Value Dashboard

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 encompassing a total of nine value indicators as approved by consensus at a joint meeting of the VCHI Board and Leadership Council on October 24, 2017. Nine additional indicators have been identified for possible future consideration.

Aim I: Reducing Low-Value Care

A. Utilization and cost of potentially avoidable emergency room visits

  • Potentially avoidable ED visits - As a percentage of total ED visits
  • Potentially avoidable ED visits - Per 1,000 member months
  • Potentially avoidable ED visits - Per member per year

B. Low Value Services as captured by the MedInsight Health Waste Calculator

  • Don’t obtain baseline laboratory studies in patients without significant systemic disease (ASA I or II) undergoing low-risk surgery
  • Don’t obtain EKG, chest X-rays or pulmonary function test in patients without significant systemic disease (ASA I or II) undergoing low-risk surgery
  • Don’t perform population based screening for 25-OH-Vitamin D deficiency
  • Don't perform PSA-based screening for prostate cancer in all men regardless of age
  • Don’t do imaging for low back pain within the first six weeks, unless red flags are present

C.  Inappropriate Preventable Hospital Stays

  • Prevention Quality Indicator #90: Prevention Quality Overall Composite Rate (per 100,000 population)

Aim II: Increasing high value care

A. Virginians who are current with appropriate vaccination schedules

  • Childhood and Adolescent Immunization Status

B. Comprehensive Diabetes Care

  • Hemoglobin A1c (HbA1c) Testing
  • Medical Attention for Nephropathy

C. Clinically Appropriate Cancer Screening Rates

  • Breast Cancer Screening
  • Cervical Cancer Screening
  • Colorectal Cancer Screening

Aim III: improving the infrastructure for value-based care

A. Commercial in-Network Payments That Are Value Oriented

  • Catalyst for Payment Reform Composite Score: Increasing the Percent of Commercial In-Network Payments that Are Value Oriented

B. Claims in Virginia’s All-Payer Claims Database

  • Percent of Virginia Total Covered Lives with Claims Included in the Virginia All Payer Claims Database
  • Percent of Virginia Commercially Insured Lives with Claims Included in the Virginia All Payer Claims Database

C. Value-Oriented Payments that Place Doctors and Hospitals at Financial Risk for Their Performance

  • Catalyst for Payment Reform Composite Score: Increase the Percent of Value-Oriented Payments that Place Doctors and Hospitals at Financial Risk for Their Performance