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Course Overview
Overview of VBHC Leadership Program
Section 1: Videos
Introduction to Value-Based Health Care and ICHOM
Leading Change: ICHOM Implementation Framework
Implementing PROMs in Clinical Practice
Value-Based Payment and Procurement Systems
Quiz
Quiz
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Introduction to Value-Based Health Care and ICHOM
1. According to Professor Michael Porter and Professor Elizabeth Teisberg the definition of Value-based healthcare is:
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a) Patients at the center of care, ensuring the best possible clinical results with the available resources
b) Patients at the center of care, reducing costs
c) Standardization of clinical results, to identify best practices
d) Integrated care delivery systems to put the patient at the center of care
2. What is a barrier to promote improvements in medical care?
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a) Results focused on patients, not on processes
b) Non-standardized results difficult to compare
c) Rapid advancement of technology in health
d) Global health challenges such as access to treatment air pollution and climate change, and antimicrobial resistance
3. What effect can technological innovation have on health value?
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a) Personalization of acute-only treatments
b) Identification of more cost-effective processes
c) Look beyond the products and have a contract based on per capita
d) Slower adoption of technological innovations
4. Why is it important to consider the entire cycle of care when determining patient value?
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a) Because the results cannot be classified by entity within the care cycle
b) Because the total result of the patient does not depend solely on an entity within the care cycle
c) Because costs are not transferable between different types of specialized care
d) It is not important to consider the entire cycle of care when determining the value of the patient
5. What is ICHOM definition of Outcomes?
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a) Outcomes are defined as those events occurring as a result of an intervention
b) Outcomes are a change in the health status of an individual, group, or population which is attributable to a planned intervention or series of interventions
c) Outcomes are the results people care about most when seeking treatment, including functional improvement and the ability to live normal, productive lives.”
d) Outcomes are changes in health that result from measures or specific health care investments or interventions
Leading Change: ICHOM Implementation Framework
1. What is the most important factor for a successful implementation?
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a) Preparation
b) Roll out
c) Measurement
d) Management change
2. Please select the correct statement(s) mentioned during the module (select ALL the responses that apply):
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a) Leadership is critical to success
b) Implementation doesn’t involve all layers of the organisation
c) Leaders and change managers are objective
d) Data needs to be reported in a way that enables improvement
3. When initiating a Set implementation/measurement of patient outcomes project, it is important to determine the goals of measurement. While of the following might be a goal for Set implementation (select only ONE response):
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a) To track the progress of individual patients
b) To improve care processes
c) To report outcomes and the hospital's performance publicly
d) All of the above
4) In regards to using PROMs questionnaire included in ICHOM sets, which statement is true:
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a) PROMs are freely available in ICHOM sets and doesn’t require a copyright license
b) PROM translation should follow the ISPOR Principles of Good Practice in the Cross-Cultural Adaptation Process for Patient-Reported Outcomes Measures
c) PROMS require a linguistic translation if not available in the user language
d) All of the above
5) Sound governance structure can enable success for your implementation project. ICHOM recommends that the following be part of the Steering Committee, except for:
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a) Quality Department Lead
b) IT lead
c) Organisational managerial leadership
d) Clinical team
Implementing PROMs in Clinical Practice
1. Which of the following is NOT a patient-reported outcome (PRO)?
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a) Functional status
b) Pain
c) Blood pressure
d) Health behaviors (e.g., smoking, exercise)
2. What is patient-reported outcome measures (PROMs)?
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a) Clinical assessment obtained from electronic medical records
b) Instruments, scales, tools, or single-item measures used to assess patient-reported outcomes by directly asking patients to self-report
c) Health statistics from national registry
d) Structural and process measures
3. What is the first, and most important step in implementing PROMs?
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a) Choose data collection tools
b) Obtain leadership buy-in
c) Decide on what outcomes to collect and which measures to use
d) Form a project team
4. What is an important consideration when implementing PROMs:
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a) The order of questions can be re-arranged with patients to ensure they are giving close and thoughtful attention when responding
b) Only patients can self-report PROM questionnaires
c) PROMs data contains patient identifiers and is considered to be very sensitive personal data
d) All PROM scoring guidelines are the same
5. Likely barriers to be faced when implementing PROMs in clinical practice:
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a) Difficult to gain consensus from payers on the relative value of subjective patient reported outcomes and how best to use them
b) Clinicians will have concerns about the time and effort involved in collecting them
c) Data collection and interpretation is likely to increase staff workloads
d) All of the above
Value-Based Payment and Procurement Systems
1. Why is it important to consider the full cycle of care when determining Patient Value?
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a) It is not important to consider the full cycle of care when determining Patient Value
b) Because outcomes cannot be classified per entity within the cycle of care
c) Because costs are transferrable between different kinds of specialized care
d) Because total patient outcome is dependent on solely one entity within the cycle of care
2. Implementation of the Value-Based Health Care concept is likely to:
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a) Allow payers will negotiate contracts based on results, not volume
b) Increase costs of care
c) Involve clinician’s needs in care
d) Cloud transparency in acting and costing
3. To maximize value, a bundled payment must meet certain conditions:
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a) Holds the entire provider team accountable for achieving the outcomes that matter to patients
b) Payment covers the overall care required to treat a condition
c) Payment is adjusted for risk
d) All of the above
4. Key elements of Value-Based procurement are:
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a) Clinical performance indicators are at its core
b) Has a product/technology price-only focus
c) Considers the total cost of care
d) Select those products and solutions that are only most advantageous economically
5. It is true of the Value-Based approach:
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a) Payments to health care providers should be based on the number of services they provide
b) Assess the true cost of care and outcome throughout the lifetime of the patient
c) Rewards suppliers who make more investment into improving clinical process
d) Encourages short term efficiencies through revisions to the basis of contracting to reflect the approach
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