Achieving  value-based healthcare involves a paradigm shift from the bureaucracy-based status quo, to population-based, personalised healthcare.
Such a shift requires a focus on triple value, systems, and culture. Better Value Healthcare can help you achieve this paradigm shift through its training and organisational development offerings.

Bureaucracy-Based Paradigm

Population and Personalised Paradigm

The aim is effectiveness, quality, and safety outcomesThe aim is triple value and greater equity, through:
Allocative value;
Technical value;
Personalised value
Good service for known patientsPersonalised service for all the people affected in the population
Improvement through competition Improvement through collaborative systems and networks, with patients and carers as equal partners
Transformation attempted by reorganisation and more moneyTransformation by culture change and digital knowledge services
Clinicians act as the users of their institutions’ resourcesClinicians feel they are the stewards of the population’s resources.

To achieve this paradigm, we need to engage in three new activities:

  • Ensuring that every individual receives high personal value by providing people with full information about the risks and benefits of the intervention on offer
  • Shifting resources from budgets for populations in which there is evidence of overuse or lower value, to budgets for populations in which there is evidence of underuse and inequity
  • Develop population based systems that: address the needs of all the people in need; implement high value innovation funded by reduced spending on lower value intervention; increase rates of higher value intervention funded by reduced spending on lower value intervention

This process will require: a change in culture, training in new skills and concepts, and the development of a new type of organisation – population based systems.