The Leading Better Value Care program is transforming how we deliver care through the combined actions of people across the state, working together to achieve system reform.  It uses a systematic approach, embedding good practice and measuring care, experiences and health outcomes.

It is being conducted in tranches to allow for learning and the flexibility to incorporate new innovation.

A large part of the challenge for the NSW health system lies in its size and achieving scalability of initiatives to deliver impact. Knowing this, the LBVC program started with eight ‘Tranche One’ clinical initiatives supported by the Agency for Clinical Innovation (ACI) and the Clinical Excellence Commission (CEC). These clinical initiatives roll out best practice models of care delivery for people:

  • with osteoarthritis
  • at risk of osteoporotic re-fracture
  • with chronic heart failure
  • with chronic obstructive pulmonary disease
  • requiring hospitalisation for diabetes
  • at risk of diabetes related foot complications
  • over 70 years at high risk of falls in hospital
  • with end stage renal disease.

For Tranche Two, local health districts nominated new initiatives to maximise health benefits for patients and the system. Five more initiatives are under development to roll out in 2018-19 and 2019-20 as part of Tranche Two.

These are:

  • hip fracture
  • improving wound management
  • reducing low value care for bronchiolitis patients
  • hypofractionated radiotherapy for breast cancer
  • direct access colonoscopy following a positive faecal occult blood test

By the end of 2018 there will be at least one LBVC initiative in more than 100 NSW Health facilities. As we continue to evolve to value based healthcare, the initiatives will roll out across all locations and care settings.​​​​

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Page Updated: Friday 21 September 2018
Contact page owner: Strategic Reform