Quality Improvement

Building Value Frameworks That Work for Patients

May 23, 2017 12:36 pm

The National Pharmaceutical Council has issued these guiding practices regarding the design of value-analysis frameworks that promote value in patient care and outcomes.

Click on the thumbnail to view the infographic or read the information below.

Assessment Process

Involve stakeholders throughout the entire process

Allow for public comment periods

Update assessments regularly to keep pace with innovation

Benefits

Include a broad array of factors that matter to patients and society

Consider individual treatment effects

View the benefits of a treatment over a long-term horizon

Costs

Consider all healthcare costs and offsets over time

Ensure costs are accurate and relevant to the user of the framework

Evidence

Use all high-quality evidence that is currently available

Gather and synthesize evidence in a transparent and robust manner, using accepted practices

Methodology

Focus assessments on all aspects of the healthcare system

Use established methods and transparent models and assumptions

Acknowledge uncertainty in input factors by reporting ranges around estimates

Dissemination & Utilization

Label assessments clearly for their intended use

Make assessments easy for users to interpret

Disseminate publicly only after assessments are finalized

Assessing the budget impact: Budget-impact assessments measure resource use, not value. Guiding practices should:

  • Assess all aspects of care (such as hospitalization or doctor visits), not just medications
  • Keep budget-impact and value assessments separate
  • Consider a longer time horizon that includes all costs and cost offsets
  • Acknowledge uncertainty in input factors by reporting ranges around estimates

Source: National Pharmaceutical Council, “Guiding Practices for Patient-Centered Value Assessment.” Information reprinted with permission.

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