going from volume-based to value-based …...(philip kotler, marketing 4.0) satisfied % of satisfied...
TRANSCRIPT
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GOING FROM VOLUME-BASED TO VALUE-BASED CARE
THE EXPERIENCE OF HOSPITAL MOINHOS DE VENTO | BRAZIL
MOHAMED PARRINI, CEO, HOSPITAL MOINHOS DE VENTO
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480beds
+2800physicians (open staff model)
93%occupancy rate
91-year
institution
Hospital Moinhos de Vento
Founded as Deutschen Krankenhause“German Hospital”in October 1927
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Value will be at the heart of caredelivery.Reducing costs without sacrificing outcomes will
require dedicated teams working collaboratively
across the full continuum of care.
“
”Bernd Montag,CEO Siemens Healthineers,
Harvard Business Review, “Taking the Pulse of Health Care Transformation”, nov 2017.
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Patients will be treated as consumers.As patients continue to bear more financial
resposibility for their own care, the search for
better value will be the driving force shaping
decision making.
“
”Bernd Montag,CEO Siemens Healthineers,
Harvard Business Review, “Taking the Pulse of Health Care Transformation”, nov 2017.
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Medicine will be more precise and affordable.Therapies tailored to the individual will move us
closer to the goal of “the right treatment for the
right patient at the right time”.
“
”Bernd Montag,CEO Siemens Healthineers,
Harvard Business Review, “Taking the Pulse of Health Care Transformation”, nov 2017.
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Health care will be digital.Digital technologies and big data will continue
revolutionizing our understanding and treatment
of disease and the very nature of wellness and
health care.
“
”Bernd Montag,CEO Siemens Healthineers,
Harvard Business Review, “Taking the Pulse of Health Care Transformation”, nov 2017.
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THE SECOND CURVE
“You must ride the first curve
– a company’s traditional business carried out
in a familiar corporate climate –
to the all-important second curve.
The second curve is the future
– the new technologies, new consumers,
and new markets that companies must command
to survive and thrive”
Ian Morrison
The Second Curve – Managing the Velocity of Change
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STRATEGIC PROJECTS PORTFOLIO
24 Strategic Projects
Projects related to:
- Patient experience program
- Creation of a Value Management Office
- Implementing protocols and tools to
decrease length of stay
- Measuring physicians performance in a
value-based approach
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Patient Experience Program
Client relationship Evolution (Philip KOTLER, Marketing 4.0)
SATISFIED% of satisfiedclientes measurement
ENGAGEDGroups in areasE.g. Juntas, support group in Oncology
DEFENSORNet Promoter Score measurement
COCREATORPatient and Family Advisory Committee
OWNERBrand ambassadors
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Patient Journey: mapping patient experience
− Design Thinking methods
− Secret Shopper methodology
− 1st phase:
Radiology
Nuclear Medicine
CardiologyOut
pati
ent
Unique (VIP Unit)
Inpa
tien
t
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80.91 79.877.07
81.03 82.87
62.95
84.73 84.11
83 83 83 83 83 83 83 83 83 83 83 83 83
Jan Fev Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Actual Target
Net Promoter Score – RadiologyWould you recommend Hospital Moinhos de Vento?
Patient JourneyMapping
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Net Promoter Score – Unique (VIP unit)Would you recommend Hospital Moinhos de Vento?
100 100
33.33
100
33.33
72.73
90
90 90 90 90 90 90 90 90 90 90 90 90 90
Jan Fev Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Actual Target
Patient JourneyMapping
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VMO – Value Management Office
In-depth and integrated
measurement of outcomes
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VMO – Value Management Office
Center of excellence that:
• Supports clinical units in the processes of
measuring outcomes;
• Establishes priorities on continuous
improvement projects, managing costs;
• Facilitates the creation of value-based
reimbursement methods;
• Ensures that new IT plataforms are aligned with
the institution’s goals.
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CLINICAL EPISODE DATA
DRG
CLINICAL OUTCOMES AND PATIENT REPORTED OUTCOMES (ICHOM)
PATIENT PATHWAY DATA
HOSPITAL CARE KPIS
(SHORT TERM)
QUALITY OF LIFE KPIS
(LONG TERM)
REIMBURSEMENT
New models of hospital care and
patient pathway reimbursements
CARE
MANAGEMENT
Processes of care are measured
and outcome-oriented
TECHNICAL
COMMITTEES
RELEVANCE
COSTS
HOSPITAL SOCIAL LIFE
VMO – Value Management Office
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NPI (CRM in Brazil) AND PHYSICIAN’S NAME
Physicians Performance Report
EFFECTIVINESSLength of stay,
Rehospitalization rate, Mortality
EFFICIENCYN of hospitalizations, Revenue,
Discharges between 6-11am, etc
STRUCTUREParticipation in Medical
Residency Program, institutional
CMEs, etc
PATIENT EXPERIENCEOmbudsman
PERFORMANCE INDEX
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Reducing Length of Stay
– projectHMV’s Chief Medical Officer and
Medical Director made an official
communication about our
Discharge Team
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Access to four daily updated KPIs
HMV’s electronic record
Days of hospitalization Average length of stay in
the physician’s specialty
Average length of stay of the
physician in the last 12 months
Physician’s performance in
relation to his/her specialty
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Support of a Discharge Team
HMV’s electronic record
Ask for support of our Discharge Team
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• Length of Stay
• % Discharges before 10am
• Rehospitalization rates
Length of Stay – monthly reports
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Engaging the medical staff systematically
− Sharing information about the impact
of having the discharges before 10am
to collectively achieve better results
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10 Days
2017
(average)
Length of Stay – medical patient
8 Days
2018
(average)
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Mohamed Parrini, CEO
________________________
THANK YOU