Date post: | 22-Dec-2015 |
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Health Care Value Chain
Professor William Wan
‘Value’ in Health Care
Value = Health outcomes/Costs of delivering the outcomes
Firm Value Chain(Swayne et al)
Pre-Service*marketing/marketing research*services offered/branding*pricing*distribution/logistics*promotion
Point-of-Service*clinical operations - quality - process innovation*marketing - patient satisfaction
After-Service*follow-up - clinical - marketing*billing*follow-on -clinical -marketing
Organization Culture*shared assumptions *shared values * behavioral norms
Organizational Structure*function * division * matrix
Strategic Resources* Financial * human *information * technology
PrimaryActivities
SupportActivities
AddValue
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-Service
Organization Culture
Organizational Structure
Strategic Resources
PrimaryActivities
SupportActivities
AddValue
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-Service
Organization Culture
Organizational Structure
Strategic Resources
PrimaryActivities
SupportActivities
AddValue
1. What are the resources/capabilities for the activities?
2. To what extent are they valuable, rare, inimitable, and nonsubstitutable?
Care Delivery Value Chain(Porter)
Monitoring/Preventing
Diagnosing
Preparing Intervening
Recovering/Rehabilitating
Monitoring/Managing
Knowledge Management
Informing
Measuring
Accessing Patie
ntValue
Primary Activities
Support Activities
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