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pillars The Alliance

As the cost of health care in the United States continues to rise, of utmost concern are reports that medical bills are creating substantial hardships for patients and that the cost of healthcare is now the biggest financial concern facing American families. Healthcare debt is a leading driver of personal bankruptcy and home foreclosure. Both insured and uninsured patients are burdened by medical bills. Confounding these issues is evidence that patients avoid necessary care (prescription refills, doctors appointments), which will ultimately compromise health care quality and safety and further add to expenditure.

Medicine is a public trust, and as such, medical providers have a responsibility to address this crisis. The Hippocratic Oath includes a commitment to “remember that…illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.” To safeguard that trust, providers and health systems must take accountability for quality improvement initiatives across 5 pillars of healthcare delivery:

Providers in all specialties and medical centers are reflecting on their practice to identify opportunities, implement initiatives and improve quality in these 5 areas

To advance this work on a national scale faculty leaders from > 80 partner institutions and >25 different medical specialties & subspecialties have joined the High Value Practice Academic Alliance. Through cross-institutional collaboration, successful high value initiatives safely piloted in one academic center can be advanced nationally to efficiently lead large-scale improvements in health care value. Additionally, member institutions collaborate on education and implementation science research related to high value practice.

Value-Based Management team from NYU Langone Health

Engaging medical students, resident physicians, and fellows is critical for longstanding improvements in practice, so this a founding principle of the organization. Teams of faculty and house staff in the alliance are contributing to a compendium of peer-reviewed implementation guides, designed to assist others embarking on new value improvement initiatives within their health system. Our 1st 2 guides have been published as a Special Communications in JAMA Internal Medicine

By joining forces, academic institutions can effectively refine health care on a national scale, inspire all medical centers to improve value and demonstrate to patients that their providers are accountable for the quality of health care they deliver, as well as the quality of the US health care delivery system.

pillars National Research & EDUCATION SYMPOSIUM

The inaugural national research and education conference of the High Value Practice Academic Alliance was held on October 8-9, 2017 in Baltimore, MD, sponsored by the Johns Hopkins University School of Medicine.

The meeting featured innovative work from 50 academic medical centers, delivered through 140 podium and poster presentations describing quality improvement projects to reduce low value practice and medical school or GMEC high value educational curricula. Nearly 200 faculty, trainees, students and administrators attended from across the US and Canada:

Poll of attendees at 1st HVPAA national conference.

The keynote speaker was Peter Pronovost, MD, PhD, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins and Johns Hopkins Medicine’s senior vice president for patient safety and quality, and 5 faculty leaders in health care value delivered invited lectures.

Read more about the conference from Johns Hopkins Medicine media coverage. 

pillars Become a member of the HVPAA

All academic medical institutions are invited to join the High Value Practice Academic AllianceThere is no membership fee. View the list of founding members.

Follow us on twitter @hvpaa