Value-Based Healthcare Canada Data Repository

Grading VBHC Activity in Canada

As part of VBHC Canada’s Data Repository, we asked ourselves how we could objectively measure each activity based on its adherence to Porter and Teisberg’s widely accepted six-principle definition. To answer this question, we consulted with our stakeholders and amalgamated relevant indexes on VBHC to develop a series of grading criterion. Activities are awarded one point per criteria for a maximum score of 15. For more information about our methodological approach, please contact us.

Adherence to VBHC Principles

Primary and Secondary Grading Criteria

1. Care must be structured around the health needs of a patient population.
   1. A target population is clearly defined.
   2. The initiative considers full patient care pathways (end-to-end) including linkages to primary care, community support, hospital care and all other relevant health services.
2. Outcomes and costs must be measured for every patient.
   1. Patient outcome measurement is standardized.
   2. Patient outcome data is accessible to relevant clinical and administrative staff.
   3. Patient outcome data is reported to patients or is publicly available.
   4. Activity-based costing per patient is systematically measured.
3. Healthcare costs must align to the value of care, rewarding better outcomes and more efficient processes.
   1. Initiative measures and reports outcomes and costs as a value equation.
   2. Reimbursement models are linked with patient outcome data.
   3. Patient reported outcome measures are collected and included in a performance-based assessment.
4. Efficient and proper care practices must be effectively integrated within health care delivery systems.
   1. Linkages with community and primary care organizations are in place.
   2. Formal processes for matching patients to the right health program are in place.
5. Care must account for a regional and national system and standards of care must apply across geographies.
   1. Initiative considers results and systems scalability for different jurisdictions.
   2. Initiative considers the distinct geography within which it operates.
6. Technologies must be innovative and designed to accommodate an effective VBHC system.
   1. Technology is leveraged to enable systematic and standardized data collection activities.
   2. Technology is leveraged to enable data sharing and reporting in an impactful way.