Value of Care Categories

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Our value of care categories (VCCs) are primarily used to determine the validity and efficacy of selected clinical interventions in relation to a given condition. Most of our NHS clients rely on these categories in conjunction with our inpatient benchmarking tool to inform commissioning practices and prioritisation of healthcare resources. The prioritisation methodology that underpins the product aims to provide a package that provides the services necessary to keep a population healthy rather than waiting until an individual gets sick before higher cost services are offered to try to restore good health. Ultimately this tool can measure the extent that activity and associated spend is profiled against the evidence base and interventions ranked higher and therefore deemed more valid.

The VCC analytic maps client activity and spend data against the ‘prioritised list’ and provides dynamic / self-service reporting which provides both high-level analysis and drill-through to line level information to:

  • Understand how local use of services aligns to the prioritised list. This can help identify where utilisation and spend is currently focused along an index that is weighted towards preventative and upstream interventions.
  • Understand how interventions provided to patients (and associated cost) is profiled against the clinical and cost effectiveness evidence-base used in the prioritisation framework.
  • Understand the proportion of activity that is ‘diagnostic only’ (i.e. where no actual treatment is delivered).
  • Identify activity that may be suitable for delivery in an alternative setting (i.e. preventative and disease management activity that is occurring in an acute hospital setting.)

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