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STAR - S ocio- t echnical a llocation of r esources Engaging stakeholders in decisions

Online Learning Series Right Care for Populations. Commissioning for Value. STAR - S ocio- t echnical a llocation of r esources Engaging stakeholders in decisions. Mara Airoldi Systems Modelling for Performance Optimisation & Service Equity Department of Management

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STAR - S ocio- t echnical a llocation of r esources Engaging stakeholders in decisions

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  1. Online Learning Series Right Care for Populations Commissioning for Value STAR - Socio-technical allocation of resourcesEngaging stakeholders in decisions Mara Airoldi Systems Modelling for Performance Optimisation & Service Equity Department of Management London School of Economics March 2014

  2. STAR tool • Socio Technical Allocation of Resources • Available for free (with supporting material) at: http://www.health.org.uk/learning/star/

  3. When is STAR most helpful? Strategic decisions, identification of problems Modelling, ‘deep dive’ Routine data analysis

  4. STAR for commissioning value: 3 components • Social process • to engage stakeholders • ‘Decision Conferencing’ (LD Phillips) • A structured conversation • Technical models grounded in • Health economics (cost/QALY principle) • Decision analysis (possibility to include equity & feasibility criteria) • Visual aids • To make difficult concept easier to understand

  5. STAR as a structured conversation: key questions addressed • What interventions are/should be available? • Who benefits? • How many people benefit? • How much do they benefit? • How much does it cost?

  6. Commissioning value Data required Horse & rabbit stew • Scale • Costs • Value (population benefit) ✖Value • Scale • Costs

  7. Star for commissioning value Costs Value Scale Data Visual Models Stakeholders: managers, doctors, patients & carers, agencies

  8. Visual models: 3 visual aids • Rectangles of population health • Value for money triangles • Efficiency frontier

  9. Rectangles of population health Average QALY gain per person Population health gain Numbers who benefit

  10. costs Value for Money (VfM) Triangles Population Health gain QALY gain / person VfM Value Numbers who benefit

  11. Good or poor VfM? Population health gain Good VfM Poor VfM -ve VfM Costs

  12. A theory of priority setting against budget constraint? QALYs Size of triangle matters A Budget constraint Costs

  13. Star for commissioning value Costs Value Scale Data Visual Models Stakeholders: managers, doctors, patients & carers, agencies

  14. Online Learning Series Right Care for Populations • Follow Right Care online • Subscribe to get a weekly digest of our blog alerts in your inbox, • Receive occasional eBulletins • Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre Find the STAR tool and supporting resources at: http://www.health.org.uk/learning/star/ Full Star Casebooks can be found at: www.rightcare.nhs.uk/resourcecentre

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