VBHC Prize General Slides

1. 1
Welcome to the 2nd edition of the
Value-Based Health Care Prize!
Made possible by:

2. 2
The
program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
 Chairman Dr. Ton Hanselaar, member VBHCE advisory council
 Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message)
15:10 Enabling VBHC: The implementation challenge
 VBHC challenges - Prof. Dr. Fred van Eenennaam
 VBHC implementation at Erasmus MC - Dr. Jan Hazelzet
 Enabling VBHC: Edifects - Michiel Walsteijn, Msc.
 Patients first! Experience patient ITP & collaboration:
 Patient association ITP - chairman Theo de Wispelaere and Karin de Boer
 Amgen - Joep Rijnierse, M.D.
16:20 Break
16:40 The future of VBHC: The challenge ahead
 VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message)
 The challenge ahead – Prof. Dr. Fred van Eenennaam
17:10 Award Ceremony
 Winner of the VBHC Prize 2014: Meetbaar Beter, a year later (message)
 The nominees: Leading VBHC initiatives
 Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Institute
o VBHC Cost-effectiveness award 2015
o VBHC Collaboration award 2015, endorsed by Amgen
 VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks

3. 3
Welcome and message Prof. Michael E. Porter, Ph.D.
Welcome by Chairman Dr. Ton Hanselaar
Member of the VBHCE Advisory Council

4. 4
Changing landscape

5. 5
“Doing the right things”
“With right costs @ right
place by right people”
EFFECTIVITY
EFFICIENCY
Value-Based Health Care
Patient Value is central in VBHC

6. 6
Medical Condition focus
Patient-centered approach1
Measure the right thing
Continuously improve quality of care for patients
Transparent organization
Compare and learn from the best3
2
3-golden-rules

7. 7
The Value-Based Health Care Prize
• 6 million patients
• 726 connections amongst institutions
• Over 30% of all Dutch pharmacies
• Around 50% of all Dutch hospitals
“The Value-Based Health Care Prize aims to disseminate the principles of Value-Based Health Care and seeks to honor
those initiatives that have adopted a fundamentally new line of thinking in creating value for patients in terms of real
outcomes, real connections, and one common language.”
The applicants:
• 50 pre-round applicants
• 22 completed applications
• 10 nominees
• 3 special VBHC awards
• 1 winner
Representing:
With impact on:
Value-Based Health Care Prize
Honorary Chairman: Prof. Michael E. Porter, Ph.D.
2015

8. 8
Welcome and message Prof. Michael E. Porter, Ph.D.
Message Prof. Michael E. Porter, Ph.D.
Honorary Chairman - Harvard University

9. 9
The
program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
 Chairman Dr. Ton Hanselaar, member VBHCE advisory council
 Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message)
15:10 Enabling VBHC: The implementation challenge
 VBHC challenges - Prof. Dr. Fred van Eenennaam
 VBHC implementation at Erasmus MC - Dr. Jan Hazelzet
 Enabling VBHC: Edifects - Michiel Walsteijn, Msc.
 Patients first! Experience patient ITP & collaboration:
 Patient association ITP - chairman Theo de Wispelaere and Karin de Boer
 Amgen - Joep Rijnierse, M.D.
16:20 Break
16:40 The future of VBHC: The challenge ahead
 VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message)
 The challenge ahead – Prof. Dr. Fred van Eenennaam
17:10 Award Ceremony
 Winner of VBHC Prize 2014: Meetbaar Beter, a year later (message)
 The nominees: Leading VBHC initiatives
 Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Institute
o VBHC Cost-effectiveness award 2015
o VBHC Collaboration award 2015, endorsed by Amgen
 VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks

10. 10
Enabling VBHC: The implementation challenge
VBHC Challenges
Prof. Dr. Fred van Eenennaam

11. 11
VBHC implementation pilot study
Small study performed on the implementation challenges and best practices.
Includes experiences of 48 professionals.
• 25 medical specialists
• 5 executives
• 10 project members
• 5 members of medical academic councils
• 3 methodology experts
• Literature
• Group around Prof. Porter

12. 12
Two questions
1
2 What are your two best practices to implement VBHC?
What are the challenges of VBHC Implementation?

