Leadership Commitments to Improve Value in Health Care Finding Common Ground: Workshop Summary (2009) / Chapter Skim
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2 Foundation Stones in the Common Ground
2 Foundation Stones in the Common Ground
Pages 59-66
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From page 59... ...
Indeed, any system's long-term viability is predicated on the ability of its disparate stakeholders to find ways to work together productively. Stakeholder cooperation was a driving force behind the workshop, Leadership Commitments to Improve Value in Health Care, and an imperative for the development of a learning healthcare system.
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From page 60... ...
Over the course of the discussions, participants emphasized certain elements: trust, commitment to evidencedriven care, embedding learning into the culture of health care, development of a common focal point and a trusted source of evidence, and stakeholder leadership. A consistent understanding and commitment to these "foundation stones" among the various sectors of the healthcare system would constitute an important starting point for progress.
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From page 61... ...
Establishing, clarifying, and publicizing principles, or rules of the road, will be vitally important, and collaboration among stakeholders is needed to determine the principles and areas of focus that will bring greater openness to health care. Value Increased transparency ensures a shared understanding of important processes, and perhaps no element has greater need for shared perspective than the notion of value in health care.
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From page 62... ...
Similar examples were cited for application and dissemination of the evidence, reinforcing the notion that each sector has much to contribute to the transformation of health care. The collective expertise, resources, and experiences in health care are needed to broaden access to clinical decision support systems and electronic health records, bring clinical research closer to clinical practice, improve the quality and accessibility of healthcare data, and create decision support systems that produce actionable information with the end user in mind.
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From page 63... ...
Despite the increasing sophistication of decision support technology and its ability to provide knowledge when needed and despite the availability of tools that help orchestrate team-based approaches to health care, little priority has been placed on integrating these technologies and tools into the process of providing health care. Enhancing the focus of health professions training on the dynamic nature of evidence, how to track and apply it, and how to contribute to its development will require both a different approach by schools of health professionals and a shift to a culture that values and emphasizes the importance of ongoing training or lifelong learning.
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From page 64... ...
STAKEHOLDER LEADERSHIP FOR CHANGE It was generally acknowledged that the ultimate driver of widespread support for evidence-driven care will be strong leadership within and among the various healthcare sectors that can articulate the tangible impact of broad improvements in healthcare decisions on patients, providers, and society. Although the representatives of various sectors recognized the potential of evidence-based practice to drive dramatic improvements in patient health and to guide the necessary transformation of the nation's healthcare system, they indicated a strong need to make a better case.
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From page 65... ...
Participants provided a collection of compelling examples viewed as means of improving the understanding of and demand for evidence-based care and stakeholder activation. They also suggested that efforts are needed to more effectively convey the central concepts that medical evidence is dynamic, that evidencebased medicine is knowing what the evidence suggests is best for any given patient at any given time, and that health care is a joint patient-provider partnership.
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