Dr Inge Spronk1,2,3, Winthrop Prof Fiona Wood4,5, Dr Mark Fear5,6, Assoc. Prof Dale Edgar4,5,6,7
1Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands, 2Dutch Burns Foundation, Beverwijk, The Netherlands, 3Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, Netherlands, 4State Adult Burn Unit, Fiona Stanley Hospital, Murdoch, Perth, Australia, 5Fiona Wood Foundation, Murdoch, Perth, Australia, 6Burn Injury Research Unit, University of Western Australia, Perth, Australia, 7Burn Injury Research Node, Institute for Health Research, The University of Notre Dame, Perth, Australia
Abstract:
Objectives
Globally, a primary issue for burn treatment is the lack of gold standard evidence or broad consensus for application of many strategies. The value-based healthcare (VBHC) approach is gathering momentum as a framework to inform patients and clinicians of the best treatment at any timepoint and context. VBHC embeds constant learning from each patient by analysing provided care and related patient-centred outcomes to quantify outcomes of different strategies. Best treatment strategies can be identified, implemented, and monitored to continuously improve care in this framework. Outcomes are used to inform patients and support shared-decision making. We aim to develop a VBHC-framework for burns.
Methods
To develop the basis of a systematic and sustainable VBHC-framework for burns we will use the West Australia Burns Clinical Data Registry (WA-BDCR). The VBHC-framework consists of four steps. Burn care is monitored by quality indicators, (patient-centred) outcomes and capture of costs (step 1). These data are analysed and evaluated (step 2). Best treatment strategies are identified, and patients and healthcare providers are informed on outcomes of different strategies (step 3). Lastly, these strategies and outcomes are implemented to improve burn care (step 4). In the VBHC-framework, analysis models are developed and programmed into predictive algorithms using big data and patient feedback.
Results
The first analysis models and results will be presented at the conference. Early effects of implemented strategies will be studied with this framework and presented where feasible.
Conclusion
Developing and applying the VBHC-framework identifies the best treatment strategies and supports patient centric, continuous quality improvement with an added focus on cost containment. Where good evidence exists, strategies will be promoted to improve burn care and outcomes worldwide.
Biography:
For more than 25 years, Dale has been devoted to the provision and improvement of burn survivor and acute trauma rehabilitation. For his leadership, research and contributions to burn patient rehabilitation across the globe, he was awarded the Andre Zagame Rehabilitation Specialist Prize by the ISBI in 2012 and 2018.