Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement

Adriana Dacheva; Yoanna Vutova; Evgeny Mekov; Marta Malinova-Encheva; Nick Guldemond; Slaveyko Djambazov

doi:doi:10.11648/j.jher.20220803.11

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Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement

Adriana Dacheva, Yoanna Vutova, Evgeny Mekov, Marta Malinova-Encheva, Nick Guldemond, Slaveyko Djambazov

Published in Journal of Health and Environmental Research (Volume 8, Issue 3)

Received: 1 July 2022 Accepted: 29 July 2022 Published: 5 August 2022

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Abstract

Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.

Published in	Journal of Health and Environmental Research (Volume 8, Issue 3)
DOI	10.11648/j.jher.20220803.11
Page(s)	170-179
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Time-Driven Activity-Based Costing, Outcome Measurement, Value-Based Healthcare, Business Model, Ophthalmology

References

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[2]	van Staalduinen, D. J., van den Bekerom, P., Groeneveld, S. et al. The implementation of value-based healthcare: a scoping review. BMC Health Serv Res 22, 270 (2022). https://doi.org/10.1186/s12913-022-07489-2
[3]	Porter M. What Is Value in Health Care? N Engl J Med. 2010; 363 (26): 2477-2481.
[4]	Porter M, Deerberg-Wittram J, Feeley T. Martini Klinik: Prostate Cancer Care. Harv Bus Rev. Published online 2019.
[5]	Porter M, Lee R. The strategy that will fix health care. Harv Bus Rev. Published online 2013. https://hbr.org/2013/10/the-strategy-that-will-fix-health-care
[6]	Rothrock N, Kaiser K, Cella D. Developing a valid patient-reported outcome measure. Clin Pharmacol Ther. 2011; 90 (5).
[7]	Willke RJ, Burke LB, Erickson P. P. Measuring treatment impact: a review of patient-reported outcomes and other efficacy endpoints in approved product labels. Control Clin Trials. Published online 2004: 535-552.
[8]	Macular Degeneration: Data collection reference guide. ICHOM. Published online 2015.
[9]	Vutova Y, Kamusheva M, Ignatova D, Milushewa P. Screening for depression among chronically ill patients in community pharmacy settings: a pilot study in Bulgaria. Biotechnol Biotechnol Equip. 2021; 35 (1): 1393-1400. doi: https://doi.org/10.1080/13102818.2021.1980108
[10]	Ratanasukon M, Tongsomboon J, hurayanontachai, P Jirarattanasopa P. The Impact of Vision Impairment (IVI) Questionnaire; Validation of the Thai-Version and the Implementation on Vision-Related Quality of Life in Thai Rural Community. PLoS One. 2016; 11 (5). doi: 10.1371/journal.pone.0155509.
[11]	Arora J, Lippa J, Stoefs J. STANFORD HEALTH CARE: A SEAMLESS OUTCOMES DATA CAPTURE SOLUTION. ICHOM. Published online 2014. ichom.org.

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APA Style

Adriana Dacheva, Yoanna Vutova, Evgeny Mekov, Marta Malinova-Encheva, Nick Guldemond, et al. (2022). Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. Journal of Health and Environmental Research, 8(3), 170-179. https://doi.org/10.11648/j.jher.20220803.11

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ACS Style

Adriana Dacheva; Yoanna Vutova; Evgeny Mekov; Marta Malinova-Encheva; Nick Guldemond, et al. Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. J. Health Environ. Res. 2022, 8(3), 170-179. doi: 10.11648/j.jher.20220803.11

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AMA Style

Adriana Dacheva, Yoanna Vutova, Evgeny Mekov, Marta Malinova-Encheva, Nick Guldemond, et al. Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. J Health Environ Res. 2022;8(3):170-179. doi: 10.11648/j.jher.20220803.11

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@article{10.11648/j.jher.20220803.11,
  author = {Adriana Dacheva and Yoanna Vutova and Evgeny Mekov and Marta Malinova-Encheva and Nick Guldemond and Slaveyko Djambazov},
  title = {Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement},
  journal = {Journal of Health and Environmental Research},
  volume = {8},
  number = {3},
  pages = {170-179},
  doi = {10.11648/j.jher.20220803.11},
  url = {https://doi.org/10.11648/j.jher.20220803.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220803.11},
  abstract = {Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.},
 year = {2022}
}

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TY  - JOUR
T1  - Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement
AU  - Adriana Dacheva
AU  - Yoanna Vutova
AU  - Evgeny Mekov
AU  - Marta Malinova-Encheva
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AB  - Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.
VL  - 8
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Author Information

Adriana Dacheva

HTA Ltd. (Health Technology Assessment), Sofia, Bulgaria
Yoanna Vutova

HTA Ltd. (Health Technology Assessment), Sofia, Bulgaria
Evgeny Mekov

Department of Occupational Diseases, Medical University of Sofia, Sofia, Bulgaria
Marta Malinova-Encheva

HTA Ltd. (Health Technology Assessment), Sofia, Bulgaria
Nick Guldemond

Leiden University Medical Center, Leiden University, Leiden, Netherlands
Slaveyko Djambazov

HTA Ltd. (Health Technology Assessment), Sofia, Bulgaria

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APA Style

Adriana Dacheva, Yoanna Vutova, Evgeny Mekov, Marta Malinova-Encheva, Nick Guldemond, et al. (2022). Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. Journal of Health and Environmental Research, 8(3), 170-179. https://doi.org/10.11648/j.jher.20220803.11

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ACS Style

Adriana Dacheva; Yoanna Vutova; Evgeny Mekov; Marta Malinova-Encheva; Nick Guldemond, et al. Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. J. Health Environ. Res. 2022, 8(3), 170-179. doi: 10.11648/j.jher.20220803.11

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AMA Style

Adriana Dacheva, Yoanna Vutova, Evgeny Mekov, Marta Malinova-Encheva, Nick Guldemond, et al. Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement. J Health Environ Res. 2022;8(3):170-179. doi: 10.11648/j.jher.20220803.11

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@article{10.11648/j.jher.20220803.11,
  author = {Adriana Dacheva and Yoanna Vutova and Evgeny Mekov and Marta Malinova-Encheva and Nick Guldemond and Slaveyko Djambazov},
  title = {Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement},
  journal = {Journal of Health and Environmental Research},
  volume = {8},
  number = {3},
  pages = {170-179},
  doi = {10.11648/j.jher.20220803.11},
  url = {https://doi.org/10.11648/j.jher.20220803.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220803.11},
  abstract = {Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement
AU  - Adriana Dacheva
AU  - Yoanna Vutova
AU  - Evgeny Mekov
AU  - Marta Malinova-Encheva
AU  - Nick Guldemond
AU  - Slaveyko Djambazov
Y1  - 2022/08/05
PY  - 2022
N1  - https://doi.org/10.11648/j.jher.20220803.11
DO  - 10.11648/j.jher.20220803.11
T2  - Journal of Health and Environmental Research
JF  - Journal of Health and Environmental Research
JO  - Journal of Health and Environmental Research
SP  - 170
EP  - 179
PB  - Science Publishing Group
SN  - 2472-3592
UR  - https://doi.org/10.11648/j.jher.20220803.11
AB  - Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.
VL  - 8
IS  - 3
ER  -

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