High Value Practice Academic Alliance
“I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose 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.” ~The Hippocratic Oath 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 health care is now the biggest financial concern facing American families. Health care 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) because of cost. In response to these challenges, providers across the country are reflecting on their practice to identify opportunities and implement initiatives that improve patient care quality and safety while reducing costs. To efficiently and effectively advance this work on a national scale, the High Value Practice Academic Alliance was established in January 2017, and faculty leaders from 90 partner institutions representing 30 different medical specialties & subspecialties have joined the organization.
Architecture of High Value Health CareA strategic plan is essential to ensure the quality, safety, and effectiveness of a new high value model for health care delivery. “Value” has been defined in various ways, with costs as the universal denominator and more recently cost-effectiveness as the numerator. Early and efficient diagnosis and management, patient safety, patient experience and disease prevention are key elements of the cost-effectiveness, underscoring the importance of quality-driven care refinement and systematic analyses to measure outcomes. To effectively refine medicine, performance improvement efforts must be implemented across 5 pillars:
- Diagnostic and therapeutic efficiency
- Quality-driven care pathways
- Care transitions including hospital discharge
- Optimizing patient care setting
- Preventive medicine and healthy lifestyle