E5: How to create a better value healthcare system at national level

Friday 29 March
13.15 – 14.30

Part A: Better Value Healthcare through Shared Understanding and Effective Networks

As countries across the globe consider how they can achieve sustainable, high quality healthcare in an era of rising complexity and technological possibility, some are pursuing national models of value-based healthcare. This session will explore how Realistic Medicine (Scotland) and Prudent Healthcare (Wales) address the apparent dichotomy between population-based and personalised healthcare using the Triple Value (Allocative, Technical, Personal) construct, creating strong stakeholder networks across professions and public and improving shared understanding of healthcare.

After this session, participants will be able to:

1. Understand the Triple Value approach and how this might be pursued
2. Consider how apparently different stakeholder groups can be networked together to create a unifying movement
3. Recognise the importance of developing shared understanding in healthcare between professionals and public and how this may be used to achieve better value.

Gregor Smith, Deputy Chief Medical Officer for Scotland; Scotland
Muir Gray, Director, Better Value Health Care; England

Part B: The Triple Aim? Hit the sweet spot using Outcome Based Accountability

How do health and Social care organisations deliver the Triple Aim? Using Outcomes Based Accountability, the South Eastern Health and Social Care Trust and NCB, have developed a systematic approach to leading, driving and monitoring their contribution to improved Population Health. This is based on 3 Questions:
– How much do we do?
– How well do we do it?
– Is anyone better off?
We will share our experience, the good, the bad, the ugly and the results!

After this session, participants will be able to:

1. Understand how health Trusts can contribute in a meaningful and systematic way to Triple Aim
2. Understand how the use of OBA can focus the performance and governance system on improved outcomes rather than short-term targets (“Trying hard isn’t good enough” by Mark Friedman)
3. Illustrate a new reporting system that links contribution to improved health outcomes at a system level with practical initiatives at an operational level

Hugh McCaughey, Chief Executive, South Eastern Health and Social Care Trust; Northern Ireland
Celine McStravick, Director, National Children’s Bureau (NCB); England