Barr y Childs
COST AND QUALITY – MOVING
BEYOND MEASUREMENT
The science of improvement
Do
Plan
Study
Act
The science of improvement
Do
Plan
Study
Act
The science of improvement
Do
Plan
Study
Act
The science of improvement
Do
Plan
Study
Act
The science of improvement
Do
Plan
Study
Act
‘‘
Value = f(cost, quality)
The client experience
COST
CLIENT EXPERIENCE
QUALITY
The client experience
• Right tools for measurement
COST
• Clinical data
• Cost buckets
CLIENT EXPERIENCE
QUALITY
The client experience
COST
CLIENT EXPERIENCE
• Structure, process, outcomes
2
QUALITY
• Right tools
• Investment in data
• Get started
The client experience
COST
CLIENT EXPERIENCE
• Underrated influence
• Need to be careful
• Requires education
QUALITY
‘‘
Is our healthcare system able to optimise
those equations?
We confuse quality with luxury
Luxury increases in line with cost;
quality doesn’t necessarily
Luxury
Cost
2 requirements for better
Quality
Impact
functioning market –
transparency and comparability
‘‘
Well-functioning markets drive innovation
at a micro and macro level
Market mechanisms need to overcome a
number of structural challenges
Insurance
market
Derived
demand
Role of
agents
Act on
behalf of
members
So what are our options?
1
Consumer empowerment
2
Selective contracting
3
Incentivised reimbursement
Follow a conscious, deliberate, active process
Do
Plan
Study
Act
Manage risk
Develop opportunity
THANK YOU