Policy guidelines for value-based care

Which human rights are breached and endangered in health care?

#1 Right to quality and affordable care

#2 Right to express the perceived value of care

#3 Right to be treated with dignity

#4 Right to autonomy and decision-making

#5 Right to work-life balance for healthcare professionals

We need a new paradigm!

VALUE-BASED health and social care

Value is measured by the improvement in the individual’s outcomes and experience of care relative to the cost of achieving that improvement.

Older people define the perceived value of care and the quality of care received, they are at the centre.

Team-oriented approach to care and data security is implemented, so care is coordinated, and patient outcomes can be measured easily.

Health care systems focus on improvement of staff satisfaction, achieving greater efficiency in the use of digital resources

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#1 Facilitate the engagement and empowerment of older people

Empower older people, their families and communities to actively participate in care decisions, by constructing trust, creating a safe space with time for dialogue, to express their perceived value and feelings about care received.

Encourage the co-development of personalised 'ValueCare pathways', with a multidisciplinary team and holistic approach, putting the values and feelings of patients at the centre.

Fund awareness campaigns and trainings to fight ageism in the health and social care sector to grant greater consideration and respect for older people's rights.

#2 Co-define, co-monitor and co-evaluate the quality of care

Get inspired by the ValueCare outcomes measurement pathway, to define qualitative and quantitative standardised measures of patient outcomes, including clinical, functional, psychological, and quality of life metrics.

Encourage mixed methods of measuring the quality of care (outcomes), in which results of such measures should always be interpreted with older people and informal carers, based on Valuecare's approach.

Make sure reporting data is safe and easily accessible to older people, care professionals and payers (e.g., insurance companies), to encourage transparency of costs and informed decision-making.

Fund learning communities within and among healthcare providers to inspire each other on how to improve the quality of care.

#3 Enhance collaboration, coordination and communication mechanisms around older people's living environments

Incentivise health and social care providers to collaborate, share information, and coordinate care, among themselves and with the community, to reduce bureaucracy, duplication of interventions and improve outcomes.

Invest in and promote the adoption of electronic health records (EHRs) and digital platforms to measure in real-time the co-defined value-based care outcome indicators and experience of care.

Develop standards for care data exchange within high ethical boundaries, to enable seamless sharing of older people's information, across different health and social care settings.

Provide clear and transparent public information about data use, data protection and data treatment, for older people to be able to act and take evidence-based decisions.

Promote cooperation, research and knowledge exchange in the field of value-based care at the European level, to become a global leader in accessible, affordable and high-quality standards of delivery of care, taking a rights-based approach.

#4 Focus on prevention, health and digital literacy

Implement and fund preventive care measures, such as meaningful campaigns promoting healthy lifestyles, health and digital literacy trainings for all.

Invest in and promote the adoption of electronic health records (EHRs) and digital platforms to measure in real-time the co-defined value-based care outcome indicators and experience of care.

Eliminate practices that aggravate physical and cognitive decline, including restraints and inadequate medication prescribing.

#5 Improve working conditions, satisfaction and wellbeing of health and social care professionals

Increase attractiveness of careers, ensure sufficient human resources, according to the trends demographic data.

Invest in the training and education of health and social care professionals to ensure they have the skills and knowledge needed to provide value-based care.

Promote the development and coordination of multidisciplinary teams including trained volunteers that can work efficiently together to provide comprehensive and holistic care.

Provide adequate resources and support to health and social care professionals, with a clear attention to mental health and work-life balance, considering wider conditions e.g., childcare, transportation and pension provisions.

#6 Support alternative payment models that reward high-quality care delivery

Shift reimbursement models from fee-for-service to value-based payment systems, ensuring value through strategic purchasing (e.g., bundled payments for a specific episode of care; reimbursements based on outcomes, capitated payments per patient).

Give (non-) financial incentives that reward providers for achieving quality benchmarks, improving better patient outcomes and experience of care while reducing costs e.g., reward providers for improving patient satisfaction, and implementing preventive care measures.

Fund research and evaluation efforts to assess the impact of value-based care initiatives and adjust policies accordingly.

Watch our video

"It helped me to be more aware of my quality of life and how to evaluate the data that I got from multiple places. Now, I am more motivated tohave a healthier life and to track my health data." Older person from the Croatian pilot

"It was great to see how people really appreciated the fact that we have started from their needs and requests first, instead of just 'giving' them the cure."

Care Practitioner from Italian pilot

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