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HOME ► HealthInsight Partnerships ► Transparency ► Nevada Partnership for Value-Driven Care
Nevada Partnership for Value-Driven Care
Mission, Vision, Goals, & Value to Members | Partners (Steering Committee)
Join these local organizations, Sign a statement of support for Value-Driven Health Care
Task Forces | More Information
The Nevada Partnership for Value Driven Health Care is a multi-stakeholder community health care collaborative made up of public and private payers, purchasers, providers (institutional and individual) and the public. The Partnership has been designated as a "Community Leader" by the Agency for Healthcare Research and Quality (AHRQ), which is the first step to becoming a Value Exchange as described by HHS Secretary Michael Leavitt in his Value Driven Healthcare Initiative.
| Goal: |
| The Partnership’s goal is to improve the quality, accessibility, safety, equity, efficiency, and coordination of health care in Nevada by providing patient-centric health care and a system that provides a full range of information to consumers about the quality and cost of health care options. To accomplish this goal, the Partnership will: |
- Utilize provider-level data from multiple payer sources
- Aggregate, analyze and provide comparative reports on consensus-derived measures of quality, price/cost, and volume
- Support the transparency of these data in order to stimulate quality improvement
- Inform consumer decision-making, and develop and align provider and consumer incentives
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| Value to Partnership Members: |
- Broader access to quality and cost data at the provider (physician) level
- Broader access to quality and cost data from public payers (Medicare and Medicaid) and commercial insurers
- Expanded data allowing for population evaluation and predictive modeling
- Improved state-wide health outcomes through data sharing and development of “Best Practices”
- Collaboration on a focused, state-wide set of quality improvement priorities
- Access to a nationwide Learning Network coordinated by AHRQ and CMS
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Add Your Name to These Local Organizations
That Signed Statements of Support for
Value-Driven Health Care in Nevada |
| http://transparency.cit.nih.gov/ |
- Anthem Blue Cross/Blue Shield
- Catholic Healthcare West
- Center for Health Information Analysis (UNLV)
- City of Las Vegas
- Geriatric Care of Nevada
- Governor Jim Gibbons
- HealthInsight of Nevada
- Medical Scientific Resources of Nevada
- Nevada Geriatric Education Center
- Nevada Healthcare Association
- Nevada Healthcare Coalition
- Nevada Hospital Association
- Nevada State Senate
- Sanford Center for Aging
- State of Nevada
- State Health Insurance Assistance Program-Nevada Division of Aging Services
- SEIU
- SEIU - Nevada
- United Healthcare
- WellPoint
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| Steering Committee Members |
| ORGANIZATION |
REPRESENTATIVE |
| Providers |
Catholic Healthcare West (CHW)
A non-profit system of 3 hospitals representing 13% of hospital beds in southern Nevada; and 1 hospital in northern Nevada, accounting for 31% of that market. |
Val Baciarelli,
President, St. Rose Dominican Hospital |
HCA Health Care System
A system of 3 HCA hospitals, controlling nearly 1/3rd of hospital beds in southern Nevada. |
Ann Lynch
Vice President, Government Affairs |
Valley Health System
A system of 4 UHS hospitals, controlling more than 1/3rd of hospital beds in southern Nevada. (A 5th hospital will be opening in early 2008.) |
Edwin Homansky, MD,
Regional Medical Director |
University Medical Center (UMC)
Southern Nevada’s county owned hospital, with the states only Level 1 Trauma center for southern Nevada, and the only burn care facility in the state. UMC also operates Quick Care Centers throughout southern Nevada for urgent and ongoing care. |
Kim Voss, RN,
Director, Quality Care and Patient Safety |
SEIU Local 1107
Represents more than 17,500 health care and public service employees across the state. |
Erica Rafford |
Southern Nevada Health District
One of the largest local public health organizations in the United States, serving over 1.7 million residents, and 37 million visitors to Las Vegas each year. |
Larry Sands, DO, MPH
Chief Health Officer |
| Nevada Health Care Association
A non-profit organization of long term care facilities and associate members, together representing nearly 50 non-profit and for-profit assisted living, nursing facility, and sub- acute care providers that care for over 6,000 elderly and disabled individuals statewide and employ more than 8,000 Nevadans. |
Charles Perry
Executive Director |
| Nevada Hospital Association
A not-for-profit, statewide, professional association, representing the vast majority of Nevada's hospitals, and other health-related agencies and organizations throughout the state. |
Vickie Wright, RN, MSN, MBA
Nurse Executive |
| Nevada State Medical Association
State professional association representing Nevada physicians and medical students. Works closely with the county medical societies. |
Larry Matheis
Executive Director |
| Payers |
Blue Cross/Blue Shield
A commercial health insurance plan with 65% market share of Nevada PPO enrollment. |
David Blackman
Nevada Statewide Director |
Division of Health Care Financing Policy –
Nevada Medicaid
Works with CMS to assist in providing medical care to eligible individuals and families with low incomes and limited resources. |
Chuck Duarte
Administrator |
Hometown Health
A group of Northern Nevada's largest, health insurance companies, offering fully insured HMO and PPO plans and wide-ranging medical coverage. March 31, 2007 enrollment was 22,413. |
Al Herak
Director, Decision Support |
Medical Scientific Resources of Nevada
Consulting to organizations providing health insurance, management or services. Developed MSR MAP, a software application for inpatient concurrent review, quality improvement project data collection and facility resource management. |
Kenneth Osgood, MD, MPH
President |
PacifiCare / United Health Care
A commercial health insurance plan with 11% market share of HMO and 1% of PPO enrollment. A proposed buy-out of Sierra Health Services would increase United’s market share to 79% of HMO and 10% PPO enrollment. |
Alan Blumenthal, MD, MBA
Medical Director |
Sierra Health Services, Inc.
