Abstract
Introduction: Ageing and chronicity, along with technological and pharmacological innovation upswing, require transformation of healthcare organizations and systems to focus on value-based integrated care (VBIC) management models.
Health Value Lighthouse is an initiative that pursues the commitment of healthcare organizations to advance on VBIC as a means to allow health system sustainability, innovation and person-centered care. Its core tool is a questionnaire for maturity analysis, that is fulfilled by a management team and allows self-assessment as well as the definition of a roadmap for advancing in VBIC management.
We describe the design process and preliminary piloting results of the questionnaire.
Methods: For the initial development of the questionnaire, a multidisciplinary group of experts in the field of health policy, management, health economics, pharma industry and consultancy was formed. A literature review to identify main topics and key elements in the value-based framework preceded the group discussion.
The preliminary version of the questionnaire was contrasted with a sample of potential users in healthcare organizations.
The final online version was tested for its usability, acceptability and user´s satisfaction before launching the pilot projects at two healthcare organizations in Spain in 2024.
Results: The questionnaire is an open access tool with 39 items structured in 7 domains, which have been considered essential in a value-based healthcare management model.
Discussion: Although value-based healthcare delivery is a fashionable topic, there are not many actionable tools that allow organizations to self-assess their organizational maturity on this topic. Health Value Lighthouse is intended to fill this gap as well as to expand current value-based healthcare approaches towards value-based integrated care by merging key concepts from both knowledge areas.
Conclusions: The Health Value Lighthouse questionnaire presents an opportunity to analyze the situation of an organization with respect to VBIC and align teams towards it.
Lessons learned: The validation done with final users suggest that the Health Value Lighthouse questionnaire is both applicable and easy to use tool.
Limitations: Transformation processes must go beyond the implementation of a tool and they require a favorable environment at all levels of the organization which would allow changes to happen. Therefore, thisinitiative has been conceived as a transformational project, being the application of the questionnaire the starting point.