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What are Value Based Health Care Measures?

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In order to support the ambition of improving person-centred health outcomes and use our resources more effectively, we need to ask people about their health experiences and outcomes from the interventions and care we provide. We do this by creating and using a data-driven system which seek to gather and provide timely information to citizens, clinical teams and our organisation to inform the shared decision-making that leads to those outcomes. Delivering outcomes that matter most to patients is where the value in health and social care actually lies.

A VBHC approach means that patients will be asked how they feel and how their conditions impact on their lives before they come into hospital for an appointment or treatment and afterwards. This helps us to measure and monitor the changes which occur, and whether their health and impact on their lives has improved due to the care received. This helps to identify the care and treatment which has a positive impact on the patient and their health condition. It can also identify where low value care, which does not have a positive effect on the patient or condition, is being experienced.

PROM (Patient Reported Outcome Measure).

The purpose of a PROM is to collect information from the patient's own perspectives via a questionnaire. Through this, patients will be given the opportunity to assess how they feel before and after treatment. This then provides the clinical staff a health status directly from patients themselves at a particular point in time. This process can help patients and clinical staff measure the impact of an intervention while they are being treated for a health condition. It allows both the patient and clinicians to make better decisions together and enables a more personalised touchpoint.

PREM (Patient Reported Experience Measure).

It is very similar to a PROM in that its purpose is to collect information from patients via a questionnaire. However instead of assessing how a patient feels at a particular point in time within their healthcare journey, a PREM measures a patients’ experience whilst receiving their care. The PREM will help capture patients’ interactions within the healthcare system and whether the patients' needs are being met. It also demonstrates areas of excellence and areas of concern to allow us to investigate further. It provides an opportunity to benchmark and compare patient experience across CTMUHB.

WREM (Workforce Reported Experience Measure). 

This is a questionnaire designed specifically for staff. It is aimed at gathering CTMUHB staff experiences whilst undertaking a specific task/ process. It will help inform local improvements whilst also measuring and acting on staff experiences. It provides a snap-shot in time on how our staff experience measures are helping us to introduce PROMS and PREMS within CTMUHB whilst also identifying areas of development. Our WREM questionnaires are directly linked to our core values as a health board, whereby we listen, learn and improve.