Value Incentives and Systems Approaches
Bringing together medicine and engineering for systems-based solutions
Health care in the United States is, in many circumstances, the best in the world. Yet we pay more for health care relative to other nations to get results that, on a population basis, are just mediocre. The prevailing approach to payment and design for health care—which focuses predominantly on fees for individual services rendered—lies at the center of the issue. Application of basic systems engineering principles can improve value achieved by healthcare by better integrating and aligning the multiple processes in play. Some promising initiatives are developing to redirect incentives away from volume and toward value (e.g., value-based payment design, pay for performance, bundled payments). However, there remains a need to advance the implementation of these initiatives in a coordinated and systemic way. The utility of systems-based solutions is well-documented, and will be essential to advancing the coordinated implementation of and collaboration around value-based delivery models.
A joint NAM and National Academy of Engineering (NAE) ad hoc convening activity, under the auspices of the Leadership Consortium for a Value & Science-Driven Health System, the Value Incentives & Systems Innovation Collaborative (VISIC) seeks to build on the foundation of prior work engaged by the NAM and NAE by convening organizations and individuals actively working to design, develop, test, and evaluate innovative systems-based strategies for improving outcomes and lowering costs in health care.
Participants include experts from public and private organizations with prominent activities and leadership responsibilities related to development and application of system-based tools and processes for improving health and health care. The aim is for an inclusive Collaborative — without walls — and participation in individual projects is structured according to interest, need, and practicality.
American Academy of Family Physicians
American Academy of Pediatrics
American College of Cardiology
American College of Clinical Pharmacy Applied Physics Laboratory
AstraZeneca Pharmaceuticals LP
Blue Cross Blue Shield Association
Brigham and Women’s Hospital
C-Change Cigna, Inc.
Dartmouth-Hitchcock Medical Center
Geisinger Health System
General Electric Company
Gordon & Betty Moore Foundation
Group Health Cooperative
Healthcare Leadership Council
IBM Institute for Healthcare Improvement
Institute for Healthcare Optimization
Johns Hopkins School of Medicine
Johnson & Johnson
Massachusetts Institute of Technology
Massachusetts General Hospital
National Academy for State Health Policy
National Business Group on Health
National Committee for Quality Assurance
National Health Council National Partnership for Women & Families
National Patient Safety Foundation
National Quality Forum
Northwest Physicians Network
Partners HealthCare System
President’s Council of Advisors on Science & Tech.
Regenstrief Center on Healthcare Engineering
Robert Wood Johnson Foundation
Stevens Institute of Technology
The Brookings Institution
The Leapfrog Group
ThedaCare Center for Healthcare Value
Tucson Medical Center
University of Arkansas
University of Connecticut School of Medicine
University of Michigan
University of Pittsburgh
University of Washington
University of Wisconsin
Virginia Mason Medical Center
U.S. Department of Health & Human Services
-Agency for Healthcare Research and Quality
-Centers for Disease Control and Prevention
-Centers for Medicare & Medicaid Services
-Health Resources and Services Administration
-National Institutes of Health
-Office of the National Coordinator for HIT
-Office of the Secretary
U.S. Department of Defense (Health Affairs)
U.S. Department of Veterans Affairs
Projects under way or under consideration include:
- Making the case for systems approaches in health. Draft a discussion paper that describes the benefits, and identifies the barriers, of applying a systems approach to improving health and health care.
- Systems approaches in health professional education. Increase the visibility and knowledge of systems approaches among health professionals by developing short modules for medical, nursing, other health professional, and public health education courses.
- Learning labs. Develop 4 to 5 learning labs that bring together engineering and health care professionals to address important problems that affect health care quality, population health, and health care costs.
For more information, contact Gwen Hughes, Senior Program Assistant, at email@example.com.