goal: exceptional value
DESCRIPTION
University of Utah Healthcare Value Management System Bob Pendleton MD FACP Chief Medical Quality Officer. Goal: Exceptional Value. UUHC: Becoming the Provider of Choice. INPATIENT: Rate this Hospital 1-10 (% total patients choosing 9-10) UHC National %tile Rank. UHC National %tile Rank. - PowerPoint PPT PresentationTRANSCRIPT
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University of Utah HealthcareValue Management System
Bob Pendleton MD FACPChief Medical Quality Officer
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Goal: Exceptional Value
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INPATIENT: Rate this Hospital 1-10 (% total patients choosing 9-10)UHC National %tile Rank
UUHC: Becoming the Provider of Choice
UHC
Natio
nal %
tile R
ank
2008 2009 2010 2011 2012 2013 2014YTD0
25
50
75
100
18
39
65 6478 75
94
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UUHC: Nationally Ranked Outcomes
* UHC Quality & Accountability Annual Scorecard
2008 2009 2010 2011 2012 2013
947
1
37
50
*Ranking out of >98 National AcademicMedical Centers
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Use of ColorPayers of Healthcare & a sample of Value related Initiatives
EmployersGovernment Insurers (e.g. Regence, etc.)
Medicare(CMS) Medicaid
IPPS OPPS
PQRI
CMMI
IQR VBP HAC HRRP MU
OQR MU
HEDIS
Public
Direct &Rankings
Direct Contract
ACO
PQRS MU
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277 measures
402 measures
464 measures
614 measures
700Measures
& counting…
Growth of National Value Metrics
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Value Management System:
Service Delivery
System Management
Resource Management
Measure, Analyze, Improve
Inputs OutputsService DeliveryService Delivery
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Safety Committee (QM.8)
QMOC (QM7)
Document Control Cmt
Value Creation Team
Support Services
Value Council (GB.1)
HCEC
Medical Board
Hospital Board
Clinical Services
Management Review:Audit resultsCorrective actionsMeasurementAnalysis
Governing Body:Operational oversight of clinical delivery system
Basic Structure of our VMS
Value Core (QM.7)
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Clinical Services
Value Council (GB.1)
Chief Value OfficersRob Glasgow - SurgeryPeter Yarbrough - MedicineChris Pelt- OrthopedicsSusan Baggaley - NeurologyMeic Schmidt - NeurosurgeryJohn Bohnsack -PediatricsJerry Hussong- PathologyHoward Sharp – OB GYNBernadette Kiraly – Family MedicineMark Eliason - DermatologyJim Ashworth- Psychiatry Dave Gaffney- Rad Oncology
GMEValue Council
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• System alignment• System goals• System mgt.
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Measure & Analyze at the Department level…
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Standard value
Entitlement
• Typical approach to system performance & improvement:
• BUT- isn't every patient entitled to optimal performance?
Poor value Optimal value
Average value
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Value Management System: Focus on Improving Processes
• Focus on Results Problem Solving (Reaction)
• Focus on Process Problem Prevention
Fix Problem 1
Fix Problem 2
Fix Problem 3
Redesign Process to Prevent Problem 1
Build Standard Work & Forcing Functions Monitor Results Improve Process
Further
Redesign Process to Prevent Problem 2
Build Standard Work & Forcing Functions Monitor Results
Redesign Process to Prevent Problem 3
Build Standard Work & Forcing Functions
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How?
Value Improvement Methodology:1. (re-)Define2. Problem & Goals3. Analyze & Investigate4. Design & Implement5. Impact
Improve Value
1
2
3 4
5
Improve Value
1
2
3 4
5
Improve Value
1
2
3 4
5
Improve Value
1
2
3 4
5
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VALUE SUMMARY
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YOU (& your residents) voice & input is critical:
GMEC sponsored group to facilitate two-way input on UUHC value efforts
Coordination with the CVO in your Departments Should CRIT (empowered CMRs) remain a vehicle? System use of Value Summary Core training from Value U Safety event reporting & subsequent management