Professor William Wan Value in Health Care Value Health outcomesCosts of delivering the outcomes Firm Value Chain Swayne et al PreService marketingmarketing research services offeredbranding ID: 710782
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Slide1
Health Care Value Chain
Professor William WanSlide2
‘
Value’ in Health Care
Value = Health outcomes/Costs of delivering the outcomesSlide3
Firm Value Chain(Swayne et al)
Pre-Service
*marketing/marketing
research
*services offered/branding
*pricing*distribution/logistics*promotionPoint-of-Service*clinical operations - quality - process innovation*marketing - patient satisfactionAfter-Service*follow-up - clinical - marketing*billing*follow-on -clinical -marketingOrganization Culture*shared assumptions *shared values * behavioral normsOrganizational Structure*function * division * matrixStrategic Resources* Financial * human *information * technology
PrimaryActivities
SupportActivities
Add
ValueSlide4
Firm Value Chain
Pre-Service
Point-of-Service
*clinical
operations
- high efficiency (20 minutes turnaround time) - no meal (gives beverage/snack ) - no seating assignment (pick your spot) After-ServiceOrganization CultureOrganizational StructureStrategic ResourcesPrimaryActivitiesSupportActivitiesAddValueSlide5
Firm Value Chain
Pre-Service
Point-of-Service
*clinical
operations
- high efficiency (20 minutes turnaround time) - no meal (gives beverage/snack ) - no seating assignment (pick your spot) After-ServiceOrganization CultureOrganizational StructureStrategic ResourcesPrimaryActivitiesSupportActivitiesAddValue
1. What are the resources/capabilities for the activities?
2. To what extent are they valuable, rare,
inimitable, and nonsubstitutable?Slide6
Care Delivery Value Chain
(Porter)
Monitoring/
Preventing
Diagnosing
PreparingInterveningRecovering/RehabilitatingMonitoring/Managing
Knowledge
Management
Informing
Measuring
Accessing
Patient
Value
Primary
Activities
Support
ActivitiesSlide7
Care Delivery Value Chain for Glaucoma
(Buhlmann, 2009)
*life
style counseling
*diet counseling
*explanation of the diagnosis & implications*education on procedures*life counseling*medication counseling*medication counseling*lifestyle counseling*medication compliance follow-up*lifestyle counseling*IOP, tonometry*IOP, tonometry*visual field test*Ocular fundus*Nerve fiber scan*procedure-specific pretesting*Procedure-specific measurements*IOP, tonometry*IOP, tonometryRetinal nerve fiber layer thickness*office visits*lab visits*office visits
*lab visits*various*office visits
*hospital visits*office/lab visits*Telephone/internet interaction
*office visits*Lab visitsTelephone/internet interaction
Monitoring/
Preventing
Diagnosing
Preparing
Intervening
Recovering/
Rehabilitating
Monitoring/
Managing
*monitoring IOP
*monitoring & addressing risk factors
*early specialist referral for abnormal IOP or ocular fundus
*medical & family history
*Dedicated advanced
testing
*consultation with
other specialists
*formal diagnosis
*formulate a treatment plan
*procedure-specific
preparation
*tight IOP control
*pharmaceutical: IOP lowering drugs/eye drops
*procedures:
trabeculectomy/micro plugs
*fine-tuning of the drug regimen
*determining supporting nutritional modifications
*managing
IOP
*monitoring visual field
*managing aqueous fluid production
Knowledge Management
Informing
Measuring
Accessing
PatientValue