User:KarenLes/Health and performance improvement

Health and Performance Improvement

Health and Performance Improvement (HPI) == HPI is a process designed to improve the quality, safety, efficiency and transparency of health care delivery in the context of a purchasing environment, which incentivizes continuous value enhancement (CVE). HPI involves: ==

•	Achieving the right care at the right time.

•	Aligning incentives, information and choice.

•	Refining meaningful prevention and treatment strategies that work.

•	Deploying meaningful enabling technologies that work.

•	Optimizing the total economic impact of employee health to maximize an individual's health achievement potential and job satisfaction expectations through personal and organizational performance results.

•	Advancing community-based, CVE six components continuum.

== HPI advocates enhanced access to [comprehensive, coordinated, evidence-based, interdisciplinary care] delivered in the context of family and community by: == •	Advancing the trusted doctor/patient relationship as a long-term comprehensive connection that optimizes meaningful productive interactions, sustains positive behaviors, empowers with the right tools and links to the care team resulting in better overall family health.

•	Including a community-based, affordable health access collaborative that provides individuals with comprehensive health coverage options; closure of care gaps and planned care coordination; meaningful productive interactions and preemptive interventions with trusted clinicians; guided, personal care transitions and sustained engagement; and a balanced-scorecard approach including HPI CVE standards, measurement and refinement.

The HPI model highlights six components:
1)	HPI is an approach that seeks first to identify and define a particular population covered by a specific individual or group of purchasers or payers of healthcare services;

2)	HPI then evaluates the baseline (pre-intervention) health status of that particular population by all available means (including demographics, medical conditions and relative severities of illnesses to the extent that there are enabling technologies that can accomplish this degree of characterization);

3)	HPI then sets both health improvement goals and objectives for individuals within the population (and, where possible, within subpopulations arrayed by demographics, medical condition and severity of illness groupings) and for providers of care (and, where possible, for their treatment of patients with specific conditions and severities of illness);

4)	HPI then coordinates with the various stakeholders (providers, patients, payers, purchasers and policymakers – the "5 Ps") to achieve agreement with the improvement goals and objectives and to establish a [fair compensation and reward system] to incentivize both patients and their providers to meet and exceed the health and performance improvement goals and objectives;

5)	HPI then enlists the aid of various methodologies—both procedural and technological—such as Six Sigma Process Evaluation and Improvement, Evidence-Based Medicine, Methods Evaluation Process™ (MEP™), and Real-Time Clinical Decision Support and Shared Decision-Making and Information Therapy by providers and patients at the point of care, to achieve measurement of transparent attributions between interventions and outcomes and demonstrate optimal gains in overall health status of the covered population (and its various components as characterized above) per resource dollar invested (total economic impact); and

6)	HPI then ensures that the compensation system (value-based purchasing) is continually adjusted to [reward ever improving health status and performance improvements] achieved by individuals and providers, respectively, through this process of CVE using these and other appropriate CVE methodologies.