Wednesday, July 26 | Track: Clinical Resource Management/Value Analysis | Session: Learning Lab | Time: 8:00 am - 9:00 am | Career Level: Director | Room: 206
While uncertainty continues regarding the new administration’s planned direction for healthcare, a large number of U.S. hospitals and health systems are continuing to transition from a fee-for-service to a value-based model of care. More than 6,500 Medicare providers are currently participating in the Bundled Payments for Care Improvement (BPCI) initiative established by the Centers for Medicare and Medicaid Services (CMS). The initiative is based on four models of care that link payments for services received during an episode of care. On April 1st, 2016 CMS then implemented the Comprehensive Care for Joint Replacement (CJR) Model, under which reimbursement is determined by factors such as quality, internal hospital costs, and post-acute care spending after discharge.
Does supply chain and value analysis have a role in defining the products and services standardized within a bundle?
An examination of published case studies as well as industry articles demonstrates the need for an adoption of a culture of evidence-based practice in order for health systems to achieve the quality and financial goals set forth by these initiatives. The literature also points to the significant role value analysis plays in the success of care bundle models. We will discuss how the utilization of unbiased evidence can enhance the value analysis workflow to achieve maximum effectiveness in care bundle participation.
Key questions and points to explore within our learning lab:
• What is the current role of value analysis in bundled payment models? How can they incorporate evidence into their bundle creation?
• How can evidence help systems manage their utilization of technologies and procedures within a bundle?
• How should evidence contribute to a system of product acquisition and standardization?
• Are benchmarks and practice guidelines determined by using clinical evidence? How? When?
• How are physicians and clinical leadership engaged with value-based purchasing and care bundle initiatives? How can evidence assist in those efforts?
The goal of our workshop will be to provide attendees with the information, strategies, and tools they need to begin implementing evidence-based solutions in their bundled payment programs. Case examples will be shared.
- What is the current role of value analysis in bundled payment models? How can they incorporate evidence into their bundle creation?
- How can evidence help systems manage their utilization of technologies and procedures within a bundle?
- How are physicians and clinical leadership engaged with value-based purchasing and care bundle initiatives? How can evidence assist in those efforts
Winifred Hayes, PhD, ANP, Founder and CEO, Hayes Inc
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July 23-26, 2017
August 12-15, 2018