A Practical Framework For Measuring Health Outcomes - National University Health System, Singapore: the First Decade of Our Journey

A Practical Framework for Measuring Health Outcomes — National University Health System, Singapore: The First Decade of Our Journey is a practical account of how NUHS developed and implemented its Value Driven Outcomes (VDO) Framework to systematically measure outcomes that matter to patients and link them with the resources required to deliver care.Over the past decade, this framework has provided the foundation for NUHS' approach to value-based healthcare (VBHC) — moving beyond the concept of value to its application in routine clinical practice. Doing so has required changes to clinical workflows, robust data and analytics infrastructure, meaningful outcome and cost measurement, and sustained alignment across clinicians, administrators and institutional leaders.Rather than presenting a polished model, The Value Journey provides a realistic view of system transformation — the long timelines, competing priorities, resource constraints, and opportunities that come with reorganising care around outcomes and sustainability.