Your Challenges

Patient Journey

Strategic decisions

Substantial barriers stood in the way of scaling the state-of-the-art care into real practice. To achieve the triple aim of improving quality, access and lowering overall costs, providers, life sciences and medtech companies can join forces and revolutionize the patient experience:

IDENTIFY ISSUES AND OPPORTUNITIES FOR IMPROVEMENT

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Why is action needed?

  • Unwarranted variations in health care delivery across the patient journey directly impact on equity of access to services, the health outcomes of populations and efficient use of resources
  • Clearly understanding the measurable attributes of state-of the art care, current state, the reasons for patient leakage and suboptimal care is essential, for local care teams to drive quality and efficiency improvement

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How best focus resources to improve patient access to the right care?

  • Can you articulate the benefits your organization would gain from improving the way patients are managed throughout their journey?
  • How best engage key players in a collaborative effort to reduce unwarranted variations of care and maximize sustainable results in real life?
  • Do you understand end-to-end patient, physician and payer experiences and sources of patient leakage?
  • Do you have a framework, you can share with frontline practitioners, for assessing and improving health care quality?
  • Which are the gaps in the patient journey where effort should be focused to maximize value for the different stakeholders?
  • How can you help overcome barriers to the adoption of evidence-based guidelines in clinical practice?
  • What capabilities do you need to build within the care delivery organizations to bring state-of-the-art care in each particular local context?
  • How could you facilitate an effective behaviour change?

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How we can help

  • Define common ground and establish a framework for a collaborative program with key stakeholders
  • Compare practices across geographies and identify deviations to evidence-based standards of care
  • Help clinicians, their leadership and payers understand the magnitude of issues locally, their impact on population outcomes and costs
  • Engage health care providers in tackling unwarranted variations of care, weaknesses in the patient journey and in improving outcomes
  • Provide local teams with frameworks for collating relevant information, mapping patient journeys, assessing quality of current services and building consensus on priorities based on cost benefit-risk analysis
  • Conduct structured ideation to generate useful ideas and craft design principles for solutions

ENABLE TRUE ENGAGEMENT OF PATIENTS AND FAMILIES

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Why is action needed?

  • True consumer engagement is increasingly recognized as a broad condition for improving the health of populations and the experience of care while containing healthcare costs
  • For providers, healthcare professionals and industry, patient engagement is becoming a critical part of receiving value-based payments
  • Going beyond simple adherence and addressing holistic disease management through patient-centric service offerings is precondition for success of the next-generation patient support programs

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Are you maximizing the impact of investments in patient support programs?

  • Do you have a thorough understanding of factors that influence patient access to treatment and adherence?
  • How are you defining success for a patient support program in the disease area where you play? How big is the opportunity?
  • How can you best align brand objectives with the needs of all target audiences, including patients, caregivers, physicians and office staff?
  • What components (educative, motivational, administrative, risk management, monitoring, case management, analytics…) do you need to maximize patient engagement?
  • How to best support patients’ behavioral modification to live a healthier lifestyle and improve their adherence to prescribed diet, exercise, and medication regimens?
  • Are you enabling healthcare providers and patients to work together?
  • How do you engage prescribers and maximize access and retention for eligible patients to the program?
  • Have you embedded, from the start, measurement of interventions’ impact for patients, brand and other project stakeholders into the program?
  • Can customer perceptions about your patient support program actually drive brand differentiation and preference?

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How we can help

  • Frame patient engagement strategies
    • Uncover insights into patients’ and healthcare professionals’ needs along the patient journey and into existing world-class programs
    • Highlight regulatory and compliance obligations to take into account ahead of the program
    • Evaluate which services best meet the needs of patients and healthcare professionals for a particular condition
    • Prioritize patient support program investments
  • Build the relevant components that structure patient support program while leveraging multichannel capabilities
  • Maximize collaboration with the care team to secure patient enrollment and retention
  • Evaluate patient support program impacts and orchestrate continuous improvement

MOVE TOWARD PATIENT-CENTRIC INTEGRATED CARE

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Why is action needed?

  • There is no longer any doubt that heath care organizations have to reconfigure to address common challenges: failure to prevent avoidable deterioration of health, increased prevalence of chronic diseases, expensive advanced therapies, lack of standardization, fragmentation of care delivery services, inflationary effect of the dominant payment scheme…
  • The demand for value by consumers and payers is putting a growing pressure on each player in the health ecosystem to establish a strategic framework and organize the transition towards value-based integrated care
  • Organizations that fail their transformation to deliver better outcomes, reduce cost and provide a better experience for all risk being edged out

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How can your organization realize the full potential of integrated care?

  • Where are the opportunities to increase the value of care for specific patient groups across the entire trajectory of disease?
  • How to mobilize health care delivery participants into collaborative design of a successful integrated-care program?
  • How can you better contribute to a proactive management of health deterioration, earlier detection, precise diagnosis, comprehensive multidisciplinary treatment plan ?
  • How can you make the highest standards of care affordable and conveniently accessible?
  • How can you facilitate the emergence of integrated fixed-fee providers incentivized to shift care to the most cost effective venues possible?
  • Can you define the concept of value using practical indicators?
  • How can you properly measure outcomes and cost at patient level and compare cost with outcomes?
  • Are you enabling patients to provide feedback about their experience? Are you using them to improve quality? Are you ready to post ratings and comments?

