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Table 1 Characteristics of the two cases

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]