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Drug recovery and PbR go together like…
Russell Webster
www.russellwebster.com
What do we know about PbR?
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Limited evidence base
Does put focus on outcomes
Vulnerable to gaming
Don’t know what good
commissioning/contracts look like
yet?
www.russellwebster.com
The 10 Commandments of PbR
1. Thou shalt commission for a single
purpose
2. Thy outcomes shall be few
3. Thy metrics shall be simple
4. Thou shall not covet milestones
5. Thou shall not pay for deadweight
www.russellwebster.com
The 10 Commandments of PbR
6. Profit shall not be thy God
7. Thou shall promote innovation
8. Thou shall share the fruits of thy
labours
9. Thou shall join up commissioning
10. Thou shall not implement in haste
www.russellwebster.com
PbR problems for recovery
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Recovery is hard to define
Recovery is hard to measure
Too many outcomes
Complexity is enemy of PbR
Milestones/Interim Measures
Fear of gaming = LASARs
www.russellwebster.com
The Hippocratic Oath
www.russellwebster.com
PbR & Recovery go together like…