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Any Willing Provider PbR - A podiatry currency

Any Willing Provider PbR - A podiatry currency. Mike Townson Head of Podiatry and Equipment Services. Definitions. Currency – the context of the ‘product’ that is being costed Cost – the actual cost of the product

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Any Willing Provider PbR - A podiatry currency

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  1. Any Willing Provider PbR - A podiatry currency Mike Townson Head of Podiatry and Equipment Services

  2. Definitions • Currency – the context of the ‘product’ that is being costed • Cost – the actual cost of the product • Tariff- the range/menu of currency and costs that are available to be bought/sold

  3. What makes a ‘good’ currency • Incentivise provision of good care - outcome based and avoid perverse incentives • Clinically meaningful • Resource homogenous – similar resource needs within a currency group • Workable – build into existing systems

  4. Intervention Tariff 1

  5. IT 2

  6. IT3

  7. IT4

  8. IT 5

  9. IT 6

  10. IT 7

  11. IT 8

  12. Outcomes • 50% Improvement in wound care using Texas score • 95% patient record to have a personalised care plan • 70% improvement in pain based on VAS score • 70% improvement in mobility and independence using a PROM • 10 days MSK referral to treatment

  13. Regulation • ?

  14. Workshop • What extra activities? • Consider additional factors? • Put into currency groupings – same intervention may appear in two groups if significant & justifiable reason • Consider existing clinical pathways • Identify expected outcomes • Opportunities for fixed episodes of care? • Keep it simple!!!!

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