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Special Workshop NZ, Value Driven Outcomes for Clinical Services 10 March 2017

Meeting

Agenda

Other Information

Dates
Friday, 10 March 2017 - Friday, 10 March 2017

Meeting Code
HRT1704a

Location
Ko Awatea, Middlemore Hospital
54/100 Hospital Rd,
Auckland 2025

NZ

Would you like more information?
Kate Tynan
kate.tynan@healthroundtable.org

The Health Roundtable in conjunction with Ko Awatea are pleased to co-host this special workshop. Click here for draft program

Charlton Park is the Chief Analytics Officer and Interim Chief Financial Officer, University of Utah Health Care (UUHC), Salt Lake City, Utah. Charlton will lead a workshop based on his extensive experience in developing the Value Driven Outcomes (VDO) methodology using clinical costing information to improve safety and quality whilst at the same time reducing costs. Unlike almost all other major US hospitals, UUHC have been able to reduce their operating costs for the last two financial years. This workshop will fully explain the approach used at UUHC as applied to New Zealand hospital issues. Click here for UTAHs Value Booklet

In summary, Charlton will cover:

-Development of the University of Utah Health Care clinical costing system -The Value Driven Outcomes (VDO) methodology
-Integrating quality and outcomes data with clinical costing
-Creating actionable analytics to drive value
-Engaging physicians with appropriate analytics

Please note that this workshop which will be of interest to executive, clinical costing, finance and health information officers, will complement the workshop also to be presented in Auckland on 21 March by Sandi Gulbransen the Chief Quality Officer from UUHC. Sandi’s presentation will be of interest to clinicians and clinical quality and safety improvement officers and will build on the Value Driven Outcome methodology.

Who should attend: Hospital executives, CFOs, Clinical costing officers, Health Information officers, Clinical staff who present operational data to clinical colleagues.
For each organisation the cost is AUD $895 for the Primary Delegate. However if your organisation wishes to send more than one delegate subsequent registrations are at a reduced rate of AUD $495 for each secondary delegate.
Please register by the 2 March 2017

Guest Presenter’s Biography

Charlton Park has a background in Information Systems and health sector management and is currently the Chief Financial Officer (interim) at University of Utah Health Care, Salt Lake City, Utah, where he has worked for 8 years in a variety of roles including Financial Planning and Decision Support, and his substantive role of Chief Analytics Officer.

Among other things, his role is to work with stakeholders including medical staff across the Health Service to build analytic solutions supporting a range of projects and initiatives including Value Driven Outcomes (VDO), cost and outcomes analysis, care redesign and new payment models.

University of Utah Health Care undertook a major Value Driven Outcomes program and clinical costing implementation several years ago which helped yield significant cost savings and efficiency improvements. Patient Costing continues to be an important tool in the delivery of further efficiencies and the identification of the cost premium of poor quality and safety practices.

Agenda – Value Driven Outcomes for Clinical Services

Workshop [HRT1704a]

Friday 10 March 2017 Middlemore Hospital (Exact venue to be confirmed) Counties Manukau, Auckland NZ
8.30 -9.00	Arrival and registration. Tea & Coffee
9.00 -10.30	Workshop session 1. Charlton Park Chief Financial Officer, University of Utah Health Care How UUHC achieved the #1 Vizient quality award for USA Hospitals.
10.30– 11.00	Morning Tea
11.00– 12.30	Workshop session 2. Charlton Park Further explanation of UUHC process and consideration of how the VDO process could be used in new Zealand hospitals.
12:30 –1:30	Lunch
1.30 - 3.00	Workshop session 3. Charlton Park Consideration of actions for New Zealand hospitals.
3.00 – 3.20	Afternoon Tea
3.20 – 4.00	Workshop session 4 Charlton Park Final wrap-up and discussion on actions and further steps for implementation in New Zealand settings.
4.00 pm	Close of workshop

About UHHC: From Volume to Value in Health Care

“In order to provide higher value care, we need to better understand our costs,” explains lead author Vivian S. Lee, M.D., Ph.D., M.B.A., senior vice president at University of Utah Health Sciences and CEO of UUHC, which has 1.7 million patient visits each year. “We’re making the case that an organization can quantify and manage value, and that’s going to be a huge part in improving the health care system."

Developed by University of Utah Health Care (UUHC), the value driven outcomes (VDO) program breaks down health procedure costs to the level of each bandage and minutes of nursing time, revealing variabilities that are otherwise hidden from view. After a multidisciplinary care team addressed inefficiencies in three common procedures - joint replacement, in-hospital laboratory testing, and sepsis management – VDO showed that patients fared better and costs in some areas fell by about 10 percent. The results were published online in the Journal of the American Medical Association (JAMA¹) on Sept. 13 2016.

A case in point: knee and hip replacements, which - along with the likes extensive burns, Caesarean deliveries, and drug and alcohol abuse - was placed on a list of 19 procedures with the highest total direct costs. Given this, along with the relative standardized nature of joint replacement surgery and quality efforts already underway with joint replacement providers, the VDO tool offered an ideal opportunity to assist the team in further care process improvements.

As an example, the team of multidisciplinary Joint Replacement clinicians identified key care pathway improvements that would likely have an impact on the time a patient spends in the hospital (length of stay), the quality of care the patient received, the cost of care and even the cost of implants. Using the VDO tool, they identified cost and locally and nationally defined quality metrics, termed the “Perfect Care Index”, and followed the index to determine if the clinical pathway improvements were making a difference.

1. Vivian S Lee et al. Implementation of a Value Driven Outcomes Program to identify high variability in clinical costs and outcomes in association with reduced cost and improved quality. JAMA 2016:316 (10): 1061-1072 Click here

Michael E. Porter, Ph.D., of Harvard Business School, Boston, and Thomas H. Lee, M.D., M.Sc., of Press Ganey, Wakefield, Mass., comment on the findings of this study in an accompanying editorial.

“The study by Lee and colleagues in this issue of JAMA is an impressive and important step forward, not just for the University of Utah Health Care system but for the rest of U.S. health care and other health care systems around the world that are focused on value. The findings offer proof of concept that improving value by patient condition can lead to lower costs and better quality—at the same time. There is much to be done and the road is long, but the report by Lee and colleagues points out how the path begins.”