(VALUE) Creating VALUE through clinical pathways & care flow optimization

Project summary

Defeating patient illness and restoring health to the patient is the dominating concept on which the provision of health services by most centers is managed. Increasing prevalence of chronic disease among the population is jeopardizing the sustainability of the current healthcare system. Value-Based Health Care (VBHC) proposes an approach to care providers to deliver healthcare services, providing value to the patients while keeping healthcare sustainable. The VBHC supports implementing the quadruple aim of healthcare, increasing the engagement of patients, addressing the continuum of care and aligning cost to effectiveness of care. Digital transformation is a must to implement VBHC models, which enables the process of extracting knowledge from data to help on decision-making. However, this transformation is not simple, and there are problems of acceptance. These come from difficulty in the usability of the solutions, which handle a language not shared by the different actors, and a black-box approach that usually follow the tools that does not explain the steps carried out, an issue of particular importance in the clinical field.

VALUE solution proposes a new framework to enable the collaboration of the clinical, technical, and management staff to adopt VBHC approaches. It includes a technological product and a method to foster the discussion among all the actors involves in the healthcare delivery. The solution uses innovative Interactive Process Mining techniques to dive into the internals of the clinical pathways finding out the real steps performed by patients. Unlike other technologies, the VALUE solution does not omit information in the generation of new knowledge and offers detailed maps of what happens in the clinical practice to report issues according to performance or clinical indicators.