From: A pragmatic approach for implementation of value-based healthcare in Amsterdam UMC, the Netherlands
Cases | Cleft Lip and Palate | Chronic Kidney Disease |
---|---|---|
Patient inclusion criteria | Patients with a cleft lip and/or palate. | Patients with a eGFR of ≤20 ml/min and not yet started with renal replacement therapy |
Total time of care pathway | Starting at a prenatal age until the age of 22 years | Varying from several months to several years |
Multidisciplinary value team members | • Plastic surgeon • Ear, nose, throat specialist • Oral and maxillofacial surgeon • Speech therapist/pathologist • Cleft care nurse (specialist) • Paediatric dentist • Orthodontist • Paediatrician • Geneticist • Psychologist • Social worker | • Internist-nephrologist • Nurse (specialist) • Vascular surgeon • Geriatrician • Dietician • Social workers • Managers • Back office and outpatient clinic staff • Two patient representatives |
Organisation of care | Tertiary care | Integrated care (primary, secondary and tertiary care) |
Start with VBHC in | May 2017 | December 2017 |
Guided by | Expert team including external and internal consultant | Expert team including internal consultant |
Outcome set | ICHOM Cleft Lip and Palate [36] | ICHOM Chronic Kidney Disease [37] |