Barriers to Performance in Value-Based Care
Challenges
Which of these issues impact your performance in Value-Based Care?
Everyone has Challenges
Eliminate the Gaps
Value-based care programs provide meaningful and achievable financial incentives to reduce the cost and improve the quality of care for their patients.
However, this creates challenges.
Gaps in Strategy
First, extended care teams need to select and agree on the best opportunities to improve quality and costs.
Gaps in Plans
Next, these teams must agree on the plan of execution: the who, what, when, where, why, and how.
Gaps in Details
Extended teams working together have gaps in expectations, data, task requirements, communication, etc.
Execution
Everyone Faces Challenges – Everyone Plans for Solutions – Not Everyone Executes
There are many business articles and studies that chronicle failed plans and projects. Some put the failure rate at 50%, others estimate rates as high as 80%. How can this be? And how does this relate to your organization succeeding in value-based care?
How Do You Answer These 3 Questions?
01
What work must be done to achieve your goals?
02
How do you know the work you planned is getting done?
03
Is that work making the impact you expected?
Cost and QUALITY
Clinical and Financial Performance
Value-Based Care requires a deliberate approach to improving care delivery and outcomes at a lower cost. While many health systems and provider groups participate in Value-Based Care, it is not always clear what specific interventions have the greatest impact on the most addressable issues.
Hospital Admissions
Outpatient Care Services
Specialist Care Services
ED Utilization
Post-Acute Care
Redundant Testing
Redundant Treatment
Re-Admissions
Network Leakage
Growth Challenges
Scaling in Value-Based Care
Value-Based Care is here to stay. Initial achievements in Value-Based Care are an important step in setting conditions for ongoing growth. It builds momentum, proves there are clinical and financial incentives, attracts new participants, and puts some critical infrastructure in place.
Every organization needs to be prepared to scale
Revenue
New VBC contracts
Capacity
Acquisition and recruitment
Clinical Scope
Expanding integrated delivery networks
Can your ACO clearly and quickly describe the most critical best practices and interventions to new practices? Will these new practices enhance cost and quality for the existing participants, or will they bring it down? How quickly can the ACO or IDN train and develop new participants to perform at the standard set by practices that have been executing for several years? How does the organization deploy resources to support expansion?
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