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Utah Partnership for Value-Driven Care

Mission, Vision | Fact Sheet
Partner Organizations | Task Forces

UPV Mission, Vision

Utah Partnership for Value-Driven Health Care
Fact Sheet

The Utah Partnership has been designated a Community Leader by HHS. While this is a privilege, there is no funding tied to the designation of Community Leader. Application has been made to become a Chartered Value Exchange.

PURPOSE
The Utah Partnership for Value Driven Healthcare (UPV) Exists to Maximize the Availability and Accuracy of Value Information to Facilitate Better Healthcare Decision Making.

The work of the Partnership is based upon the four cornerstones identified by Secretary Michael Leavitt when he rolled out the concept of Value Driven Healthcare. The Cornerstones are:

1. Interoperable Health Information Technology (Health IT Standards)
2. Measure and Publish Quality Information (Quality Standards)
3. Measure and Publish Price Information (Price Standards)
4. Promote Quality and Efficiency of Care (Incentives)

Key Processes of UPV

• Assure membership in the UPV encompasses all stakeholder groups in a balanced and representative way
• Collect and report standardized, reliable health plan and provider performance data across all settings
• Promote the use of accurate and comparable quality measures within health care by an independent data source for full reporting
• Create efficiency in data collection leading to reduced burden and cost to all reporting participants
• Educate the public about health care quality and provide understandable information to aid in healthcare decision making
• Appropriate public release of performance information
• Create opportunity and education about the importance of engaging health care providers and consumers in an open dialogue

Value Definitions
1. Value Information for payers includes:
a. 100% sample for greater validity
b. Less challenging reporting process
c. Accurate provider utilization data availability
2. Value Information for providers include:
a. Access to broad sample of care provided
b. Increased ease in data reporting
c. Reduced waster that drives up cost
3. Value Information for purchasers includes:
a. Data availability across settings (episodes of care)
b. Independent reliable source of information
4. Value Information for patients includes:
a. Transparency of cost/price and quality information
b. Ability to identify high value providers
c. Greater personal responsibility in healthcare decision making
5. Value Information for public includes:
a. Increased quality and access of healthcare to all residents of Utah
b. High value means greater efficiency of public spending
c. Opportunity to make choices around healthy lifestyle as well as healthcare
6. Value Information for policy makers includes;
a. Identifying credible sources of information

Oversight of the Utah Partnership is by a Steering Committee made up of key stakeholders in the five groups named above.

ROLE OF THE STEERING COMMITTEE
Oversee performance of the partnership, providing advice regarding priorities
Ownership of the data warehouse
Support the 4 cornerstones of the Value-Driven Healthcare effort
Identify and solicit funding for the UPVDHC work
Assure Utah data is made transparent to all stakeholders
Operate partnership effectively and efficiently

Stakeholder Group	Member Organization/Individual
Quality Improvement Organizations	HealthInsight, CMS designated QIO Utah Pediatric Partnership for Improving Health Care Quality Intermountain Institute for Health Care Delivery Research
State or Other Data Organizations	Utah Health Information Network (UHIN) Utah Digital Health Services Commission Utah Department of Health Utah Health Data Committee (HDC) National Association of Health Data Organizations
Payers	Regence Blue Cross/Blue Shield Altius SelectHealth Medicaid Leavitt Group Enterprises Public Employees Health Plan Deseret Mutual Benefit Association Utah Insurance Commission Utah Association Health Underwriters
Providers	Intermountain Healthcare ARUP Laboratory Utah Home Care Association American Fork Clinic VA Medical Center Utah Health Policy Project Utah Hospitals and Health Systems Association HCA Mountain Division Ken Buchi, MD St. George Clinic Central Utah Clinic Utah Medical Association University of Utah, Hospitals and Clinics
Public	Utah State Legislators Robert Huefner, Professor, Political Science Deseret News Kay Matsumura, Retired Hospital CEO Linn Baker, Retired Insurance Executive AARP Michael Mitchell, Health Care Consultant Matthew Airmet, consumer
Purchasers	Ingenix National Federation of Independent Business Zion’s Bancorp ICON Health and Fitness Questar Central Utah Clinic Ivory Homes Utah Food Industry Association Flying J Qwest Salt Lake Chamber of Commerce Utah Retail Merchants Brigham Young University Health Clinic Autoliv University of Utah Utah Valley Regional Hospital Utah Manufacturers Association

UPV Task Forces, Leads, Goals and Current Activities

Aims Lead: Jim Wall, Deseret News
Draft Mission and Vision and map to achieving

Setting direction including long and short-term objectives;
Identifying data most useful to stakeholders;
Focusing partnership’s efforts on transparency issues most important for purchasers and public.

Aligned Incentives Lead, Scott Barlow, Central Utah Clinic
Promote pay for performance and public reporting

Survey of existing efforts to determine breadth of activities and potential for spread;
Define pay for performance potential in Utah.

Planned:

Unify pay for performance efforts to:

Simplify provider reporting requirements;
Allow for pooling and comparison of data from various sources.

Clinical Connectivity Lead, Scott Williams, MD, HCA
Catalyze efforts across Utah to create electronic connectivity of clinical data

Facilitate the implementation and use of clinical health information exchange as a tool for quality improvement and cost savings;
Continue promotion of adoption and use of HIT/HIE.

Communication Lead, Jim Wall, Deseret News
Disbursement of key activities information to all Partners and to assure the community is aware of and able to participate in the activities of UPV

Share learning with UPV members and community;
Engage consumers in increasing access to healthcare information and the utility for improved decision making.

Key Process Analysis Lead, Brent James, MD, Intermountain Institute for Health Care Delivery Research
Investigate using claims data to identify highly variable clinical episodes of care

Planned:

Stage 1: HealthInsight and Dr. John Wennberg (Dartmouth Medical School) will use an episode grouper to develop Medicare data into episodes of clinical care;
Stage 2: Episodes of care will be prioritized and reduced to a subset of key clinical processes;
Identify clinical care processes (~ 12) with greatest potential for change initiatives.

Security and Privacy Lead, Francesca Lanier, Utah Department of Health
Development and adoption of legally appropriate, standard information and format

Statewide education toolkit on HIPAA "TPO” prepared to reduce the variation in providers' interpretation of “allowable use” and disclosure of patient information under the General Provisions of 45 CFR 164.506;
Privacy practices collected and assessed against the Markle Foundation model policy, SNO 200: Notice of Privacy Practice.

Sustainability Lead: Christie North, HealthInsight

Transition management and funding
Achieve CVE designation;
Qualify UPV to receive federal and regional funding;
Steering committee assessments.

Transparency of Health Plans Lead, Michael Stapley, Desert Mutual Benefits Association

Develop plan for increasing transparency of health plans information to the public
Planned:

Support health payment reform and promote health plan measures;
Afford comparability of health plans by consumers.

Transparent Episodes of Care Lead, Greg Poulsen, Intermountain Healthcare

Develop and promote cost analysis and reporting using clinical data

Clarify the legal, political, and administrative opportunities and barriers;
Develop and promote cost analysis and reporting;
Develop implementation plan for House Bill 9 (HB9), which “amends the Health Data Authority Act to authorize the HDC … to collect data on the costs of episodes of healthcare, and authorizes the Department of Health to develop a plan to measure and compare costs of episodes of care.


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