Traffic Jam Learning ; learn the key concepts and skills for 21st century healthcare while driving or just sitting
Technical Value in Healthcare: determined by how well resources are used within services for each individual and the whole population .
…the proper objective is the value of health care delivery, or the patient health outcomes relative to the total cost (inputs) of attaining those outcomes. (1)
Productivity is measured by the relationship between outputs and cost, for example the number of peopletreated per bed per year . Efficiency is measured by the relationship between outcomes, not outputs, and costs, where the costs may be expressed not only as money but also as carbon or time, including the time of patients and carers. Technical value has to take into account not only efficiency but also the possibility of overuse and underuse
This is not only achieved by evidence-based decision-making, essential though that is. The balance of good to harm changes as the amount of resources invested in an intervention or service increases as Avedis Donabedian showed in his classic diagram in 1980 which is reproduced below:
Value is replacing quality as the dominant paradigm for healthcare in the 21st century. Value is of course increased by quality improvement, by doing things better, cheaper, safer and greener; but doing things right is only half the story – it is also essential to do the right things by making the right decisions about identifying and discontinuing lower value activities.
Personal Value in Healthcare: the delivery of services informed by what matters to the individual.
We have different resources for different needs, which can help drive improvements organisationally, individually or both.
Our aim is to help organisations transform their culture and develop integrated systems of care. We will help single organisations that want to transform its culture/service or a group of organisations that want to work together to develop networks to deliver integrated systems of care to their populations.
We start with a transformation workshop which helps the key people in the organisation:
- Identify the main pressures they will face in the next decade
- Agree on the principal features of a service transformed to flourish in the new environment
As a result of the Transformation Workshop, organisations can commit to one of our transformation programmes:
These programmes are designed for people who want to lead improvement of health and healthcare – either a whole professional group that knows it needs new skills and knowledge to flourish in the new paradigm or individuals who want to transform the care they provide but are too busy for an MBA.
Professional Development Programme – helping very busy people create and adapt to the new paradigm
Individual & Organisational Development
Masters level modules – on the Five Giants we still have to conquer and the Enablers of transformation
The How To Handbooks – Knowledge Geared For Action
As well as enhancing the Transformation Programmes, the How To Handbooks can be read alone. They are available on paper, Kindle, and digital versions are available for Iphone, Smartphone, Mac, or PC. The first set of titles is:
- How To Get Better Value Healthcare 2nd edition, also for Kindle
- How To Build Healthcare Systems also for Kindle
- How To Practise Population Medicine
- How To Create the Right Healthcare Culture
- How To Manage Knowledge in a Health Service (coming soon!)
Healthcare Foundations is a BVHC podcast service. A subscription to this service entitles you to receive podcasts on current healthcare topics that are important to you – topics such as redistribution of resources, streamlining, reducing waste and increasing value will be illuminated by introducing you to distillates from the 1000 greatest books about or relevant to the health of populations and the delivery of high value healthcare. We also have podcasts from 1000 great articles on the science of health service management.
Master the language of healthcare -Language creates the social reality of the world in which we work. Being clear about the meaning of terms is one of the key steps in shaping culture. Even if a word has more than one meaning, it is essential that everyone in a health service is aware of this and agrees which meaning should be used. For this reason, BVHC has developed the Glossary of 21st Century Healthcare and a range of other resources to help clarify, and make more consistent, the language of healthcare.
The BetterValueHealthcare Bookstore – for really good coffee and 1000 really important book
We also create bespoke solutions to meet your needs – find out more here.
There is a negative, over pessimistic view of old age and older people. This derives partly from a failure to understand how many of the problems of old age are preventable and are not due to the ageing process. Poverty, for example, leads many people to withdraw from society but it is not a consequence of ageing. It is a consequence of social inequality and injustice. Some individuals can retain a positive attitude in the face of the these negative pressures but this requires resilience and a definitely decision to think positively about one’s position, capabilities and potential.
The Ageing Process is normal, biological and not pathological, and nothing can be done about it, for the present at least. But this does not mean that you should despair. On the contrary, you need to understand what is happening to you and how the three processes that cause much more trouble than ageing, at least before the age of ninety can be countered, how their impact can be reduced and how many of their effects can be reversed – the three processes are
- loss of fitness, both physical and mental
- preventable disease
- a negative and pessimistic attitude
The Amazon Single titled An Antidote To Ageing summarises and explains the science and research that supports the proposal that instead of worrying about ageing you should take action to prevent, mitigate and reverse the three factors that cause many of the problems hitherto always ascribed to ‘ageing’.
There is increasingly strong evidence that many of the problems that have been blamed on ageing are in fact caused by either social or environmental factors, with their influence felt from the earliest age. Furthermore it is now clear that much of the research that has been done on old age has had serious flaws which have over emphasised the effects of ageing. Simply comparing people who are eighty with people who are twenty is not a fair comparison. When a different research method is used which follows people from twenty to eighty, a method called the ‘life course method’, the reduction in muscle strength that occurs is much less than when the muscle strength of today’s twenty year olds and today’s eighty year olds are compared directly, and the same applies to many other changes. If you want to know more consult the excellent book A Life Course Approach to Healthy Ageing by Diana Kuh and colleagues.
A linked site on Good Health in Your Seventies gives practical advice to people aged seventy and older on the steps they can take to feel better and prevent and postpone many of the problems that are currently assumed to be due to the ageing process.