December 2022 edition
Value based healthcare is an important overarching approach to support NSW Health to achieve the vision outlined in
In 2021-22 we focused on improving alignment across the statewide programs and progressing work on the enablers that underpin value based healthcare.
This article spotlights some of the key achievements across our value based healthcare programs and initiatives at a statewide level. We would also like to acknowledge the significant contributions of locally-led value based healthcare initiatives, some of which were highlighted at value based healthcare week in May.
Collaborative Commissioning is a one-system approach that aims to incentivise locally developed integration of care across the entire continuum. It also seeks to embed local accountability for delivering value-driven, outcome focused and patient centred health care, whilst reducing cost and pressure on community and hospital services.
There has been great progress across the six Collaborative Commissioning partnerships this year, including:
Commissioning for Better Value (CBV) is an outcomes based approach to design, implement and manage services that support patient care with a focus on outcomes and experiences. Following the release of the
CBV Strategy 2021-24, we published the
Implementation Plan and
Monitoring and Evaluation Plan this year to support achievement of the CBV strategic objectives.
We continue to raise awareness and support local implementation of CBV by:
A review of the first year of the CBV strategy will also be published on the
CBV sharepoint site shortly.
Integrated Care involves the provision of seamless, effective, and efficient care that reflects the whole of a person's health needs:
This year, the
Integrated Care Implementation team have been working closely with districts and networks to lead partnerships and deliver seamless care. This has included launching the
ED to Community (EDC) initiative which provides community-focused coordinated care and case management support for frequent attenders of ED.
The team have partnered with the George Institute and district and network end-users to review and refine the Risk of Hospitalisation (RoH) algorithm to identify people suitable for the existing Planned Care for Better Health initiative. This initiative aims to reduce unplanned hospitalisation and improve patients experience and outcomes by working in partnership to coordinate their care.
The team have also established Communities of Practice to facilitate knowledge sharing, better collaboration and improved partnerships. In addition, three learning modules introducing the principles and benefits of integrating care are due to go live before the end of 2022. They will be accessible to all healthcare providers across NSW.
Virtual care is a key enabler of value based healthcare. The
NSW Virtual Care Strategy was launched by the Secretary in February, providing a roadmap to transform our health system by integrating
virtual care as a safe, effective and accessible option for healthcare delivery in NSW. This year the team have focussed on local engagement with districts and networks to support implementation of the Strategy. Supporting the strategy is a Monitoring and Evaluation Plan which aims to assess virtual care across the four dimensions of value based healthcare inclusive of patient, carer and clinician experience. Early monitoring includes an early impact analysis of utilisation, assessment of patient and clinical experience and an upfront economic appraisal.
As part of the monitoring and evaluation approach:
Value based healthcare week 2022 was held in May. More than 580 people from across NSW Health joined at least one of 10 dedicated sessions on how to embed value based healthcare.
Survey feedback from the event was positive, with attendees commenting on the diversity of the program and high-quality presentations. We will be building upon this in 2023 with the
VBHC event series.