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Challenges of VBHC Implementation
Small study performed on the implementation challenges and best practices.
Includes experiences of 25 medical specialists / executives.
What are the challenges of VBHC Implementation?
1. Improvement by knowing outcomes
2. Getting the right data
3. Meaningful patient involvement
4. Defining the right outcome measures / definitions
5. How to deal with real costs and reimbursement
6. Volume
7. Get paid for clear and better quality
8. How to build a Integrated Practice Unit
9. How to set a clear ambition with the medical specialist
10. Benchmarking – with international hospitals
1
2
3
6
8
9
15
17
18
21
0 5 10 15 20 25
10
9
8
7
6
5
4
3
2
1
Percentages

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Top 3
1
2
3
Getting the right data
Meaningful patient involvement
Improvement by knowing outcomes

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Enabling VBHC: The implementation challenge
VBHC implementation at Erasmus MC
Dr. Jan Hazelzet

16. 16
Enabling VBHC: The implementation challenge
Enabling VBHC
Michiel Walsteijn, MSc.

17. 17
Enabling VBHC: The implementation challenge
Patients first! Experience patient ITP
& collaboration
Theo de Wispelaere - Patient association ITP
Joep Rijnierse, MD - Amgen

18. 18
Break

19. 19
The
program14:45 Welcome and message from Prof. Michael E. Porter, Ph.D.
 Chairman Dr. Ton Hanselaar, member VBHCE advisory council
 Honorary chairman Harvard University Prof. Michael E. Porter, Ph.D. (message)
15:10 Enabling VBHC: The implementation challenge
 VBHC challenges - Prof. Dr. Fred van Eenennaam
 VBHC implementation at Erasmus MC - Dr. Jan Hazelzet
 Enabling VBHC: Edifects - Michiel Walsteijn, Msc.
 Patients first! Experience patient ITP & collaboration:
 Patient association ITP - chairman Theo de Wispelaere and Karin de Boer
 Amgen - Joep Rijnierse, M.D.
16:20 Break
16:40 The future of VBHC: The challenge ahead
 VBHC at Erasmus MC - CEO, Prof. Dr. Ernst Kuipers (message)
 The challenge ahead – Prof. Dr. Fred van Eenennaam
17:10 Award Ceremony
 Winner of VBHC Prize 2014: Meetbaar Beter, a year later (message)
 The nominees: Leading VBHC initiatives
 Three special VBHC awards
o VBHC Patient-outcomes award 2015, endorsed by The Decision Institute
o VBHC Cost-effectiveness award 2015
o VBHC Collaboration award 2015, endorsed by Amgen
 VBHC Prize 2015: and the winner is…
18:15-18:45 Networking & Drinks

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The future of VBHC: The challenge ahead
VBHC at Erasmus MC
Prof. Dr. Ernst Kuipers (CEO)

21. 21
The Nominees
Part I

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Nominees
I
- Title: A virtual asthma clinic for children: “De
luchtbrug"
- Project leader: Prof. Peter J.F.M. Merkus, M.D. Ph.D.

23. 23
Nominees
II
- Title: Quality of Health Care
- Project leader: Prof. Dr. Robbert Huijsman M.B.A.

24. 24
Nominees III
- Title: Alexander Monro Breast Cancer Clinic
- Project leader: Drs. Jan W. van Bodegom

25. 25
The future of VBHC:
The challenge ahead
Prof. Dr. Fred van Eenennaam

26. 26
VBHC implementation pilot study
Small study performed on the implementation challenges and best practices.
Includes experiences of 25 medical specialists / executives.
1
2 What are your two best practices to implement VBHC?
• Improvement by knowing outcomes
• Getting right data
• Meaningful Patient involvement
What are the challenges of VBHC Implementation?

27. 27
Improvement by knowing outcomes
Results - A short overview:
Continuous learning loops result in improved outcome measures. On an Outcome
Measure-level, ambitions can be defined. Outcomes can be measured and compared
with the ambition.
You can’t manage what you don’t measure
Becoming the best Prostate Cancer center in Germany (Martini Klinik).

28. 28
Getting right data
Information Technology systems that allow for better cost allocations are evolving.
• Currently, specialized IT solutions that improve
the efficiency of cost allocation processes are
evolving.
• TDABC Pilots: map the processes that are
supported by value added activities in the care
delivery value chain.Time and costs can
subsequently be ascribed.

29. 29
Book
recommendation:
Atul Gawanda, a surgeon,
writer, and public health
researcher. He practices
general and endocrine surgery
at Brigham and Women’s
Hospital. Professor at the
Harvard School of Public
Health and at Harvard
Medical School.
Meaningful Patient Involvement
Overview of aspects of patient perspective that can
be taken into account:
• Patient perceptions
• Council membership
• Apps / IT involvement
• Communication towards patients
• Ways of providing information
Try to involve the patient on every level.
Surveys, keeping diaries, involvement in
councils/teams. Input from patients is very
valuable as patients are the customers of care.

