With support from Arnold Ventures, the Virginia Center for Health Innovation launched a statewide pilot in March 2019 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.
Smarter Care Virginia 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 nine 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 has partnered 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 serve to increase employer knowledge of low-value health care, expose Virginia employers to employers that are mobilizing for improvement, and engage employers in action they can take in employee communications, benefit design, and contracting to drive sustainable improvement.
"Drop the Pre-Op"
Treatment & Screening
Clinical Learning Community Partners
The Smarter Care Virginia Employer Task Force will work to increase employer knowledge concerning the challenge of low-value health care, expose Virginia employers to employers that are mobilizing for improvement, and engage employers in specific actions they can take in employee communications, benefit design, and contracting to drive improvement.
Both public and private employers are uniquely positioned to help reduce low-value and unnecessary services. Through benefit design and employee communications, employers can to drive change by helping employees become advocates for their own health by seeking appropriate care. As purchasers of health services, employers can leverage policies and contracts to ensure benefits are designed to reduce low-value care and support high-value care.
After a series of six meetings, the Employer Task Force agreed to focus on efforts to reduce the following consumer-driven low value care services.
Task Force Members
Robert Blue | Chair
President & CEO
EVP, Risk Management
President & CEO
Associate Professor, Industrial and Systems Engineering
Carlos Del Toro
President & CEO
SBG Technology Solutions
Director, Dept Human Resource Management
Commonwealth of Virginia
Director, Benefits & HRIS
The Port of Virginia
Virginia beach city public schools
Virginia Association of Counties
Compensation and Benefits Manager
The Luck Companies
VP, Government Affairs
Northern Virginia Chamber
Virginia State Director
Chief Human Resource Officer
VP, Global Total Rewards, HRIS, and People Analytics
Senior Director Strategy & Design, US Benefits