Different Is Necessary: Approaches to Advance Value-Based Procurement in Canada

The Conference Board of Canada, 27 pages, October 7, 2022
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Value-based procurement (VBP) is an advanced approach to purchasing that addresses the challenging problem of how to improve patient care and outcomes while containing healthcare costs.

Document Highlights

  • In Europe, contracting authorities have been successful in value-based procurement (VBP) practices by using the most economically advantageous tender (MEAT) approach, with 68 per cent of medical technology tenders across 11 countries using MEAT instead of the lowest-price approach between 2016 and 2019.
  • In Canada, there is currently no mechanism for identifying the procurement approach taken by provincial, regional, and local healthcare contracting authorities.
  • Our research highlights four scalable methodologies that can help increase the value of healthcare investments at different procurement levels.
  • These methodologies generated considerable value as financial and non-financial advantages for the contracting authority as well as benefits for key stakeholder groups including patients, providers, hospitals, healthcare systems, and the broader society.
  • Each methodology also provides solutions to help overcome the most pressing barriers limiting the adoption and scale of VBP in Canada. These solutions include data and measurement as well as pathways to public–private partnerships.

Table of Contents

Key Findings
The Value Imperative
Supporting VBP Adoption in Canada
Methodology #1: Improving Patient Safety Using the MEAT VBP Framework
Methodology #2: Competitive Dialogue at the Southlake Regional Health Centre Cardiac Program
Methodology #3: Eastern Health’s VBP Policy and Practices
Methodology #4: Ontario’s Procurement of Cardiac Devices
Scaling Effective Methodologies and Applied Frameworks
Appendix A—Methodology
Appendix B—Bibliography

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