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Course 1A: Introduction to Value-Based Health Care (Modules 1-3)


About This Course

What is value in health care? This collection contains three modules, which introduce the concept of value in health care - outcomes that matter to patients / total costs of care - and describes what it means for both patients and clinicians. Module 2 explores different types of measures and discusses the importance of measuring outcomes that matter to patients (the numerator of the value equation). Module 3 confronts the confusing world of costs in health care (the denominator of the value equation), defining different cost terms and payment models, and exploring cost accounting and insurance coverage structure.

MODULE 1: THERE’S A BETTER WAY. Our medical system is vast, complex, and teeming with wide variations in outcomes, disparities in care and results, virtual miracles and tragic harms, overuse, underuse and inappropriate use of services, inefficiencies and waste. These complex issues impact the care we provide and the outcomes of patients’ care, and they can seem an overwhelming problem too difficult to fully comprehend, let alone change. This module defines the goals of value-based health care—working with patients and families to achieve better health outcomes, efficiently.

MODULE 2: MEASURING WHAT MATTERS. How do we measure our success in health care? How do we define it, and where do we begin? These questions have a very clear answer: our success is inextricably tied to and based on our patients’ outcomes. In this module, you will explore how to measure outcomes that matter to patients. We will discuss patient goals, priorities, desires, and experiences.

MODULE 3: UNDERSTANDING COSTS IN HEALTH CARE. Costs are a major problem with our health care system today, not only at the individual patient level, but at the level of organizations as well. Yet, few health professionals learn even the basics about how costs are handled in health care; for example, what is the difference between charges, costs, and reimbursement? This module will teach about how costs are assessed and paid for in health care, as well as introduce contemporary tools for cost accounting.

Meet the Team

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Lead Author

Dr. Chris Moriates is the Assistant Dean for Healthcare Value and an Associate Professor in the Department of Internal Medicine at the Dell Medical School at The University of Texas at Austin. He is responsible for creating an innovative curriculum for value-based healthcare for undergraduate, graduate, and continuing medical education. Dr. Moriates co-authored the McGraw-Hill book, Understanding Value-based Healthcare, and contributes to national curricula on high-value care for trainees and frontline clinicians.

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Victoria Valencia is Assistant Professor of Medical Education at Dell Medical School at The University of Texas at Austin. Her background is in public health and statistics. She is a data analyst and programmer and uses R to analyze and visualize complex data from clinical research databases and electronic health records to help answer questions around quality, value and appropriateness of care provided to patients. She has co-authored several articles that investigate ways to improve the value of care patients receive while in the hospital.

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In order to access the content of the this collection learners must first complete the Collection 1A pre test included at the start of the course content. While the collections 1A, 1B, 2, and 3 are best taken in order, there is no requirement to do so.

CME Requirements

Collection One: Introduction to Value-Based Health Care: To receive AMA PRA Category 1 Credit(s)™, you must complete the evaluation survey through Dell Medical School, which becomes available once you complete Modules 1-3. The estimated time to complete this module is 2 hours and 45 minutes.

The University of Texas at Austin Dell Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Texas at Austin Dell Medical School designates this enduring material for a maximum of 2.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.