Multi-site, multi-disciplinary teams work together to evaluate high-cost, high-variation health conditions and treatments, identify best practice models of care aligned with value-based measures, demonstrate improvement in value via multi-site pilot projects, and then disseminate proven best practice models across HVHC and to the public.
For each effort, project teams work together to:
- Evaluate high priority conditions and treatments: Select which conditions and populations to address based on an assessment of the size of the population affected, the burden of illness or cost that could be influenced through improvement, and the commitment to reducing socioeconomic disparities that is one of the principles underlying the HVHC; Conduct literature search of evidenced-based guidelines. Conduct current state process mapping. Share local site care models and best practices.
- Identify best-practice models of care: Identify opportunities for improvement. Review literature of evidence-based guidelines. Review detailed, comparative data. Identify best practices associated with best outcomes at lowest costs. Identify payment models aligned with cost measures. Conduct retrospective studies. Refine best practices based on retrospective studies.
- Demonstrate better performance in value: Design pilots of best practice care models. Design pilots of multiple payment models. Implement site-specific pilots of best practice care models. Implement site-specific pilots of payment models. Construct prospective multi-site studies (observational and or randomized, where indicated) of best practice models. Monitor results of payment pilots.
- Disseminate proven best practice models: Summarize findings of care model studies. Summarize findings of payment model pilots. Write manuscripts and submit for publication. Develop manuals, protocols, process maps. Disseminate findings.