Healthcare is facing enormous challenges and at present there is a huge challenge, namely, how to maintain or improve health care with the actual resources? For all this it is therefore essential to carry out a more rational and efficient use of available resources, and measure what really matters to patients that contribute for value in health looking to its financial sustainability.
Group Luz Saúde has a traditional background on developing in its mission a value based integrated model in its net of more then 30 hospitals, but Hospital da Luz Lisboa (a 400 beds Hospital the biggest private Hospital in Portugal) has since 2015 the biggest experience in VBHC in Portugal, now with more then 30 pathologies around the concept. VBHC raised in Hospital da Luz Lisboa, whose modeling between specific clinical outcomes by disease condition and outcomes that matters to patients, associated with the measurement of the necessary cost to the fulfillment of the maximization of these outcomes, create a reality of measurement of creation value to our patients
Also, the emergence of changing health models and policies that leave behind fee-for-service models, created a need to progressively integrate models whose evaluation does not come simply from the production volume orientation, but rather creates an extra requirement for the models of evaluation of results that could by integrated in better relationship between stakeholders.
At Hospital da luz we have now more than 30 pathologies in the value model: Colorectal, Hepatobiliary, Pancreas, Esophagus Gastric, Pregnancy and Childbirth, Breast, Prostate, Obesity, Cardiovascular Risk/Thrombosis, Arterial Hypertension, Valvular Disease, Lung, COPD, Post-Covid Follow-up, Thyroid, Inflammatory Bowel Disease, Low Back Pain, Dysphagia, Acute Myocardium Stroke, Stroke, Endometriosis, Hypertrophic Cardiomyopathy, Atrial Fibrillation, Diabetes, Cancer Risk (Breast, Lung, Prostate, Colorectal Uterus), Hype, Knee, Cataract, Headache, Multimorbidity, Urgency/Emergency, Cardiac ,Renal Lithiasis, Abdominal Wall, Cervical, Shoulder, Dyslipidemia, Asthma, Syndrome Irritable Colon, Coronary Disease.
With VBHC the expected results were to add a major coverage of at least 80% of the health pathologies represented in our package of services in a compliance of 5 pathologies a year, improve progressively every outcomes in it measurable specific disease up to more than a compliance to the outcomes up to 80% in every step of the value chain lowering the inefficient of 30% with the reduction of the steps in the pathway that don´t contribute to added value, a reduction of the variance in overall costs down to 2 standards deviation of the median cost of the value chain by every disease specified in, and finally integrate the VBHC as the model of the healthcare service in Portugal as a standard with all stakeholders oriented to the model in a balanced ecosystem o healthcare system.
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