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How we can help

  • Learn from pioneers who rolled-out innovative integrated care practices to inspire the implementation and scaling up of your own initiatives
  • Gain early agreement, from participants in a value enhancement program, on goals, scope, charter and success measurement
  • Design with program participants a governance model and strategies to generate buy-in across the organizations, from leadership to frontline teams
  • Carefully define outcomes that are most important for patients, meaningful for clinicians, and suitable for value-based reimbursement contracts
  • Mentor clinical and administrative leadership to drive the patient journey redesign, the standardization patient-centric collaborative care protocols and processes that define tasks and who will perform them
  • Leverage information and communication technologies which can support collaborative working, real-time data sharing and clinical decision-making
  • Enable the measurement of outcomes and costs and the creation of a foundation for value-based payment models
  • Enable program team members to train multidisciplinary staff on the new patient journey, care delivery protocols, processes, roles and tools
  • Leverage the voice of patients, measurement of outcomes and costs at patient level to set priorities for continuous improvement efforts

DRIVE DIGITAL TRANSFORMATION IN HEALTHCARE

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Why is action needed?

  • Health care organizations are struggling to capture the full potential of digital health to empower consumers, revolutionize the way care services are delivered, generate real-world data and improve value for money
  • As long as digital initiatives are not an integral part of an overall strategy to enhance the value proposition and reshape the operating model, the risk of failure is simply too high
  • Strong commitment of executive teams is crucial to break down organizational silos, enable the right partnerships, secure sustainable funding and drive the adoption of technology-enabled care delivery models

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How to realize the full potential of digital technologies and deliver value-based care?

  • Is your organization making the most effective use of digital technology to deliver high-quality, efficient healthcare services to all, anywhere, any time?
  • Do you understand how leading health care providers have succeeded in scaling up technology-enabled innovative practices?
  • Are you ready to leverage technology and reinvent the way health is managed and care is delivered to meet the expectations of consumers, payers and care teams?
  • Have you identified the way forward to overcome the financial, organizational, behavioral and regulatory barriers that can hinder a successful diffusion of innovation?
  • Beyond hype and point solutions, can you share a compelling vision and transformation goals to engage leadership and staff?
  • Do you have a business model to demonstrate how the introduction of digitally powered health care services is going to affect each player within the ecosystem?
  • Do you have the right partnerships and work approach to overcome organizational barriers and engage multidisciplinary care teams across the care continuum in the transformation of their daily practices?
  • Can you accurately measure outcomes and costs to provide the foundation for a fair and sustainable payment of providers for the value they deliver?

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How we can help

  • Evaluate how digital health solutions can add value at each step along the patient journey, enable health care delivery process transformation and affect the healthcare resource utilization and expenditures
  • Understand the financial, organizational, behavioral and regulatory barriers that can hinder a successful diffusion of innovation and propose ways to overcome them
  • Define an overarching vision for transformational breakthroughs resulting from a combination of digital, organizational and payment model innovation
  • Define a cohesive transformation roadmap along with a governance mechanism to achieve the triple aim of enhancing health outcomes, improving patient experience and making an efficient use of resources
  • Design robust business models taking into consideration the overall health care value chain and the involved players
  • Enable the leadership team to support and orchestrate change adoption throughout the entire organization

DEVELOP AND IMPLEMENT TOOLS THAT ENABLE VALUE-BASED CARE

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Why is action needed?

  • Technology and data are clearly key to implementing value-based care, provided that they meet the needs and expectations of patients, healthcare professionals and other stakeholders
  • Nevertheless, successful projects recognize that selecting the right technology is only a portion of the solution
  • Success demands that ownership is built from the start and that the features of the system are designed to fit with local workflows

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Do your care delivery teams have the right tools to succeed in a value-based care system?

  • How do you compare your digital maturity with leading organizations?
  • Are you ready to tap into advances in EMR/EHR, ePrescribing, apps, cognitive technologies, sensor systems, nanorobots, artificial intelligence, exergaming… to deliver high-quality care that better engages patients, at a lower cost?
  • In your specific context, which capabilities most resonate with the needs of patient and health care professionals?
  • How can you harness the full potential of multichannel platforms to put consumers-patients in control of their health?
  • What digital capabilities do you need to facilitate patient-centered multichannel integrated care?
  • How can you apply on data and cognitive technologies to enhance human judgement and optimize clinical decisions and real-time treatment management?
  • Can you allow faster eligible patient identification and enrolment in clinical trials?
  • Are you prepared to demonstrate return on investments in digital technologies?
  • How can you secure the selection of the right technology partners ?

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How we can help

  • Provide exposure to the state-of-the-art digital technologies that enable value-based care delivery
  • Facilitate collaboration between patients, clinicians, and technologists from ideation to implementation
  • Craft design principles for potential solutions
  • Explore solutions, select the right technology and determine their integration with care delivery processes and legacy systems
  • Develop use case and conduct fit/gap analysis
  • Clarify how the introduction of a digital solutions is going to affect each stakeholder
  • Lead rapid cycles of testing, evaluation, and refinement of workflows and digital capabilities
  • Engage local teams and drive widespread adoption
  • Monitor impacts and enable a continuous improvement culture

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