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Review
. 2020 Oct;34(5):101548.
doi: 10.1016/j.berh.2020.101548. Epub 2020 Jul 25.

Implementing models of care for musculoskeletal conditions in health systems to support value-based care

Robyn Speerin  1 , Christopher Needs  2 , Jason Chua  3 , Linda J Woodhouse  4 , Margareta Nordin  5 , Rhona McGlasson  6 , Andrew M Briggs  7
Affiliations
Review

Implementing models of care for musculoskeletal conditions in health systems to support value-based care

Robyn Speerin et al. Best Pract Res Clin Rheumatol. 2020 Oct.

Abstract

Models of Care (MoCs), and their local Models of Service Delivery, for people with musculoskeletal conditions are becoming an acceptable way of supporting effective implementation of value-based care. MoCs can support the quadruple aim of value-based care through providing people with musculoskeletal disease improved access to health services, better health outcomes and satisfactory experience of their healthcare; ensure the health professionals involved are experiencing satisfaction in delivering such care and health system resources are better utilised. Implementation of MoCs is relevant at the levels of clinical practice (micro), service delivery organisations (meso) and health system (macro) levels. The development, implementation and evaluation of MoCs has evolved over the last decade to more purposively engage people with lived experience of their condition, to operationalise the Chronic Care Model and to employ innovative solutions. This paper explores how MoCs have evolved and are supporting the delivery of value-based care in health systems.

Keywords: Evaluation; Health system strengthening; Implementation; Models of care; Musculoskeletal; Patient-centred; Value-based care.

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Conflict of interest statement

Declaration of Competing Interest The authors declare no conflicts of interest.

Figures

Fig. 1
Fig. 1
Working towards value-based care across a health system. Developed by Speerin R, Chua J and Briggs AM.
Fig. 2
Fig. 2
Summary framework for assessing readiness of an MoC for implementation (domains 1–4), initiating implementation (domain 5) and measuring success of a musculoskeletal MoC (domains 6–9). Reprinted from ‘Arthritis Care and Research, 69(4), Briggs AM, Jordan JE, Jennings M, Speerin R, Bragge P, Chua J, Woolf AD, Slater H: Supporting the evaluation and implementation of musculoskeletal Models of Care: A globally informed framework for judging readiness and success, 567–77, Copyright (2017)’, with permission from John Wiley and Sons, license number 4760990333394 [18]).
Fig. 3
Fig. 3
Evaluation hierarchy for Models of Care. Reprinted from ‘Best Pract Res Clin Rheumatol, 30(5), Briggs AM, Chan M, Slater H: Models of Care for musculoskeletal health: Moving towards meaningful implementation and evaluation across conditions and care settings, 359–74, Copyright (2016)’, with permission from Elsevier, license number 4760981373908 [14]).
Fig. 4
Fig. 4
Challenges to implementation of contemporary MSK models of care in health systems. Reprinted with permission by the owner, Briggs AM.
See this image and copyright information in PMC

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