Moving from volume-based healthcare to value-based healthcare

Moving from volume-based healthcare to value-based healthcare

The past few years have seen the digital transformation of healthcare evolve dramatically, with an increasing emphasis on value-based healthcare in the Middle East and globally.

Value-Based Healthcare (VBHC) offers governments and healthcare providers a patient-centric model that leverages data analytics for effective decision-making and proactive care planning. An example of this digital health transformation is the EJADAH digital program, launched by the Dubai Health Authority (DHA) earlier this year to form the basis for VBHC adoption in the emirate.

Patient-centric, EJADAH focuses on six pillars: patient empowerment, experience, solutions, insights, access and focus.

Focus on patient outcomes

EJADAH aims to transform into a VBHC in collaboration with healthcare providers, health insurance companies and regulators, which will ultimately lead to better government oversight of all healthcare services. “DHA Health Insurance Corporation, which regulates the health insurance industry in Dubai, has launched the first value-based healthcare model in Dubai,” said Farah Shaikh, Vice President/General Manager Gulf & Levant and Head of Sales – Middle East at IQVIA. “The model known as EJADAH provides a new health care financing system that focuses on patient outcomes and improves health services to improve preventive care.”

One of the primary goals of providers is to achieve the highest international standards of medical services through the incorporation of international standards and benchmarks into treatments. This is associated with the use of data analytics and the implementation of solutions that help assess compliance with processing standards.

Identify gaps in care

IQVIA, a global provider of advanced analytics, technology solutions and clinical research services for the life sciences industry, is the DHA research and analytics partner to EJADAH, providing its performance management framework to monitor healthcare activities in Dubai. Using clinical quality and cost benchmarking tools, IQVIA helps identify gaps in care and issues to help guide decision-making toward high-quality, low-cost options .

IQVIA also contributes to the development and implementation of local key performance indicators, based on a solid evidence base, which will lead to improved and optimized patient outcomes, and a reduction in avoidable expenses.

“The IQVIA team is proud to be part of this project as a research and analytics partner of DHA,” said Ranjith Verghese, Senior Director – Business Transformation and Change Management, AMESA at IQVIA, “The capabilities IQVIA’s niche business will help DHA standardize clinical guidelines and monitor compliance across the emirate of Dubai enabling the transformation from volume-based to value-based care, keeping the patient at the centre.”

Digital maturity is key

Digital maturity is a key enabler to achieve VBHC, combined with the application of change management best practices. The digital maturity movement can be enabled through HIMSS Digital Maturity Adoption Models such as the Adoption Model for Analytics Maturity (AMAM), which helps leverage data for better care and process optimization , and the Continuity of Care Maturity Model (CCMM), which assesses and improves the level of care coordination, systems integration and patient engagement.

IQVIA, a HIMSS Digital Health Transformation Partner in the Middle East, can help healthcare providers on their journey to adopting VBHC, through the various HIMSS Maturity Frameworks and IQVIA’s solutions and tools.

To learn more about IQVIA, click here.

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