Promoting value-based care in EDs (PROV-ED)

Initiative Type
Redesign
Research
Service Improvement
Status
Plan
Added
13 May 2020
Last updated
05 April 2021

Summary

The PROV-ED Project aims to disseminate innovation, by sourcing and scaling value-based emergency department (ED) initiatives with demonstrated outcomes. Initiatives are selected for statewide rollout via an EOI calling for applications, followed by selection process culminating in the “PROV-ED Pitchfest”. The 2019 Pitchfest resulted in the selection of six initiatives, which are currently being implemented in EDs across the state.

Four new initiatives were selected in the 2020 Pitchfest and the PROV-ED project team is currently working hard to develop the statewide ED plan for these initiatives.
 

RedUCE logo

Reducing Urine Contamination in Emergency (RedUCE)

ReMS logo

Resuscitation Medication Safety (ReMS)

SaVE logo

Safer Ventilation in Emergency (SaVE)

SWIFT logo

Safe, Well organised, Inter-Facility Transfer (SWIFT)

By facilitating the adoption of these successfully piloted initiatives, PROV-ED is helping to spread innovation beyond hospital and HHS boundaries.


It also builds capacity building for health service redesign and quality improvement through multidisciplinary clinician engagement, workforce skills development and by creating a model for widespread implementation of initiatives.

Key dates
Feb 2019
Jun 2022
Partnerships
Queensland Emergency Department Strategic Advisory Panel (QEDSAP) Metro North HHS (Healthcare Excellence and Innovation (HEI))

Aim

To provide a suite of successful value-based care initiatives suitable to widespread implementation.

Benefits

 

  • Engagement of state-wide stakeholders to enable resource development suitable to wider dissemination.   
  • To enable networking opportunities and dissemination of ideas and innovation at events such as “PROV-ED Pitchfest”.
  • Widespread dissemination of selected initiatives including guidance and assistance to hospitals for implementation.
  • Evaluation of the impact of implemented value-based care initiatives.
  • Demonstrate measurable improvements in value-based healthcare in Queensland Health emergency departments.
  • Ongoing data provision and feedback to hospitals to encourage continual improvement and engagement.
  • To build capacity for ongoing implementation of quality improvement initiatives to improve patient care and experience as well as health system efficiency.
  • To support innovation for service improvement by decreasing the time between the emergence of clinical evidence and integration into practice.

Background

Value-based care is increasingly important within Health Services, including in the ED environment. Overuse of low-value care and underuse of high-value care is widespread and contributes to unnecessary costs and poor health outcomes The concept of value-based care broadly encompasses balancing the benefits of treatments provided to patients with the financial costs of the treatment. To provide efficient and safe healthcare, clinicians must consider the benefits and risks of investigations and treatments in an environment of increasing healthcare costs, and be aware of options and methods to changing care (1).

Value-based healthcare is not only about costs. The quality of care provided to patients can be enhanced with new developments in clinical care. Improving healthcare provision also reduces overcrowding and improves staff efficiency (reduced stress and cognitive load, improved morale and satisfaction), patient satisfaction, and importantly patient safety (2).

Various activities have been developed within HHSs aimed at improving efficiency and reducing use of low-value care. However, to date, limited action has occurred on a state-based level. Many initiatives are most likely scalable, however there are no clear pathways to enable dissemination. A broad strategy to affect change in clinical practice that targets frequent use, high cost and/or inappropriately used interventions in EDs is required. This same platform can also promote high quality initiatives identified at improving patient experience in our health care system. The PROV-ED Project addresses this need by utilising clinical redesign methodology to roll out already proven strategies to improve efficiency across the health system.

References

  1. Brownlee S, Chalkidou K, Doust J, et al. Evidence for overuse of medical services around the world. The Lancet. 2017.
  2. Porter ME. A Strategy for Health Care Reform — Toward a Value-Based System. New England Journal of Medicine. 2009;361(2):109-12.

Further Reading

Resources

Public resources
Share this

Key contact

Dr Andrew Hobbins-King / Prof Louise Cullen
PROV-ED Project (Professional Lead)
PROV-ED Project – Healthcare Improvement Unit (HIU) – Clinical Excellence Queensland (CEQ)
(07) 3646 0775
PROVED.Project@health.qld.gov.au