HEALTHCARE CASE STUDIES Aligning Value

THE NATIONAL CENTRE OF TECHNOLOGICAL EXCELLENCE IN HEALTH, MEXICO
Cost containment, better resource allocation

The Centro Nacional de Excelencia Tecnológica en Salud (CENETEC), the national centre of technological excellence in health in Mexico, advises policymakers on the most cost-efficient emerging health technologies.

• A staff composed of doctors and biomedical engineers uses a multidisciplinary process to conduct a health technology assessment (HTA)
• Mexico is one of the region’s leaders in the use of telemedicine, thanks in part to CENETEC’s work

MINISTRY OF HEALTH, NEW ZEALAND
Digital strategy improves care

In 2016, New Zealand adopted a new strategy emphasizing data and technology to improve value in healthcare by 2026. The 10-year plan includes:

• Connecting technological investment with value delivery
• Crowdsourcing data to track common problems
• Collating information from both government and non-government sources to highlight correlations

GESUNDES KINZIGTAL, GERMANY
Population health, efficiency, cost containment

Gesundes Kinzigtal (GK) is a joint venture between a healthcare management company and a network of physicians and psychotherapists in southwestern Germany. The GK uses an integrated care approach to:

• Provide a better care experience
• Improve population health
• Reduce costs

The approach has shown promise, particularly for the multimorbidity populations.

INSTITUTO DE EVALUACIÓN TECNOLÓGICA EN SALUD, COLOMBIA
Resource allocation, cost containment

Colombia’s health technology assessment agency, IETS, plays an important role in the transition to value-based care. IETS:

• Reviews outcomes data and literature
• Provide s recommendations about pharmaceuticals and other treatments

PARTNERS IN HEALTH, RWANDA
Resource allocation, preventative care improvement

Rwanda invited Partners in Health, a Boston-based nonprofit, to collaborate on value-based strategies. Together they have worked to:

• Improve healthcare infrastructure
• Build capacity

SHOULDICE HOSPITAL, CANADA
Process efficiency, cost containment

To deliver value-based healthcare, Shouldice instituted a care delivery model predicated on specialization, standardization, and high volume.

• Reduced hernia surgery turnaround time (10 minutes versus up to an hour at other hospitals)
• Offered hernia treatments at approximately half the market rate
• Adjusted staffing ratio of staff-to-bed (approximately 1.8:1, while others maintain a staff-to-bed ratio from 9 to 12.6 per bed) 
• Achieved world-class clinical outcomes
• Earned high patient satisfaction

APOLLO HOSPITAL GROUP, INDIA
Personalized care, improved outcomes

Apollo used robust data collection and analysis to scale and improve treatment, inform pilot programming, and integrate value-based care on an individual basis.

• Placed greater emphasis on preventive programming for non-communicable diseases
• Re-examined how service lines are structured
• Used technology to deliver care to the inaccessible and underserved

METRO-AREA HOSPITAL, UNITED STATES
Process efficiency, cost containment

With the assistance of Medtronic Integrated Health Solutions experts and analytics, a metro-area hospital engaged its surgeons to align preference cards.

Based on an annual volume basis of 450 lap chole cases at the hospital, the preference card optimization effort resulted in:¹

• 30% fewer line items across preference cards
• 50% less variation in surgical supplies across surgeons
• 50% fewer door openings during lap chole procedures
• 30% less time spent on picking and putting back supplies
• $90 decrease in cost per case
• $42,000 overall savings annually from efficiencies made to the operating room