The learning programme is in seven modules.
The first two modules help the learner understand and use the key concepts – value, waste, outcomes resources and stewardship. These will give the learners some of the tools they need to create the new culture, indeed, to create the new reality of value-based healthcare. The importance of the focus on language is not just that it enables communication without confusion, if all the players are using terms such as value with the same meaning but that the use of new terms such as ‘optimality’ or ‘outcomes that matter to patients’ not only creates new ways of thinking in the individuals who use those terms, indeed neuropsychologists explain that it creates new circuits in the brains of those people, it also creates the new social reality. Anthropology and sociology produced the new principle the language creates social reality.
So, value-based healthcare is created neither by Government dictat nor by a management decision, but by changing the way people think and use language. We estimate that there are about 500 people per million population, including future leaders, who need to think in this new way, adopt and promulgate the new language.
After the first two modules, there are five modules for the new agenda, for people in leadership and management. Describing the practical steps, they can take to shift from institution-based care to integrated systems.
- Focusing on the third dimension of healthcare – the population dimension.
- Designing a system for a segment of the population.
- Creating a network to deliver the system’s outcomes.
- Ensuring personal value is optimised.
- Creating the new culture of stewardship.