Why measure outcomes?
Provider organizations understand that, without a change in their model of doing business, they can only hope to be the last iceberg to melt. Facing lower payment rates and potential loss of market share, they have no choice but to improve value and be able to ‘prove it.’
M. Porter and T. Lee, “The Strategy that will Fix Health Care,” HBR
Measuring the ICHOM Standard Sets means measuring the results of treatment that patients experience. We believe that this is not only a moral imperative. It also unites clinicians around what matters most: the outcomes of the care we deliver. For providers, measuring our Standard Sets serves four overlapping purposes: learning, improving performance, demonstrating superior performance, and enabling value-based payment.
All five of us are very good at what we do, but we all do it differently. At least four of us must be doing it wrong.
Cardiac surgeon, Mayo Clinic
More than ever, clinical leadership, governments, and others know that they must deliver high-quality care efficiently. Managing costs without sacrificing quality is possible, but not when stakeholders are blind to the impact of their decisions. Outcomes data removes the blindfold and shines light on the results of procedures, processes, structures, and systems.
Our initiative [that] focused on outcomes delivered better results than any initiative we’ve tried before.
Barbro Friden, CEO of Sahlgrenska University Hospital
Demonstrate superior outcomes
Hospitals that can demonstrate superior outcomes on certain conditions will attract patients, earn respect, and become leaders among their peers. At the same time, less successful hospitals will know what the best outcomes are and will strive toward them.
The fact that we can prove we are leading learning hospitals is a unique selling point for patients and payers.
Leonique Niessen, Director of Santeon
Prepare for value-based payment
As a result, public and private payers alike are transitioning toward value-based reimbursement. The ICHOM Standard Sets allow not only to measure the immediate outcomes achieved but also the appropriateness of care and the long term effects on what really matters to patients
Providers, by adopting the ICHOM Standard Sets now, are anticipating the value-based purchasing revolution.
We have set up the first payment model in history of NHS that truly pays for the results that matter most to patients.
Diane Bell, NHS England Bedfordshire Clinical Commissioning Group