The Architecture of High Value Healthcare

项目摘要 2016年，约翰霍普金斯医学院的教师邀请美国所有学术医疗中心合作， 创建高价值实践学术联盟（HVPAA），一个多机构，多专业组织 旨在高效和有效地推进全国范围内基于价值的质量改进举措。 截至2022年1月，来自美国和加拿大100个学术中心的200多名教师领导担任 机构或部门代表。成员们每月召开电话会议， 分享，组织年度会议，合作多中心出版物，并指导两个免费的一年 高价值护理专业发展计划（培训生的未来领导者计划和早期 职业教师）。 该提案要求支持第5- 7届全国高价值医疗保健年度架构 两会自成立以来，年会已推进600多项价值品质 改进举措，促进学术中心之间的广泛合作。来自第一届的介绍 四次会议制定了一个蓝图，其中包括卫生系统必须解决的五个关键领域， 成为真正高价值的医疗中心：（1）诊断和治疗效率和有效性，（2） 质量驱动的护理途径，以减少不必要的实践变异，（3）护理过渡，特别是 （4）优化护理环境，提高门诊服务质量， 避免使用急诊室和医院，（5）预防疾病的预防性药物 和循证筛查减少晚期诊断。在接下来的三场会议中，我们 此外，将优先考虑公平提供高价值护理和跨学科团队合作。 优先考虑医学生和受训者的演讲，因为他们的参与确保了基于价值的 护理将成为后代的标准。我们的未来领导者计划支持这一使命， 培训生和价值创新教学和领导力计划（VITAL）的初级教师。的 会议是这两个计划的重要组成部分，通过培养高价值护理冠军网络 并为他们未来的成功打下基础。

Project Summary In 2016, faculty from Johns Hopkins medicine invited all academic medical centers in the US to collaborate in creating the High Value Practice Academic Alliance (HVPAA), a multi-institutional, multispecialty organization designed to efficiently and effectively advance value-based quality improvement initiatives on a national scale. As of January 2022, more than 200 faculty leaders from 100 academic centers in the US and Canada serve as institutional or departmental representatives. Members convene on monthly conference calls for information sharing, organize the annual conference, collaborate on multicenter publications, and direct two free year-long high-value care professional development programs (Future Leader Program for trainees and VITAL for early- career faculty). This proposal requests support for the 5-7th annual Architecture of High Value Health Care national conferences. Since its inception, the annual conference has advanced more than 600 value-based quality improvements initiatives and fostered broad collaboration across academic centers. Presentations from the 1st four conferences contributed to a blueprint encompassing five key areas health systems must address to become genuinely high-value medical centers: (1) Diagnostic and therapeutic efficiency and effectiveness, (2) quality-driven care pathways to reduce unwarranted practice variability, (3) Care transitions and in particular hospital discharge, (4) Optimizing patient care setting and improving the caliber of ambulatory care, to reduce avoidable use of the emergency department and hospital, and (5) Preventative medicine to prevent disease and evidence-based screening from reducing late-stage diagnoses. For the following three conferences, we will prioritize equitable delivery of high-value care and interdisciplinary teamwork in addition. Presentations by medical students and trainees are prioritized, as their engagement ensures that value-based care will become the standard for future generations. Our Future Leaders Program bolsters this mission for trainees and the Value Innovation Teaching and Leadership Program (VITAL) for junior faculty. The conference is a critical component of these two programs by fostering a network of high-value care champions and building a foundation for their future success.