世界经济论坛-医疗保健价值：动员医疗卫生体系转型合作（英文）-2018.1-30页-3mb

Summary of "Value in Healthcare: Mobilizing Cooperation for Health System Transformation"

Core Content

The Value in Healthcare project, initiated by the World Economic Forum in collaboration with The Boston Consulting Group (BCG), aims to transform global healthcare systems by prioritizing value-based care. This approach focuses on delivering health outcomes that matter to patients at a sustainable cost, emphasizing a people-centred model for healthcare delivery.

The report outlines three key pillars of this transformation:

1. New models for multistakeholder cooperation
2. New standards for health informatics
3. New directions for leadership

These elements are essential for building a more efficient, effective, and patient-focused healthcare system globally.

Main Views

• Value-based healthcare is defined as a model where healthcare systems are restructured to focus on improving health outcomes while managing costs.
• System-wide transformation is necessary to achieve this goal, requiring collaboration across all sectors of the healthcare ecosystem.
• Health informatics is a critical component, enabling the systematic measurement of health outcomes and the capture and use of data to drive continuous improvement.
• Leadership at all levels – industry, government, and global – is vital to coordinate efforts, create incentives, and foster innovation.

Key Information

1. New Models for Multistakeholder Cooperation

• The project has launched systemic pilots to test value-based healthcare models in practice.
• The Atlanta Heart Failure Pilot is a prime example of such a pilot, involving over 40 stakeholders from various sectors including healthcare providers, payers, patient advocacy groups, public-sector organizations, academic institutions, and pharmaceutical and medical device companies.
• The pilot’s goal is to position Atlanta as a national leader in heart failure survival rates by 2022, while improving quality of life and reducing costs.
• The pilot involves collaborative implementation teams focused on four enablers: informatics, benchmarking, payments, and delivery organization.

2. New Standards for Health Informatics

• A comprehensive framework for value-based healthcare includes systematic measurement of outcomes and costs by population segments.
• Health informatics systems must be people-centred, allowing for broad data access, standardized data capture, and data mapping.
• The development of global standards is essential to enable cross-system learning and data interoperability.
• The project is working to create common data models and outcome measures for structured exchange of information.

3. New Directions for Leadership

• Transformative leadership is needed to align stakeholders and drive system-wide change.
• Industry leaders must not only transform their own organizations but also think beyond self-interest to support broader system improvements.
• Government leadership is crucial for creating policy, regulatory, and financial frameworks that facilitate cooperation and innovation.
• Global leadership can foster public-private partnerships and shared best practices across nations.

Atlanta Heart Failure Pilot

• The pilot is led by the Atlanta Regional Collaborative for Health Improvement (ARCHI) and the American Heart Association.
• It focuses on congestive heart failure (CHF), a condition that is both life-threatening and costly.
• In the US, nearly 6 million people suffer from CHF, and one in nine deaths lists it as a contributing cause.
• The pilot includes key stakeholders such as:
  • Providers: Grady Health System, WellStar Health System, Emory Healthcare, Kaiser Permanente, Morehouse Healthcare, Northside Hospital
  • Payers: Humana, Centene Corporation, UnitedHealth Group
  • Government: Georgia Department of Public Health, DeKalb County Board of Health
  • Academic: Emory University, Robert Wood Johnson Foundation
  • Pharma and MedTech: Novartis, Medtronic, HealthTap, Alleviating Pain-Restoring Health-Extending Life

Key Lessons from the Atlanta Pilot

• A clear vision and ambitious goals are necessary to mobilize stakeholders.
• Public-sector leadership is essential to convene and align diverse stakeholders.
• System-wide transformation should be the focus, rather than isolated improvements.
• Collaboration and data sharing are critical for identifying best practices and reducing outcome variation.
• Implementation teams are being formed to address the four enablers of value-based healthcare, with each team working on specific initiatives and milestones.

Next Steps

• In 2018, the project plans to:
  • Accelerate the development of informatics standards.
  • Create a network of value-based healthcare pilots.
  • Develop a common data model for the structured exchange of patient care pathway and outcome information.
  • Promote global cooperation and knowledge sharing to scale the value-based healthcare model.

Conclusion

The Value in Healthcare project represents a significant step towards building more sustainable and patient-centred healthcare systems. By fostering cooperation, setting standards, and shaping leadership, the project aims to improve health outcomes, reduce costs, and drive innovation across the globe. The Atlanta Heart Failure Pilot serves as a model for future initiatives, demonstrating the potential of a collaborative, data-driven, and patient-focused approach to healthcare reform.