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

Initiative Type
Redesign
Research
Service Improvement
Status
Plan
Added
13 May 2020
Last updated
29 August 2020

Summary

The PROV-ED Project aims to disseminate innovation, by sourcing and scaling value-based emergency department initiatives with demonstrated outcomes. The search for the next round of innovation is underway with applications now closed. The successful initiatives will be announced in late August 2020 following a rigorous selection process.
In the meantime the PROV-ED team continues to showcase the initiatives below to departments across Queensland and assist with implementation of those that align with local needs.

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 (Clinical Operation Strategy Implementation – COSI)

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

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Key contact

Prof Louise Cullen / Dr Andrew Hobbins-King
PROV-ED Project (Professional Lead)
PROV-ED Project – Healthcare Improvement Unit (HIU) – Clinical Excellence Queensland (CEQ)
(07) 3646 5005
PROVED.Project@health.qld.gov.au