www.uihealthalliance.com

3RD QUARTER 2015UIHA PROVIDER NEWS

The University of Iowa Health Alliance is gaining momentum as it develops a value-based system of care. The UIHA Accountable Care Organization (ACO) is now formed and funded, and work is underway to consolidate various member ACOs under the alliance banner. The first consolidated contract will be with the Centers for Medicare and Medicaid Services.

Two physicians will lead change for the alliance by working with member organizations to design and implement clinical integration and population health management strategies.

“By its very nature, a value-based care system is physician-led and focuses on the patient experience. We’re pleased to welcome two new alliance staff members to the ACO leadership team,” says UIHA President and CEO Dan Kueter. Both physicians will also participate in the alliance Physician Leadership Council.

“These two physicians have already made key contributions to the alliance through their work as part of the clinical integration team. Now, we look forward to them building upon those experiences to lead and support our clinical efforts,” he says.

Brad Archer, MD – UIHA Chief Clinical Officer As the UIHA Chief Clinical Officer, Dr. Archer is responsible for the design, implementation and management of value-based care delivery. His focus is on care innovation and redesign. He will work with alliance members at the chapter-level for practice transformation, quality improvement, and patient-engagement strategies. He begins his new role July 27.

Dr. Archer comes to the alliance from MercyCare Community Physicians, Cedar Rapids where he served as Executive Medical Director.

“Dr. Archer will take the outstanding work he has done at Mercy with population management, medical home and practice transformation and apply that through the alliance. His unique experience and success at Mercy make him the right fit for this critical position, and this will allow Dr. Archer to impact all alliance members,” says Mercy – Cedar Rapids President and CEO Tim Charles.

Bill Langley, MD – UIHA Chief Population Health OfficerDr. Langley will split his time between the alliance and Genesis Health System where he serves as Executive Director of Clinical Integration/Accountable Care Organization.

As UIHA Chief Population Health Officer, Dr. Langley is responsible for the vision and implementation of an organizational system, and structures, for UIHA to realize its

potential for clinical integration. He will provide leadership for external stakeholders, payer contracting teams, and technology systems. His focus is on (member) chapter-level data analytics, and care delivery and payment models.

"Dr. Bill Langley has been a pioneer in the development of population health care protocols and outcome measurement. His innovative focus on quality metrics and cost of care make him uniquely well qualified for this new assignment. No doubt, Dr. Langley's leadership in this area will help ensure the continued success of the Alliance in providing the highest quality of care all our patients deserve," says Genesis Health System President and CEO Doug Cropper.

PHYSICIANS JOIN ACO LEADERSHIP TEAM

BILL LANGLEY, MDUIHA Chief Population

Health Officer

BRAD ARCHER, MDUIHA Chief Clinical Officer

IT TO HELP ENHANCE PATIENT EXPERIENCEUIHA has selected Optum One of Eden Prairie, Minn., as its vendor to provide an analytics platform for managing population health. The more than $7 million investment over four years in information technology infrastructure will give the alliance better access to health intelligence and workflow applications for enhancing the patient experience, increasing quality and reducing health care costs.

These population management tools can help care providers manage the increased clinical responsibility and financial risk assumed as part of a value-based care delivery model. The alliance will gain the ability to collect and share data from multiple sources, stratify the risk of patient populations, identify care interventions and support multiple care management programs, as well as support patient engagement tools.

As a participating ACO in Iowa Medicaid Enterprise Iowa Wellness Plan, the University of Iowa Health Alliance is measured by a Value Index Score (VIS). The score measures system change and the components necessary for better patient health outcomes and lower costs. Quarterly bonuses are made to the ACO for improving patient outcome performance against a baseline. The latest UIHA bonus was $44,730 for 3Q 2014 performance.

Comparing ACO VIS Scores as of June 8, 2015: Broadlawns (39.8%)IowaHealth+ (49.4%)UnityPoint Health Partners (60.1%)University of Iowa Health Alliance (54.6%)All other PCPs – (41.7%)

As one of the first ACOs for UIHA, this is an opportunity to learn and refine how to work with patient

populations. In this case, the population is adults 19 to 64 years old at or below the federal poverty line. Measurement is based on the successful implementation of the Healthy Behaviors Program, a means of encouraging IME members to take personal responsibility for their health and wellness. Completing online Health Risk Assessments (HRA) and Wellness Exams (EXAM) are key activities for the program.

DASHBOARDS PLOT PROGESS FOR IME ACO

2014 Healthy Behavior Results by ACO

(D) HRA (N) % EXAM (N) % BOTH

(N) % EITHER (N) %

Broadlawns Medical Center 8,060 2,600 32% 3,180 39% 2,296 28% 3,614 45%

Iowa Health+ 6,871 2,403 35% 2,722 40% 1,798 26% 3,328 48%

UnityPoint Health Partners 9,488 2,947 31% 4,160 44% 2,374 25% 4,941 52%

University of Iowa Health Alliance 18,026 7,642 42% 8,841 49% 6,179 34% 10,677 59%

Total 42,445 15,592 18,903 12,647 22,560

As reported by Iowa Department of Human Services.

Report to Our Communities

A REPORT TO OUR COMMUNITIES

© 2015 UNIVERSITY OF IOWA HEALTH ALLIANCE. ALL RIGHTS RESERVED. ITEM 182 20150715

3RD QUARTER 2015UIHA PROVIDER NEWS

CLINICAL INTEGRATION COMMITTEE Genesis Health System: William Langley, MD;

Linda Howard; Deborah Boggs Mercy — Cedar Rapids: Timothy Quinn, MD; Leslie

Schwarting; Rebecca Jacobs University of Iowa Health Care: Douglas Van Daele,

MD; Christine Miller; Dianne Wasson Wheaton Franciscan Healthcare — Iowa: James

Lehman, MD; UIHA Senior Project Manager:

Bonnie Braatz, 319-467-7093 bbraatz@uihealthalliance.com

UIHA OFFICE & STAFF100 Court Avenue, Suite 405Des Moines, Iowa 50309855-944-4692 Dan Kueter, President & CEO Jennifer Vermeer, COO Brad Archer, MD, Chief Clinical Officer William Langley, MD, Chief Population Health Officer Bonnie Braatz, Senior Project Manager Brooke Kensinger, Business Health Director Maggie Eischeid, Program Coordinator

OUR MEMBERSThe University of Iowa Health Alliance represents some of the largest health care provider organizations in Iowa and its surrounding states. Its membership includes1,970 physicians and 20 hospitals with key locations in Cedar Falls, Cedar Rapids, Davenport, Iowa City and Waterloo. Our membership includes: Genesis Health System Mercy — Cedar Rapids University of Iowa Health Care Wheaton Franciscan Healthcare — Iowa

See your local physician portal for all care models.New – Asthma

Read what we’re sharing with payers, employers and our local communities.

Download the report now.

Care Models

We’ll be taking the alliance story on the road to employees working at UIHA member organizations. Look for special events

to help us create alliance ambassadors by sharing

our progress towards increased quality,

lower costs and a healthier Iowa.

COMING THIS FALL