Shift from ‘Volume-Based’ to ‘Value-Based’ Healthcare Outlined in Paper Published by Dr Trishan Panch of Wellframe and Dr Rupert Dunbar Rees of Outcomes Based Healthcare

Leading medical journal publishes paper discussing need to combine the best of an integrated delivery system with the value gained from seeing everything through the eyes of service users.

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'Unless we can begin to implement healthcare delivery systems which reduce costs while at the same time improving outcomes that are valuable to patients, we will be faced with a future of healthcare rationing,' said Dr. Panch.

Boston, MA (PRWEB) March 12, 2014

Wellframe, a Boston-based company that combines mobile devices and artificial intelligence to amplify caring relationships by engaging patients in personalized care plans, today announced that Wellframe Chief Medical Officer, Trishan Panch MD MPH, co-authored a paper in the journal Heart, which outlines a strategy that healthcare stakeholders can employ to realize the benefits of value based system design for patients. The paper is written with Rupert Dunbar-Rees, MD MBA - CEO of Outcomes Based Healthcare – a primary care physician and thought leader in value based health system design, and Mark Dancy, MD, Cardiology lead for NHS improvement – the organization tasked with improving Cardiovascular care throughout England and Wales. The paper explores what it would mean for providers and patients if care were organized around the needs of patients with similar needs (or segments) rather than by intervention or clinical specialty.

In the value-based system put forth by the team, the model, referred to as ‘the circulation service,’ defines segments of patients according to their needs, streamlines care by segment with a focus on co-creating outcomes that are meaningful to patients within those segments. As stated in the paper, “It is about combining the best of an integrated delivery system, with the value gained from seeing everything through the eyes of service users.”

“There has been a lot written about outcomes based or value based healthcare in the management literature but most of the clinical examples have been in hospital settings or at the conceptual level. In this paper we wanted to apply this groundbreaking thinking to the most common chronic disease of them all – Cardiovascular disease” said Dr. Dunbar-Rees, lead author on the paper.

"Unless we can begin to implement healthcare delivery systems which reduce costs while at the same time improving outcomes that are valuable to patients, we will be faced with a future of healthcare rationing,” said Dr. Panch. “Although significant barriers exist to implementing this model, both Dr. Dunbar-Rees and I have seen organizations first hand who are ahead of the curve and working closely with companies like Wellframe and Outcomes Based Healthcare to extract more value from care and better manage their risk.”

“The approach that we have described in this paper is the first time that we have shared our vision for how chronic diseases can be managed in a way that is sensitive to patient’s individuality, but also creates value at the systems level,” said Dr. Panch. “The issues raised in this paper and their theoretical solution are globally relevant and especially topical in the US given the focus of the Affordable Care Act on proactive preventative medicine. Models of preventive care like the circulation service will one day be commonplace. However, to realize this bold vision, the health system needs to be organized around the needs of a patient. At Wellframe, we are using mobile phones and artificial intelligence to build the first mile of the health system for patients with chronic disease by creating a means of personalizing a chronic disease care program for an individual patient and generating a new data set of patient’s needs derived from their daily interaction with their care plan that can be shared in real time to ensure that needs are understood and ultimately achieved. ”

For more information on Wellframe, please visit http://wellfra.me/.

For more information on Outcomes Based Healthcare, please visit http://www.outcomesbasedhealthcare.com/.

To view the paper, please visit http://heart.bmj.com/content/early/2014/03/11/heartjnl-2013-305269.abstract

About Wellframe

Wellframe is a Boston-based Health Technology company that combines mobile technology, artificial intelligence and human-centered process design to connect people and amplify care. Wellframe’s Harvard and MIT trained team is supported by investors and advisers who are successful leaders in enterprise health and tech. Wellframe has completed successful clinical trials with top-tier academic medical centers and is partnering with leading risk bearing entities.

For more information on Wellframe, visit http://wellfra.me/.

About Outcomes Based Healthcare

Outcomes Based Healthcare is a London-based organization supporting the adoption of outcomes based approaches to healthcare. We work with healthcare providers, commissioners and patients who wish to define outcomes which matter to people, and organize processes of care around clearly defined outcomes.

For more information on Outcomes Based Healthcare, please visit http://www.outcomesbasedhealthcare.com/.


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