A4: How to move to a value based healthcare system

Thursday 28 March
11:00-12:15

Part A: In the Capital Region of Denmark, Bornholm’s Hospital was selected to stop activity based budgeting and work with value based healthcare

In the Capital Region of Denmark, Bornholm’s Hospital was selected to stop activity based budgeting and work with value based healthcare. The change involved a broad variety of projects from physical change in waiting areas to videoconferences with patients. This workshop will discuss key areas of the project such as how to select relevant indicators, how to get doctors on board, the best way to involve patients and the ‘Tivoli gardens’ concept “CEO within a radius of 3 meter”

After this session, participants will be able to:

  1. Using tools in patient-centered healthcare including how to change the culture.

  2. Know indicators for patient-centered healthcare in improvement project.

  3. Recognize pitfalls in implementing patient-centered healthcare.


Niels Reichstein Larsen, Hospital director, Bornholms Hospital; Denmark

Part B: Dutch Value Based Cardiac Care; bundled payments & measuring outcomes and costs

After successfully collecting high quality outcome data, demonstrable improvement & sharing of best practices, the implementation of VBHC in Dutch Heart care has moved to the next stage. 10 hospitals and a health insurance company implemented the first Bundled Payment Model, rewarding hospitals for quality instead of volume. Also 5 hospitals implemented the new patient value model, measuring patient relevant outcomes and costs that can be influenced by physicians, leading to new insights and improvement opportunities.

After this session, participants will be able to:

1. Design new Bundled Payment Models with a focus on outcomes that matter most to patients, in addition to traditional payment models
2. Provide new insights in patient value, by analyzing outcomes & costs; and understand critical choices that need to be made to design patient value models.
3. Understand the essentials about embedding patient-relevant outcomes in P&C cycle of hospitals and the main questions that still need to be answered.

Dennis van Veghel, Managing Director at NHR (Netherlands Heart Registrations); The Netherlands