
EP332: A New OS for Provider Organizations—The Patient-Centered Value System (PCVS), With Tony DiGioia, MD
About this episode
In Episode 332, Stacey Richter talks with Tony DiGioia, MD, orthopedic surgeon at UPMC and developer of the Patient Centered Value System (PCVS), about building a new operating system for provider organizations — one that traces the entire patient journey from the very first interaction to the very last and designs care delivery around what actually matters to patients.
WHAT YOU'LL LEARN
✅ What the Patient Centered Value System (PCVS) is, and why it could be the operating system health care needs
✅ The three steps to building a PCVS: trace the current patient journey, compare it to the ideal, then implement
✅ Why the patient is the one true common denominator across every fragmented setting and technology in health care
✅ The difference between asking patients "What is the matter with you?" and "What matters to you?"
✅ Why a PCVS process matters for bundle success, risk-based contracts, and competing with virtual-first care
WHY THIS MATTERS
Legacy health care has evolved to treat the insurance carrier or the revenue-driving specialist as the customer, not the patient. A patient-centered value system flips that: it rationalizes the patient journey end to end so that technology, staff, and processes are built around what patients actually need at each step — which increasingly determines whether bundles, risk arrangements, and patient satisfaction scores succeed or fail.
MENTIONED IN THIS EPISODE
EP328 with Marshall Allen: Apple Podcasts | Spotify | Other Apps
Encore! EP225 with Joe Selby, MD, MPH, of PCORI: Apple Podcasts | Spotify
=== LINKS ===
🔗 Show Notes with all mentioned links: Episode Page
🔗 Healthcare Industry Acronyms and Terms
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00:00 Introduction.
06:19 What is the Patient-Centered Value System, and why should it be the operating system for all health systems moving forward?
07:47 "It's the infrastructure to allow us to redesign care delivery."
09:00 "These artificial silos that we have in health care have to be crossed and broken down."
10:03 "The patient is the common denominator. We have to follow the patient."
10:33 Why does the disjointed patient experience affect a patient's trust in their care delivery?
12:00 What are the steps to creating a patient-centric system?
12:30 "The challenge is to view all care through the eyes of patients and families."
13:19 "Our end users are patients and families. Period."
16:36 What's the difference between asking patients, "What is the matter with you?" and "What matters to you?"
19:56 How are nonclinician staff included in a patient-centric value system?
25:40 "We can give them the tools, wherever they're coming from."
29:33 "The bottom line is, these are engagement tools and technologies that we do need to start looking at to help redesign care delivery."
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