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The Nominees
Part II

31. 31
Nominees IV
- Title: Cost effective quality of care gain by
reduction of surgery of patients with oesophageal
cancer
- Project leader: Drs. Tim Kievits

32. 32
Nominees
V
- Title: Outpatient Rapid Recovery Total Hip
Arthroplasty
- Project leader: Stephan B. W. Vehmeijer, M.D. Ph.D.

33. 33
Nominees
VI
- Title: Value-based care for Parkinson’s disease
- Project leader: Prof. Bastiaan R. Bloem, M.D.
Ph.D.

34. 34
Nominees
VII
- Title: Redesign of care for older patients with hip
fracture; a superior performance in patient value and
a doctor-led initiative
- Project leader: Dr. Hilde I.F. Royen, M.D.

35. 35
Award Ceremony
Winner of the VBHC Prize 2014
Meetbaar Beter

36. 36
The Nominees
Part III

37. 37
Nominees
VIII
- Title: Care for Outcome
- Project leader: Drs. Leonique Niessen

38. 38
Nominees
IX
- Title: The Dutch ENT research Agenda
- Project leader: Dr. Peter Paul G. van Benthem

39. 39
Nominees X
- Title: The Dutch Living Donor Kidney Exchange
Program
- Project leader: Prof. Dr. Teun van Gelder

40. 40
The Awards

41. 41
Prof. Leonard H.
Friedman, Ph.D. MPH,
Professor in the
Department of Health
Services Management and
Leadership of The George
Washington University
Prof. Dr. Amit
Kapoor, Honorary
chairman of Indian
Center of
Competitiveness,
the India Porter
Prize 2012/2013
Dr. Federico Lega,
Associate
Professor Policy
Analysis and Public
Management
Bocconi University
Dr. Thomas Lee,
Chief Medical
Officer at Press
Ganey and Editor
of New England
Journal of
Medicine
Dr. Jens Deerberg-
Wittram, President
of ICHOM and
Senior Research
Fellow at the
Harvard Business
School
The honorable jury
members:
Harvard University
Professor Prof.
Michael Porter
Ph.D., Honorary
chairman of the
Value-Based Health
Care Prize
Prof. Dr. Fred van
Eenennaam, Chairman
of the Jury (non voting),
affiliated to The George
Washington University,
Erasmus University, The
Decision Institute
Chair:

42. 42
Advisory Council:
Drs. Hugo
Broekman
Chairman
Board of
Directors
Evita Zorg
B.V.
Carina
Hilders, M.D.
Ph.D.
President
Medical Board
Reinier de
Graaf Hospital
Drs. Peter
Hoppener, CEO
Medicinfo, Former
Chairman Divisie
Zorg VGZ and
Chairman Board of
Directors Sint
Maartenskliniek
Maarten Rook
M.B.A.
Chairman
Supervisory Board
Gelre
ziekenhuizen and
Former Chairman
STZ
Ton Hanselaar,
M.D. Ph.D.
Former
Chairman Board
of Directors/
CEO Stichting
Pantein
Hans Büller, M.D.
Ph.D , Professor of
pediatrics at Erasmus
MC and former
Chairman of the
Board of Directors of
Erasmus MC
Rob Dillmann,
M.D. Ph.D.
Chairman Board
of Directors
Isala

43. 43
VBHC Patient-Outcomes Award:
- Title: Alexander Monro Breast Cancer Clinic
- Project leader: Drs. Jan van Bodegom

44. 44
VBHC Cost-Effectiveness
Award:
- Title: Quality of Health Care
- Project leader: Prof. Dr. Robbert Huijsman MBA

45. 45
VBHC Collaboration Award:
-Endorsed by Amgen
- Title: Care for Outcome
- Project leader: Drs. Leonique Niessen

46. 46
Value-Based Health Care Prize 2015
First Prize
Superior Patient Value Delivery
- Title: Value-based care for Parkinson’s disease
- Project leader: Prof. Bastiaan R. Bloem, M.D. Ph.D.

47. 47
Value-Based Health Care Prize
Challenge
What is your dream scenario for
Value-Based Health Care for the future?

48. 48
Value-Based Health Care Prize
2016
April 7th
Under auspices of:
3rd edition of the
Value-Based Health Care
Prize

49. 49
Value-Based Health Care Prize
Thank you
We hope to see you again
at the VBHC Prize 2016!

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The Value-Based Health Care Prize
Under auspices of:
Special thanks to:
Honorary
Chairman
Harvard
University
Professor
Michael E.
Porter Ph.D.
The Advisory
Council
The International
Value-Based Health Care Prize
Honorary Chairman: Prof. Michael E. Porter, Ph.D.
2015