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Value-based healthcare measurement as a context for organizational learning: Adding a strategic edge to assess health outcome?

Patrik Nordin (Faculty of Management, University of Tampere, Tampere, Finland)
Anna-Aurora Kork (Faculty of Management, University of Tampere, Tampere, Finland)
Inka Koskela (Research and Service Centre for Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 2 May 2017




The purpose of this paper is to shed light on the potential of organizational learning for developing effectiveness of care. Value-based healthcare measurement recognizes patient value as a driver for improving health outcomes at the societal and individual levels. By using the action learning method, this paper examines the phases of organizational learning in a private healthcare organization that has developed a novel Big Data screening tool for the treatment of patients with type 2 diabetes mellitus (DM2).


Relying on triple-loop learning as a conceptual framework and by applying the action learning method to case study design, this paper illustrates the phases of organizational learning and efforts to utilize value-based measurement in healthcare.


The case organization was able to identify patients at risk and to improve their care balance. Although the results for the measurement of patient outcomes led to questioning of previous care processes and practices in the organization, increasing value for all stakeholders by incorporating social needs to business opportunities remains under process.


With the focus on organizational learning and organizational value creation processes, this paper demonstrates incorporation of measuring patient outcomes in re-structuring care processes, enhancing organizational performance and improving effectiveness as well as quality of care.



The paper is based on a research project called E-value creation: Three approaches to value creation (2015-2017), conducted by the Finnish Institute of Occupational Health (FIOH), the University of Tampere, the University of Helsinki, the Aalto University and Turku University of Applied Sciences. The research is financially supported by the Finnish Funding Agency for Innovation (Tekes). Some of the empirical material of the paper is drawn from a project Innovation capture and diffusion in public-private health services (2014-2015, Tekes). The authors would like to thank the anonymous research partners and collaborators for their valuable cooperation in this paper.


Nordin, P., Kork, A.-A. and Koskela, I. (2017), "Value-based healthcare measurement as a context for organizational learning: Adding a strategic edge to assess health outcome?", Leadership in Health Services, Vol. 30 No. 2, pp. 159-170.



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