts with you and all of us together. All your Input is welcome!

EUROPEAN VALUE-BASED HEALTH REGIONS

SCALING THE CONCEPT AND ACTIONPLAN OF DR. FRANCESCO DE MEO TOWARDS A EUROPE OF REGIONS FOR SUSTAINABLE HEALTH

“Den schlafenden Riesen Wecken. Wie eine gesundes Gesundheitssystem entsteht, wenn wir es wirklich wollen”

“Waking the Sleeping Giant: How to Create a Healthy Healthcare System If We Really Want It”

#schlafendenRiesen #sleepingGiant

This summary underscores the transformative potential of Francesco De Meo’s Vision when applied towards the Europe of Regions, highlighting the importance of regional collaboration and innovative leadership in shaping the future of sustainable healthcare.

Abstract

In Den schlafenden Riesen wecken, Dr. Francesco De Meo presents a compelling critique of Germany’s healthcare system, advocating for a transformative approach rooted in regional collaboration, digital innovation, and patient-centered care.This summary explores how his insights can inform the development of “European Health Regions” aimed at fostering sustainable medicine and health across Europe. It also examines the potential for scaling this model through The Health Captains Club, a platform dedicated to collaborative health leadership.

Overview

Dr. Francesco De Meo, drawing from his extensive experience managing Europe’s largest private hospital group, identifies systemic issues plaguing the German healthcare system: excessive bureaucracy, fragmented care, and a lack of patient-centric focus. His book outlines a vision for a reformed system characterized by regional networks, efficient resource utilization, and the integration of modern technologies.

Summary

De Meo’s action plan is encapsulated in ten key episodes, each addressing a fundamental aspect of healthcare transformation:

  1. Breaking the Status Quo: Challenging entrenched structures that hinder innovation.

  2. Aligning Financial Incentives: Ensuring that funding mechanisms promote quality care.

  3. Redefining Realities: Shifting perceptions to embrace new possibilities.

  4. Profitability and Synergy: Balancing economic sustainability with collaborative efforts.

  5. Maximizing Individual Potential: Encouraging contributions from all stakeholders.

  6. Tools and Technologies: Leveraging digital solutions to enhance care delivery.

  7. Digital Health Infrastructure: Building interconnected systems for seamless service.

  8. Global Health Integration: Recognizing the interconnectedness of health worldwide.

  9. Embracing Truth: Promoting transparency and accountability.

  10. Competitive Transformation: Fostering an environment conducive to continuous improvement.

 

Central to De Meo’s Philosophy is the concept of “BE FASTER”—a framework emphasizing:

Budgeting – Efficiency – Flexibility – Agility – Scalability – Transformation – Effectiveness – Relevance

This approach advocates for a bottom-up transformation, empowering local entities to drive change, rather than relying solely on top-down mandates.

Outlook

The principles outlined by De Meo offer a robust foundation for establishing “European Health Regions”—collaborative networks that transcend national borders to address common health challenges. These regions would focus on sustainable practices, equitable access, and the integration of innovative solutions. By aligning with platforms like The Health Captains Club, which fosters cross-sectoral collaboration and leadership in health, there is significant potential to scale these initiatives across Europe and beyond.

THE HEALTH CAPTAINS CLUB can serve as a catalyst for this transformation, bringing together leaders from various sectors to synchronize efforts towards a unified vision of Health 4.0. Through initiatives like the HealthApéros and The Health Captains College and Institute, the platform facilitates knowledge exchange, mentorship, and the development of next-generation leadership in health.

References

“What drives me is the conviction that science must serve society – especially when it comes to health. Global health needs critical thinking, interdisciplinary collaboration, and the courage to question established truths. To achieve that,the World Health Summit provides a unique platform to bring all sectors together and foster the dialogue needed to shape solutions for a healthier future.”

PROFESSOR AXEL PRIES

Distinguished Professor of Charité – Universitätsmedizin Berlin, MD, PhD

President of the WORLD HEALTH SUMMIT

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