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Session Details

“Bundled payment is generally touted as a promising example of payment innovation — but the true benefit of bundling payments derives from reengineering care delivery, not from combining separately paid line items into a single tab. Bundled payment provides the impetus, but the work of care redesign must follow if the promise of bundled payment is to be realized.” –Tom Williams and Jill Yegian, Modern Healthcare blog  

Bundled care and bundled payments are becoming the norm for health care delivery and reimbursement. Making the move to this approach can lead to a number of advantages for health care organizations, including cost reduction and improved patient-centered care. Further, bundled payments and other ACA payment reforms have strong Federal support and a growing private-sector following. To help your team understand how to improve the quality – and value – of the care being provided to patients and populations within a bundled payment environment and learn the steps to getting started, attend the upcoming IHI Virtual Expedition: Bundled Payments: Beyond the Basics, starting February 16, 2017.
Under leadership of Tony DiGioia, MD, participants will work toward bundled payment design in various care conditions and learn how to assess their starting point and then implement a reliable, patient- and system-focused process for improving the patient care experience, cost, and health outcomes across the continuum of care. Sessions leverage total joint replacement case studies on bundling as a framework, and the lessons learned can be applied to any clinical condition. This Expedition provides teams working in (or moving toward) bundled payment design and will permit you to deliver value while tightly coupling clinical and financial process improvement efforts. 


At the end of the Expedition, participants will be able to: 
  • Couple quality, cost, and process improvement efforts with patient-centered tools to deliver value 
  • Shadow your patients and families to determine the true current state and identify opportunities for improvement 
  • Use patient care as the catalyst to deliver value and drive change and tightly couple clinical performance with financial performance 
  • Learn about the tools for you to determine the true cost to deliver care 
  • Identify high impact areas of care and costs to focus on as part of the way to get started 
  • While providing value and benefits for your patients, learn how your care teams and administration will also reap the rewards 
  • Set the stage to successfully participate in the new world of bundling and value based care
This IHI Virtual Expedition is approved for a maximum of  5.5 continuing education credits for physicians and nurses.​ ​​​​​​​


Session 1: The Future is Now — The Case for Developing a Patient-Centered Value System
Date: Thursday, February 16, 2017
Time: 12:00 PM–1:30 PM ET

Session 2: Go Shadow — A Simple Way to Start Developing a Bundling Program
Date: Thursday, March 2, 2017
Time: 12:00 PM–1:00 PM ET

Session 3: Aligning Process Improvement Methodologies with Shadowing
Date: Thursday, March 16, 2017
Time: 12:00 PM–1:00 PM ET

Session 4: High Impact Opportunities for Change
Date: Thursday, March 30, 2017
Time: 12:00 PM–1:00 PM ET

Session 5: Putting it All Together — Delivering Value in a Bundled Payment Environment
Date: Thursday, April 20, 2017
Time: 12:00 PM–1:00 PM ET


Kathy Duncan, IHIAnthony DiGioia, MD, is the Medical Director of the Bone and Joint Center and The Innovation Center at Magee-Womens Hospital of the University of Pittsburgh Medical Center (UPMC). He is a practicing orthopaedic surgeon at Magee-Womens Hospital of UPMC, and an engineer by training. He developed the Patient Centered Value System (PCVS), a comprehensive relationship-based approach that combines three tools: 1) The Patient and Family Centered Care Methodology and Practice, 2) Shadowing and 3) the True Cost Methodology. PCVS enables care providers to achieve the trifecta of improving patient experiences and outcomes while reducing costs by partnering with patients and families to co-design ideal care delivery. The PCVS has been implemented in over 65 different clinical areas at UPMC and is increasingly being adopted nationally and internationally as well. PCVS is a simple, replicable, and sustainable approach for viewing all care through the eyes of patient and families, identify opportunities to improve value and build the implementation teams to drive change. Dr. DiGioia collaborates with care givers and healthcare leaders to export that PFCC Methodology and Practice.
Benjamin MilliganJill Duncan, RN, MS, MPH, Executive Director, Institute for Healthcare Improvement (IHI), provides strategic development and programming leadership for IHI's Quality, Cost, and Value Focus Area, IHI’s Leadership Alliance, and program development and facilitation for many of IHI's workforce development initiatives. Her previous IHI responsibilities include daily operations and strategic planning for the IHI Open School, leadership of IHI's Joint Replacement Learning Community, and program coordination and faculty guidance for IHI's Leading Quality Improvement: Essentials for Managers program. Ms. Duncan draws from her learning as a Clinical Nurse Specialist, quality leader, nurse educator, and front-line care provider.