Due to the plethora of evidence of the value of transitioning from fee-for-service to value-based funding mechanisms in healthcare, funders/payers are increasingly looking to mechanisms providers are paid based on patient health outcomes. Effectively, this means that rewards are given for helping patients improve their health, reducing readmission rates, adhering to medicine and feeling like the result of the process has led them to a better quality of life.
However, the path to value-based health care can be long and arduous. Most health systems remain largely measured by key performance indicators (KPIs) and clinical metrics; at present little attempt is made to understand patients’ perspectives of their health outcomes.
One of the biggest challenges to date has been the implementation of Patient-Reported Outcome Measures (PROMs) that meets the need of all stakeholders. The objectives of stakeholders are significant, varied and at times, conflicting. However, we know each should be catered for to some extent to truly deliver a value-based care model – the table below gives you some indications of which elements of PROMs suit each key stakeholder: