by Jonathan Hart, MD MBA
As we’ve seen over these past few weeks in our exploration of the intersection of FFS and VBC in the PCP office, the practical application of VBC principles does not need to be an enigma for FFS-heavy practices. You can and, in truth, need to practice in both worlds – FFS and VBC. In fact, VBC concepts applied to non-VBC circumstances can be a boost to FFS healthcare delivery in both revenue and in their transition to practices that create value rather than just creating claims.
by Jonathan Hart, MD MBA
We’ve been looking at the intersection of fee-for-service (FFS) and value-based care healthcare delivery models within a primary care (PCP) office/ Annual Wellness Visits (AWV) and HEDIS measures tend to get most of the attention in discussions of VBC in a PCP office, but they have an often-forgotten cousin that can have at least the same impact on both positive patient outcome and shared savings revenue – Advanced Care Planning (ACP).
If you’ve been considering advance care planning (ACP), you’re in good company. More than 90 percent of Americans believe it is important to discuss the treatment and palliative options they would choose to pursue if they were to become incapacitated by medical issues in the future, according to The Conversation Project’s 2018 National Survey. Yet, they also report that only 32 percent have actually conducted these conversations.
Why? Most people don’t know where to begin. Some don’t even fully understand what advance care planning entails. But there is someone who can help: your doctor. Here’s how.
The COVID-19 pandemic has had far-reaching, often unanticipated consequences across every facet of life, from commerce and labor to social life and education. Unsurprisingly, it has also impacted health care; however, its influence has ranged far beyond debates over vaccines and mask mandates.
Much of the population has had to deal with inadequate advance care planning (ACP). Described by the NIH as the process of learning about, considering, and communicating preferences regarding the decisions that need to be made in an emergency or end of life situation1, ACP is generally considered the realm of the elderly and chronically infirm. The COVID-19 pandemic brought that perspective into sharp contrast, though, as it unselectively ravaged both the young and old, healthy and chronically ill. Even frontline health care personnel weren’t spared as COVID-19 tore through the masses, highlighting the need for increased awareness and implementation of ACP.
It is no secret that healthcare has been in crisis — a staffing crisis. While the pandemic certainly exacerbated the situation, present workloads, emerging patterns contrary to traditional practice, and burnout are only the latest in a long line of factors straining the healthcare workforce.
Providers, labor experts, and public health entities alike have been decrying a looming and extended shortage of healthcare workers for over two decades1. Specifically, primary care providers and nurses have been the subject of many workforce studies, in an attempt to understand and mitigate the consequences of understaffing, but they do not represent the full impact of healthcare staffing shortages.