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University of Utah Healthcare Value Management System Bob Pendleton MD FACP Chief Medical Quality Officer.

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Presentation on theme: "University of Utah Healthcare Value Management System Bob Pendleton MD FACP Chief Medical Quality Officer."— Presentation transcript:

1 University of Utah Healthcare Value Management System Bob Pendleton MD FACP Chief Medical Quality Officer

2 Goal: Exceptional Value

3 INPATIENT: Rate this Hospital 1-10 (% total patients choosing 9-10) UHC National %tile Rank UUHC: Becoming the Provider of Choice UHC National %tile Rank

4 UUHC: Nationally Ranked Outcomes * UHC Quality & Accountability Annual Scorecard *Ranking out of >98 National Academic Medical Centers

5 Use of Color Payers of Healthcare & a sample of Value related Initiatives EmployersGovernment Insurers (e.g. Regence, etc.) Medicare (CMS) Medicaid IPPSOPPS PQRI CMMI IQRVBPHACHRRPMU OQRMU HEDIS Public Direct & Rankings Direct Contract ACO PQRSMU

6 277 measures 402 measures 464 measures 614 measures 700 Measures & counting… Growth of National Value Metrics

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8 Value Management System: Service Delivery System Management Resource Management Measure, Analyze, Improve Inputs Outputs Service Delivery

9 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 results Corrective actions Measurement Analysis Governing Body: Operational oversight of clinical delivery system Basic Structure of our VMS Value Core (QM.7)

10 Clinical Services Value Council (GB.1) Chief Value Officers Rob Glasgow - Surgery Peter Yarbrough - Medicine Chris Pelt- Orthopedics Susan Baggaley - Neurology Meic Schmidt - Neurosurgery John Bohnsack -Pediatrics Jerry Hussong- Pathology Howard Sharp – OB GYN Bernadette Kiraly – Family Medicine Mark Eliason - Dermatology Jim Ashworth- Psychiatry Dave Gaffney- Rad Oncology Chief Value Officers Rob Glasgow - Surgery Peter Yarbrough - Medicine Chris Pelt- Orthopedics Susan Baggaley - Neurology Meic Schmidt - Neurosurgery John Bohnsack -Pediatrics Jerry Hussong- Pathology Howard Sharp – OB GYN Bernadette Kiraly – Family Medicine Mark Eliason - Dermatology Jim Ashworth- Psychiatry Dave Gaffney- Rad Oncology GME Value Council GME Value Council

11 System alignment System goals System mgt.

12 Measure & Analyze at the Department level…

13 Standard value Entitlement Typical approach to system performance & improvement: BUT- isn't every patient entitled to optimal performance? Poor valueOptimal value Average value

14 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 Improve Process Further Redesign Process to Prevent Problem 3 Build Standard Work & Forcing Functions Monitor Results Improve Process Further

15 How? Value Improvement Methodology: 1.(re-)Define 2.Problem & Goals 3.Analyze & Investigate 4.Design & Implement 5.Impact Improve Value

16 VALUE SUMMARY

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21 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


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