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Value-Based HealthCare (VBHC)

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 can do this by creating and using a data-driven system which seeks 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 Value-Based HealthCare (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 us to identify the care and treatment which has a positive impact on the patient and their health condition. It can help us to identify where low value care, that care which does not have a positive effect on the patient or condition is also being experienced. We will also ask patients about their experience of accessing our health services. To be able to ensure we can reach patients it is really important we have up to date contact information, mobile telephone number, email and address, and these should be checked at every appointment and/or treatment.

Value -Based HealthCare is a person centred approach which enables us to understand and act upon the things that matter most to patients, this information will help clinical teams to work with patients to make shared decisions about their care and health outcomes, and will help CTM to provide high value care, use our resources efficiently to provide the care that has the best outcomes for our citizens.

It will take us working together and sharing these experiences about health care to take these important steps to improving the health of our communities.
 

PROM

A PROM is an acronym for Patient report outcomes measures. 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. 

Through this process it 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.

We are currently piloting PROM questionnaires within the Heart Failure Team at Princess of Wales Hospital for inpatients and Royal Glamorgan Hospital for outpatients. The service provider for this pilot project is DrDoctor.
 

PREM

A PREM is an acronym for Patient reported experience measures. It is very similar to a PROM whereby 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 will also provide an opportunity to benchmark and compare patient experience across CTMUHB.

Our PREM questionnaires are based upon a set of core “All Wales Survey”, which directly links to our values as a health board, whereby we listen, learn and improve. We treat everyone with respect. We all work together as one team.

An All Wales procurement process was undertaken to acquire a service user feedback system for implementation with NHS Wales.  Following a successful tender exercise, Civica was awarded the contract. Implementation of the system has commenced within Cwm Taf Morgannwg University Health Board.

The process of scoping out the requirements of the Health Board for the Civica system are currently being undertaken within the Patient Experience Team and via the Service User Feedback Group with representation from across the Health Board’s ILG’s/Services.

For further detail around this please contact:

CTM.Civica.Feedback@wales.nhs.uk

 

Additional Information

Value-Based Healthcare Leaflet

Pre-clinic and Post-clinic Patient Key Messages