Health value: A skilled workforce is needed

As regular readers know for sure, I am a tireless advocate for the health of the population and the systemic changes that will be needed to achieve fair, value-based health care in the United States. unacceptably poor health outcomes, differences in access to care and prohibitive costs for individual citizens and governments. It also sharpened the focus on the new opportunities that healthcare professionals will need to manage the ongoing and inevitable shift from a service charge to value-based models.

Over the years, I have had the privilege of meeting and working with many of the national thought leaders and organizations that have developed the values ​​movement. Last year, I co-authored an article on developing a value-based care workforce with Eric Weaver, DHA. Weaver is the Executive Director of the newly established Institute for Health Promotion, a non-profit organization trained by partners, a member organization of health organizations focused on accelerating the transition to value-based care through a competency-based workforce transformation. .

The institute is housed at Western Governors University (WGU), an innovative online non-profit university specializing in competency-based learning. As a member of the Institute’s Health Advisory Board, I took the opportunity to understand his point of view on where we are now – and where we are headed in the near future.

Despite strong headwinds for value-based care, Weaver is optimistic about turning plans into action. “The difference between an obstacle and an opportunity is a ‘relationship’ and we cannot allow the glacial pace of transformation to discourage us from making a seismic change in the way we provide and fund healthcare in our country,” he said.

The institute’s origins go back to the WGU’s Responsible Care Training (ACLC), the brainchild of two former senior federal officials: former Health and Human Services Minister Michael Livit and former Medicare & Medicaid Services (CMS) administrator. Mark McClellan, MD, PhD. The ACLC’s insights confirm the premise that mutual learning and industry cooperation will be essential to developing solid solutions to the “obstacle” – the complex health problems in the United States.

Taking advantage of the “opportunity”, the institute brought together a wide range of value – oriented health leaders – from suppliers, insurers and product manufacturers to regulators, academia and professional associations – to work together to create a unique American. industry-oriented) a solution that involves the participation of communities, especially those that are not served. ”As leaders share their understanding and experience of implementing care based on real-world values, their goal is to compare, learn from each other’s successes (and failures) and develop value-based best practices that benefit patients, providers and payers. in risk-paying payment models are synthesized in the Health Values ​​Atlas.

Why is this important today? CMS is the largest payer in the country. In support of the transformation of the industry, the strategic objectives of the CMS require all Medicare and Medicaid beneficiaries to be in a relationship with care with responsibility for quality and total care costs (eg responsible care organization) by 2030.

Weaver notes that much of the value movement is focused on pay rather than care, with very little attention paid to the workforce’s competencies. He is convinced that competence-based education and retraining and retraining of the workforce are crucial to the organization’s success in the transition to value-based care. To this end, the institute works to expand knowledge and promote competence in the healthcare industry through educational products, research and partner training to accelerate industry readiness. “Health value is more than economics,” says Weaver. “We believe in the moral imperative of value-based care, and through our social impact we are a multiplier of strength for public health and health justice.”

At the risk of advertising one of Jefferson’s competitors, he took my hat off to WGU, the institute’s home. For 25 years, they have pioneered competency-based, fully online qualification programs and certifications in a wide range of health disciplines. The student body now numbers about 129,000 (69% of whom are underserved), and their graduate nurses make up approximately 17% of the U.S. nursing workforce. By improving access to education – especially their certification programs – they have created a diverse, inclusive pipeline for the value-focused healthcare workforce of the future.

  • David Nash is the founder of the Honorary Dean and Dr. Raymond K. and Doris N. Grandon, Professor of Health Policy at the Jefferson College of Public Health. He serves as a special assistant to Bruce Meyer, MD, MBA, President of Jefferson Health. I follow

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