Value based commissioning flow chartv2
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This document outlines 7 steps for value-based commissioning of healthcare for a population: 1) Identify the target population and their needs through local data and stakeholder input. 2) Define the parameters of the population and build stakeholder commitment for change. 3) Raise awareness of the new approach across providers, patients, and local leaders to engage them in the process. 4) Determine the appropriate budget by analyzing historic spending and benchmarks. 5) Work with stakeholders to identify outcomes and quality measures for the population. 6) Check that the expected outcomes are realistic given the resources. 7) Determine the procurement approach to implement the new model of care.
Value based commissioning flow chartv2
- 1. Step 1: What population should you focus on? Understand population priorities – CCG and locality level • What do members think needs improving? • What populations are not getting high value? • Where do local providers feel change is needed? Review two and five year plans to align priorities Health and wellbeing strategy and JSNA What does the data say- Right Care information Ensure CCG understands potential barriers Step 2: Define the population – build case for change What are the parameters of the patient population, where does it start/end? Who are the providers/clinicians currently involved Establish governing body commitment for change and willingness tackle barriers to change Build a case for change o Review of existing contracts, identification of risk o High level financial review o Identify key areas of potential resistance to change o Engagement programme Step 3: Raise awareness and begin engagement with system (patients, carers, clinicians, providers, other commissioners) Awareness of approach and requirements for change across present and potential system Proactive expressions of interest to ensure full provider landscape engagement Personal contact with key system leaders, ensuring clarity on purpose, requirement for change and potential risk/benefits Promote, enable and facilitate provider discussion to begin thinking/acting as a system Engagement plan with patients, public carers. Utilising local groups, proactive session and social media. Facilitate system wide discussions to test approach Step 4: Determining the financial envelope Identify historic spend for population across system Benchmark spend against other like areas Define financial and contractual parameters to reflect scope of service Make a value based commissioning decision – what should we spend? Step 5: Determine the right outcomes for population Work with patients, clinicians and provider to determine high level outcomes of service; what benefits& standards should patients expect the health care. Determine indicators and measures to demonstration achievement of outcomes Set thresholds for indicators Step 6: Sense check with system Understand the level of achievement that may be expected given the resources available Informal negotiation with systems of providers Value based commissioning road map- initial development and engagement Step 7: Determine the right procurement process