A commercial health insurance plan with 68% market share of HMO and 9% of PPO enrollment. |
Lisa Hauk, MD
Medical Director |
| Purchasers |
Health Innovations
A consulting firm providing expertise to health care purchasers, insurers, business coalitions, and providers on lowering health care costs and improving quality of care. |
Jerry Reeves, MD
President |
Health Services Coalition
The coalition is made up of 23 self-insured employers and Taft-Hartley health trusts. Members include employers and unions who represent teachers, firefighters, hotel and casino workers, carpenters, cement masons and plasterers, police officers, electricians, plumbers, convention workers, trash collectors, truck drivers and grocery workers. |
Bobbette Bond, MPH
Government and Community Affairs Manager |
Nevada Health Care Coalition (NHCC)
A business coalition in northern Nevada, representing 18 employers with 40,000 lives. The NHCC has committed to submitting their data to the NPV warehouse in early 2008. |
Michael Ginder
Executive Director |
Self-insured Employers
Provides consulting services to self-insured employers. |
Jim Hippler
Consultant |
| Patients/Public |
Governor's Task Force
A task force was established by Governor Gibbons to look at various aspects of health care delivery in the state. The Task Force was asked to review the need for care of the medically indigent, health information technology work force and funding issues in the state. This public/private partnership reports directly to the Governor regarding its findings and recommendations. |
Rudy Manthei, MD, FOCOO
Chairman |
HealthInsight
A non-profit 501(c) organization and federally-designated Quality Improvement Organization for Nevada and Utah. |
Robert Shreck, MD, MMM, FAAFP
Vice-President, Medical Affairs |
| Nevada Division for Aging Services
The Division for Aging Services' mission is to develop, coordinate and deliver a comprehensive support service system in order for Nevada's senior citizens to lead independent, meaningful and dignified lives. |
Jeannie Pearce
Executive Director |
Office of Governor Gibbons
Nevada Governor Jim Gibbons has signed an Executive Order in support of Secretary Leavitt's Four Cornerstones of Value-driven Health Care. |
Dianne Cornwall
Deputy Chief of Staff |
UNLV – Center for Health Information Analysis
A research Center at the University of Nevada, Las Vegas which serves the community by making specific hospital data available to the public and private sectors |
Joseph Greenway
Director |
University of Nevada School of Medicine
Office of Rural Health
Provides technical assistance and support for organizations seeking financial assistance for rural health, including rural access to emergency devices, hospital improvement grants, and rural flexibility program |
John Packham, PhD
Director, Nevada FLEX Program
President-Elect, NV Public Health Association |
| NPV Task Forces |
| Transparency Task Force |
| Mission |
Work with stakeholders to attain a high quality comprehensive health care system through development of data sharing that facilitates transparency and promotes best practices in the care of our patients. |
| Objectives |
- Continue to identify local healthcare activities related to transparency and recruit those stakeholders
- Develop a plan to coordinate current transparency activities
- Review nationally vetted, consensus derived data sets.
- Set standards for transparency of health care information relating to quality and cost.
- Develop a mechanism for communication and dissemination of quality and cost data to the public.
- Develop a mechanism to measure and evaluate effectiveness of each activity.
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| Status |
- Completed a community inventory of value-driven activities in Nevada.
- Developing an NPV website for sharing and posting of information.
- Partners will provide links to the NPV website and vice-versa.
- Partners will publish articles about NPV work in their newsletters.
- NPV will issue press releases and work with local news and business media to promote transparency and the efforts of the NPV.
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| Best Practices/Incentives Task Force |
| Mission |
Work with stakeholders to attain a high quality comprehensive health care system through development of incentive programs for providers and consumers. |
| Objectives |
- Continue to identify and recruit payers and employers who offer health care incentive programs.
- Review national programs, such as Bridges to Excellence, and others that promote best practices, preventive care and enhance patient adherence to best practices.
- Develop a plan to coordinate local incentive programs offered by payers and other stakeholders to improve provider and patient adherence with best practices.
- Encourage incentive programs that promote transparency of quality data.
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| Status |
Developing a plan of activities around sharing best practices and how to use data from the NPV warehouse to inform activities. This work will begin in early 2008 when the data warehouse becomes operational. |
| Technology Task Force |
| Mission |
Work with stakeholders to attain a high quality comprehensive health care system through development of health information technologies that facilitate transparency and promote best practices. |
| Objectives |
- Continue to identify HIT and RHIO activities within the healthcare community and recruit those stakeholders.
- Review national standards for health care technology.
- Develop a plan to improve data collection and create connectivity among providers.
- Develop a plan for normalization, aggregation, and analysis of the data
- Set standards for data collection and security of health care information.
- Develop cost analysis of collecting and using health care data to improve care and make that information available to the public.
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| Status |
- The NPV is creating a business plan for the development of a data warehouse for aggregation of claims data from multiple payer sources. The goal is to foster improvement in quality and cost effectiveness.
- HealthInsight is negotiating with vendors who can provide analytic software, including episode grouping for analysis of cost.
- The Nevada Health Care Coalition has committed to submitting data to the NPV Warehouse beginning in early 2008.
- Multiple payers are interested in participating in a HealthInsight-hosted data warehouse.
- The NPV Data Warehouse will provide an opportunity to maximize the analytic capacity for smaller groups by providing larger data sets for aggregation and analysis. As participation increases, cost will decrease, and a comprehensive analysis of the health and care of the insured Nevada population will be possible.
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For more information on the
Nevada Partnership for Value-driven Health Care,
Call 702-933-7305
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