ABOUT
In an effort to better understand how Virginia performs in terms of delivering health value, and to determine how we can facilitate action for improvement where necessary, VCHI led the development of the Virginia Health Value Dashboard. The Virginia Health Value Dashboard was conceived as a strategy to prompt action for improving health value across the Commonwealth of Virginia. The Dashboard includes three broad aims for reducing low-value care, increasing high-value care, and improving the infrastructure for value-based care. The indicator sets for each aim were approved by consensus at a joint meeting of the VCHI Board and Leadership Council on June 28, 2024. Each year, VCHI considers additional measures to add to the Dashboard. Contact info@vahealthinnovation.org with any questions or comments.
2025 DASHBOARD
The dashboard is based on dates of service for calendar years (CY) 2021-2023.
Data for all measures were obtained from the All-Payer Claims Database (APCD) except for Improving Infrastructure for Value-Based Care measures under the ‘Claims in Virginia’s All-Payer Claims Database’ sub-category, which use a denominator obtained from the Kaiser Family Foundation.
All cancer screening and diabetes care measures were created using Milliman Evidence Based Measures (EBM) version 2024C with measure end dates of 2021-12, 2022-12, and 2023-12.
All Low Value Services as captured by the MedInsight Health Waste Calculator measures were created using software version 8.
Area Deprivation Index (ADI) is based on a measure created by the Health Resources & Services Administration (HRSA) over two decades ago for primarily county-level use, but refined, adapted, and validated to the Census block group/neighborhood level by Amy Kind, MD, PhD and her research team at the University of Wisconsin-Madison. It allows for rankings of neighborhoods by socioeconomic disadvantage in a region of interest (e.g. at the state or national level). It includes factors for the theoretical domains of income, education, employment, and housing quality. It can be used to inform health delivery and policy, especially for the most disadvantaged neighborhood groups. More information on the ADI- https://www.neighborhoodatlas.medicine.wisc.edu/
Composite Ranking- Average ranking across all measures out of the 35 Virginia local health districts.