Eleven regional hospitals in the Netherlands have joined forces within the value-based healthcare programme of SAZ hospitals (a collaboration of general hospitals) in collaboration with Value2Health. The hospitals started with diagnosis groups for colorectal cancer and hip fractures. The results will lead to quality improvements and help demonstrate the effectiveness of the care provision. In contrast to most existing initiatives, these regional hospitals aim at addressing value-based healthcare within regional networks.
With this programme SAZ hospitals want to improve the objectivised quality of healthcare and demonstrate the effectiveness of the care provision, starting with a concretisation of value-based healthcare for the patient groups of colorectal cancer and hip fractures. To this end, based on existing data benchmarks on outcomes and costs, these results are exchanged and discussed openly and transparently between the participating regional hospitals.
Trimestral improvement cycle
By using the existing data as starting point, there is only a short wait between the beginning and feedback on the initial results. The process also follows a continuous cycle of improvement. Value2Health provides interactive dashboards and supplementary tools so that hospitals can have easy access to the benchmark information, which is updated every three months. Each hospital is notified on a monthly basis of its distinctive performance compared to the other participating hospitals and the previous period.
This summer the initial results will be linked to the hospitals, and in early September the first mirror meeting will take place in which all participating hospitals will discuss the results openly and transparently, and especially share the story behind the numbers. Next, these hospitals will get started with comprehensive improvement trajectories and will have the opportunity to learn from each other in the process.
Value-based chain care
‘Our dream is that, based on the results, we as hospitals can further improve care in collaboration with the network partners. This is where the strength of regional hospitals lies: in solid collaboration within the network, and valued thanks to the people-oriented care’, SAZ chairman of the board Bert Kleinlugtenbeld explains.
Eleven hospitals are participating in the first two diagnosis groups: seven on colorectal cancer and six on hip fractures. The participating hospitals are: Beatrix Hospital (RIVAS healthcare group), BovenIJ Hospital, Bravis Hospital, Ommelander Hospital Groningen, Röpcke-Zweers Hospital (Saxenburgh group), St. Anna Hospital, Regional Hospital Queen Beatrix (Santiz), Van Weel-Bethesda Hospital, St. Jans Hospital Weert, Nij Smellinghe Hospital, and ZorgSaam Zeeuws-Vlaanderen. Whatever is developed in one specific region and hospital, it can be linked, strengthened and improved through the same development in other regions and hospitals. This is why SAZ is also involved in making the connection to the other SAZ hospitals.
In 2019 other teams at SAZ hospitals will get started with different diagnosis groups. ‘In this way, as an association of collaborating hospitals we are taking the right steps towards value-based healthcare and the corresponding value-based purchase of care’, says Bert Kleinlugtenbeld.