Taking a value based commissioning approach to non-clinical and clinical support services
Trinette Kinsman A , Samantha Reid A * and Hayley Arnott AA
Abstract
Value based healthcare beyond the clinical domain is the focus of this case study. We share NSW Health’s experiences in achieving value through a focus on outcomes in non-clinical and clinical support services using examples that demonstrate key aspects across the commissioning cycle. These include: the importance of stakeholder engagement in the planning phase to later success; the critical role of non-clinical services in patient experience; the opportunity to facilitate value by introducing new approaches in business areas such as procurement; and the role of clinical supports such as digital enablement to facilitate outcome-focussed clinical models. Applying a value lens to non-clinical services can increase the potential benefits to patients, clinicians and the system.
Keywords: commissioning, health services, non-clinical, outcomes, public hospitals, value, value based healthcare.
References
1 NSW Treasury. 2021-22 NSW intergenerational report. Sydney: NSW Government; 2021. Available at https://www.treasury.nsw.gov.au/sites/default/files/2021-06/2021-22_nsw_intergenerational_report.pdf [cited 15 December 2023].
2 NSW Ministry of Health. Annual report 2022-23 St Leonards, NSW: NSW Health; 2023. Available at https://www.health.nsw.gov.au/annualreport/Publications/annual-report-2023.pdf [cited 15 December 2023].
3 NSW Ministry of Health. Future Health – guiding the next decade of care in NSW 2022-2032. St Leonards, NSW: NSW Health; 2022. Available at https://www.health.nsw.gov.au/about/nswhealth/Publications/future-health-report.pdf [cited 15 December 2023].
4 NSW Health. About value based healthcare. St Leonards, NSW: NSW Health; 2023. Available at https://www.health.nsw.gov.au/Value/Pages/about.aspx [cited 15 December 2023].
5 NSW Health. Commissioning for better value. St Leonards, NSW: NSW Health; 2023. Available at https://www.health.nsw.gov.au/Value/Pages/commissioning-for-better-value.aspx [cited 14 December 2023].
6 Strategic Reform and Planning. Commissioning for Better Value Strategy 2021-25. St Leonards, NSW: NSW Health; 2023. Available at https://www.health.nsw.gov.au/Value/Pages/cbv-strategy.aspx [cited 15 December 2023].
7 NSW Health. About Northern NSW Local Health District. Lismore, NSW: NSW Health; 2022. Available at https://nnswlhd.health.nsw.gov.au/our-organisation/about-the-nnswlhd [cited 15 December 2023].
9 Vital.ly. Education. Project CHEF… a new food model for hospitals? 2021. Available at https://www.vital.ly/blog/Project-CHEF-a-new-food-model-for-hospitals-/post=146/ [cited 15 December 2023].
10 HealthShare NSW. Project CHEF. 2022. Available at https://www.youtube.com/watch?v=y9vlbYoB0xU [cited 15 December 2023].
12 Drewery J. Project CHEF pilot kicks off at Bowral & District Hospital. HealthShare NSW; 2021. Available at https://www.healthshare.nsw.gov.au/about/news/project-chef [cited 15 December 2023].
13 NSW Health. Southern NSW. St Leonards, NSW: NSW Health; 2023. Available at https://www.health.nsw.gov.au/lhd/Pages/snswlhd.aspx [cited 15 December 2023].
14 Southern NSW Local Health District. Strategy 2026 – leading rural healthcare. Queanbeyan, NSW: NSW Health; 2021. Available at https://www.nsw.gov.au/sites/default/files/2023-10/Southern-NSW-LHD-Strategy-2026.PDF [cited 15 December 2023].
17 Southern NSW Local Health District. Robotic surgical assistant helping patients get back on their feet. NSW Government; 2022. Available at https://www.nsw.gov.au/departments-and-agencies/nsw-health/snswlhd/news/latest-news/robotic-surgical-assistant-helping-patients-back-on-their-feet [cited 15 December 2023].
18 NSW Health. Virtual Wound Care Command Centre at Sydney Local Health District. St Leonards, NSW: NSW Health; 2022. Available at https://www.health.nsw.gov.au/Value/news/Pages/06-22-case-slhd-virtual-wound.aspx [cited 15 December 2023].
20 Australian Centre for Health Services Innovation. Issues paper: Chronic wounds in Australia. Australian Centre for Health Services Innovation; 2017. Available at http://www.aushsi.org.au/wp-content/uploads/2017/08/Chronic-Wounds-Solutions-Forum-Issues-Paper-final.pdf [cited 15 December 2023].
21 Sen CK, Gordillo GM, Roy S, et al. Human skin wounds: a major and snowballing threat to public health and the economy. Wound Repair Regen 2009; 17(6): 763-771.
| Crossref | Google Scholar | PubMed |
22 Barakat-Johnson M, Jones A, Burger M, et al. Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID-19 pandemic. Int Wound J 2022; 19(6): 1561-1577.
| Crossref | Google Scholar | PubMed |
23 NSW Health. About us. Camperdown, NSW: NSW Health; 2023. Available at https://slhd.health.nsw.gov.au/organisation [cited 21 December 2023].
24 Barakat-Johnson M, Kita B, Jones A, et al. The viability and acceptability of a Virtual Wound Care Command Centre in Australia. Int Wound J 2022; 19(7): 1769-1785.
| Crossref | Google Scholar | PubMed |