Reducing Unnecessary and Potentially Harmful Medical Care in Virginia

About

With support from Arnold Ventures, the Virginia Center for Health Innovation launched a statewide pilot to reduce the provision of low value health care in Virginia.  Low value health care includes medical tests and procedures that research has proven add no value in particular clinical circumstances and can lead to potential patient harm and a higher total cost of care.

This project is aligned with Aim I (reducing low-value care) of VCHI’s Health Value Dashboard. The project will utilize a two-part strategy to drive a significant reduction in seven provider-driven low value care tests and procedures. Over three years, we will focus specifically on producing a 25 percent relative reduction in seven low-value care measures that are provider-driven while also prioritizing up to six consumer-driven measures for our next phase of work.

VCHI will work with the leadership of six Virginia health systems and three clinically integrated networks on this project: Ballad Health; Carilion Clinic; HCA and Virginia Care Partners; Inova and Signature Partners; Sentara and Sentara Quality Care Network; and VCU Health System.  In addition, a complimentary employer task force will be formed with the aims of increasing employer knowledge of low-value health care, exposing Virginia employers to employers that are mobilizing for improvement, and engaging employers in action they can take in employee communications, benefit design, and contracting to drive sustainable improvement. Both the Virginia Chamber of Commerce and the Virginia Business Coalition are project partners.

Project Components

Learning Community of health system and physician practice partners working together to reduce seven provider-driven measures. Members of the learning community will review baseline and practice-level performance data, develop system improvements based on that data, and share best practices with each other.

Employer Task Force will be established to increase employer knowledge of low-value health care, exposing Virginia employers to employers that are mobilizing for improvement, and engaging employers in action they can take in employee communications, benefit design, and contracting to drive sustainable improvement in reducing low-value provider and consumer-driven measures. The task force will include 15-25 employers and include representatives from the Virginia Chamber of Commerce and the Virginia Business Coalition on Health.

Plan to Improve Health Value will be developed at a joint conference of the learning community and employer task force. This plan and accompanying best practices will be widely promoted through the Virginia Health Innovation Network, journal publications, and our work with the National Task Force on Low Value Care.

The Measures

Project partners will focus on producing a 25 percent relative reduction in seven low-value care measures that are provider-driven while also prioritizing up to six consumer-driven measures for our next phase of work.

The provider-driven measures are listed below. The consumer-driven measures will be selected by the Employer Task Force.

Have a question about this project? Contact us.