Value+in+Healthcare+Mobilizing+cooperation+for+health+system+transformatio.pdf

Insight ReportJanuary 2018Value in Healthcare Mobilizing cooperation for health system transformationIn collaboration with The Boston Consulting Group (BCG)World Economic Forum®© 2018 – All rights reserved.No part of this publication may be reproduced orTransmitted in any form or by any means, including Photocopying and recording, or by any information Storage and retrieval system.REF 1412173Value in Healthcare: Mobilizing cooperation for health system transformationContents4 Foreword5 Preface6 The imperative of cooperation9 New models for multistakeholder cooperation The Atlanta Heart Failure Pilot Lessons from the Atlanta pilot13 New standards for health informatics Healthcare’s information revolution Standards for data capture: The measures library Standards for data mapping: Semantic and data models Standards for data access: Data security, privacy and transparency The importance of effective governance21 New directions for leadership Industry leadership Government leadership Global leadership24 Appendix: Next steps for the Value in Healthcare project Creating a network of value-based healthcare pilots Accelerating the development of informatics standards26 Acknowledgements28 References4Value in Healthcare: Mobilizing cooperation for health system transformationForewordThe World Economic Forum is pleased to share details of the progress being made on how stakeholders in the healthcare industry are mobilizing to transform health systems so that they deliver better value to patients. In the first year of the Value in Healthcare project, we presented an overarching framework comprising the key foundations and enablers vital to the recalibration of global healthcare systems towards value – that is, delivering outcomes that matter to patients at a sustainable cost. Frameworks mean little, however, if they are not tested in the real world. That is why we have spent the past year working with stakeholders across the care chain to begin the translation of the theory into practice. For example, the World Economic Forum acted in leading the Atlanta Heart Failure Pilot in which more than 40 stakeholders in the Atlanta metropolitan area in the United States have come together to transform the way in which care for congestive heart failure is delivered to patients. This report highlights the initial results of this effort, shares learnings and methodology, and puts forward recommendations on how we can continue to mobilize and scale cooperation for health system transformation. The work thus far is just the beginning of a journey towards building more sustainable health systems globally. The commitment of the project’s executive board and steering committee, and our knowledge partner, The Boston Consulting Group, has been critical to the successful progress to date and to the work in the coming years. We are thankful to all of the healthcare stakeholders who have devoted their efforts and resources to this project. We cannot underestimate the depth of this task. Together, however, we can transform health systems globally. Join us and we can translate our ideas into action and improve outcomes that matter to patients.Cheryl Martin, Head of Industries, Member of the Managing BoardVanessa Candeias, Head, System Initiative on Shaping the Future of Global Health and Healthcare5Value in Healthcare: Mobilizing cooperation for health system transformationPrefaceby the Executive Board, Value in Healthcare projectWe live in challenging times. Current political, economic and social narratives are divided. Communities are dismantling. The focus is on the self. And yet, if there is one topic that unifies populations around the world, it is the desire for better health and healthcare. Value-based healthcare puts the health outcomes of individuals at the very centre of care delivery. This people-centred approach emphasizes the delivery of health outcomes that matter to patients in a financially sustainable manner. We have been delighted by the response of the global healthcare community to the challenge and opportunities of this paradigm shift. In the past year, our initial report, “Value in Healthcare: Laying the Foundation for Health System Transformation”, was released in English and Mandarin Chinese, and our framework for a value-based health system has re-focused the vision and the mission of many stakeholders, ranging from individual healthcare organizations to national ministries of health. Ultimately, realizing the full potential of value-based healthcare requires moving from fragmented healthcare systems to unprecedented cooperation among all stakeholders. This has been our focus for the past year. We have identified three key elements of this transformation: –New models for multistakeholder cooperation.The experience of the Atlanta Heart Failure Pilot, acomprehensive example of value-based healthcareat a municipal level, highlights what is possible.Approximately 40 healthcare stakeholders operatingin the Atlanta metropol...