Value-based Care Specialization
The Value-Based Care Specialization Program, a collaboration between Humana and the University of Houston, is a publicly available online training platform for health care providers, academia, other business and industry professionals, and the public to learn the fundamentals and real-world application of value-based care that has become integral to improving outcomes in health care and patient lives.
The VBC program, offered through Coursera, includes six courses and a capstone project, with each course composed of 2-3 learning modules and a summative assignment. Participants may take any of the six courses independently (receiving a certificate for each) or collectively for the specialization designation. To learn more, visit the Value-based Care Specialization home page: https://www.coursera.org/specializations/value-based-care.
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Course One: Introduction to Value-based Care and the U.S. Healthcare System
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- Describe the major components of the U.S. healthcare insurance landscape and related differences in premiums and funding.
- Describe the key differences in the Fee-For-Service (FFS) versus Value-Based Care (VBC) model.
- Describe relationship between the health insurance landscape, quality measures and outcomes in healthcare, and the fundamental premise of VBC.
- Apply the concept of value to your current workplace.
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Course Two: Population Health
- Define population health and population health management.
- Identify the determinants and outcomes of population health.
- Identify social needs in contrast to social determinates.
- DDescribe key factors that impact population health management.
- Describe the relationship between population health management and the fundamental premise of VBC.
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Course Three: Managing Processes to Improve Outcomes
- Describe the importance of managing office-based processes for improving patient outcomes and experiences as well as clinical quality
- Describe the importance of managing supporting functions for improving quality/outcomes.
- Formulate a basic understanding of the relationship between managing processes for purposes of improving quality/outcomes and the fundamental premise of VBC.
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Course Four: Reimbursement Models: From Volume to Value
- Describe current FFS medical coding and payment mechanisms.
- Discuss why FFS leads to higher costs without clearly improving outcomes.
- Describe the range of value-based payment options.
- Describe the importance of risk adjustment, quality scores and patient satisfaction measures in VBC contracts.
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Course Five: Organizational Competencies for Value-based Care and Contracting
There’s more to success than results. How you attain success and whom you work with is just as important.
Objectives
- Describe the Accountable Care Atlas framework and how to use it to inform transitions to value-based care.
- Describe the transition from “my costs, my expenses” to population-based expenses and opportunities to reduce costs while improving outcomes.
- Describe the challenges organizations face in transitioning to or maintaining a model of value-based care and strategies to address those challenges.
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Course Six: Quality Improvement in Organizations Focused on Value-based Care
- Formulate a basic understanding of the relationship between using a basic PDSA cycle for quality improvement and the fundamental premise of VBC.
- Articulate the importance of organizational effectiveness in transitioning to and maintaining a value-based care organization.
- Articulate the importance of building a high-performing care team for achieving quality improvement in healthcare.
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Capstone Project
There’s more to success than results. How you attain success and whom you work with is just as important.
Objectives
- Learner will conduct a capstone project to demonstrate their comprehension of the content.