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A system focussed on outcomes not task

A system focussed on outcomes not task. Andrew Newens MD Mears Care. Mears Group. The ingredients of care today create an unattractive outcome. Task and time based billing takes little account of quality or long term cost reductions achieved Single product thinking not service thinking

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A system focussed on outcomes not task

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  1. A system focussed on outcomes not task Andrew Newens MD Mears Care

  2. Mears Group

  3. The ingredients of care today create an unattractive outcome • Task and time based billing takes little account of quality or long term cost reductions achieved • Single product thinking not service thinking • Poor partnership working between Commissioner and provider

  4. Housing and taps are different In the past…Housing maintenance services commissioned on the basis of task and timeCommissioners compared providers on the basis of their cost to fix individual items such as taps3000 + individual rates, numerous invoices and no incentive to invest in prevention and long term cost reductionRace to the bottom --Cheapest taps etcUnhappy customers, rising long term maintenance costs…

  5. Housing and taps are different Today…..Housing maintenance services often commissioned on the basis of outcomesProviders provide an overall price per property for all maintenance in the homeProviders tasked with reducingthis over time by investment inquality that lastsWe now buy the best taps that don’t breakdown

  6. Housing and taps are different Impact…• Customer service levels at all time high• Real, long term cost reductions achieved• Risk lies increasingly with the Provider• Incentivised work force• Broader outcomes included in tenders e.g.• Job and skills development• Investment in community projects

  7. Can Care learn from housing? • Quality is the best way to reduce long term cost • Price for the delivery of outcomes not minutes • Reward quality of care that delivers real long term cost reduction e.g. reduced residential care, fewer hospital admissions • Integrate services together- Care, Assistive technology and Community equipment • Are providers prepared to link their payments to the quality of service they deliver?

  8. Conclusion • The system needs fundamental change not tinkering • Needs much stronger partnership working between Providers, Commissioners and Service users • You get what you pay for holds true here!

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