Value-based skills

Here are the five skill sets to create a value-based approach

How to improve healthcare systems by increasing value and reducing waste
The key skills are the ability

To identify the ways in which it is possible to address the main factors increasing the need and demand for healthcare
To explain how overuse and waste is a possible consequence of increasing investment in healthcare
To describe resource allocation and distinguish between the different levels of allocative decision making
To outline the responsibility of clinicians and patient organisations in resource allocation
To identify the ways in which personal value and allocative value can be optimised

How to shift focus from bureaucracies to populations
The key skills are the ability

To describe the main healthcare revolutions of the last 100 years and discuss the distinctive features of the Third Healthcare Revolution
To understand how and why the concept of 'value' has developed
To explain the need for the approach called 'population health management' or 'population healthcare'
To define the limitations of structural reform and identify the shift that needs to be made from bureaucracy-based healthcare to population-based healthcare

How to design population based systems and deliver care through networks
The key skills are the ability

To define what is meant by a system
To show how the concept of systems relates to the concepts of integrated care, accountable care organisations and accountable care systems
To design a system specification for a specific sub-group of the population, such as people with Type 2 diabetes with an aim, objectives and criteria
To outline the different types of criteria or measures that can be used to monitor progress towards meeting system objectives
To explain how systems can increase the technical value of a health service
To describe how networks relate to bureaucracies and deliver the objectives set out in the system’s specification
To define the term 'action learning' and the role of a community of practice

How to create a culture of stewardship
The key skills are the ability

To assess the part that language plays in shaping and changing a culture
To use examples from industry to convince colleagues of the importance of culture in the transformation of healthcare
To explain how to create the culture necessary to minimise waste and optimise value
To explain the importance of leadership in creating the 'right' culture in healthcare organisations
To appraise the culture of a healthcare organisation
To take steps to influence the culture or subcultures of an organisation

How to optimise personal value
The key skills are the ability

To differentiate between 'personalised' and 'precision' medicine
To outline the relevance and importance of 'patient-centred care', 'preference-sensitive decision-making', the 'silent misdiagnosis' and 'shared decision-making' to the personalisation of care
To identify the key points of differentiation between the traditional approach to decision-making and the personalised approach to decision-making
To explain the implications of the recent legal ruling in the UK for professional practice during shared decision-making
To describe the principles of evidence-based personalised decision-making
To identify the obstacles to increasing the personalisation of care and how they can be overcome

The Skill Sets For A Value Based Approach