The Roadmap for Implementing Value-Based Healthcare in European University Hospitals—Consensus Report and Recommendations

• Published in: Value in health 2022-07, Vol.25 (7), p.1148-1156
• Main Authors: Cossio-Gil, Yolima, Omara, Maisa, Watson, Carolina, Casey, Joseph, Chakhunashvili, Alexandre, Gutiérrez-San Miguel, María, Kahlem, Pascal, Keuchkerian, Samuel, Kirchberger, Valerie, Luce-Garnier, Virginie, Michiels, Dominik, Moro, Matteo, Philipp-Jaschek, Barbara, Sancini, Simona, Hazelzet, Jan, Stamm, Tanja
• Format: Article
• Language: English
• Subjects: expert recommendation; implementation of outcome measurement; patient-reported outcomes; quality in healthcare; value-based healthcare
• ISSN: 1098-3015; 1524-4733
• DOI: 10.1016/j.jval.2021.11.1355

Value-based healthcare (VBHC) aims at improving patient outcomes while optimizing the use of hospitals’ resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach. In this article, we present a blueprint for the implementation of VBHC in hospitals, based on our experience as members of the European University Hospital Alliance. The European University Hospital Alliance is a consortium of 9 large hospitals in Europe and aims at increasing the quality and efficiency of care to ultimately drive better outcomes for patients. The blueprint describes how to prepare hospitals for VBHC implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways into a process that results in high-value care. Using a patient-centric approach, we identified 4 core minimum components that must be established as cornerstones and 7 organizational enablers to waive the barriers to implementation and ensure sustainability. The blueprint guides through pathway implementation and establishment of key performance indicators in 6 phases, which hospitals can tailor to their current status on their way to implement VBHC. •Value-based healthcare aims at improving patient outcomes while optimizing the use of hospitals’ resources among medical personnel, administrations, and support services through an evidence-based, collaborative approach.•Our blueprint describes how to prepare hospitals for value-based healthcare implementation; analyzes gaps, barriers, and facilitators; and explores the most effective ways to turn patient pathways to a process that results in high-value care.