Innovative Partnership Focused on Reducing Employers’ Healthcare Costs

By | Innovation, Press Release

Edison Healthcare has chosen Regenexx as their exclusive option for low-cost, effective alternatives to orthopedic surgery. Both Regenexx and Edison Healthcare are dedicated to helping employers reduce wasteful spending in healthcare and provide patients with the quality-care they deserve. Through this partnership, Edison Healthcare’s corporate clients will now be able to offer their employees a non-surgical, low-risk treatment alternative for orthopedic injuries, joint conditions, and osteoarthritis.

Through their robust network of Smart Care Centers – Edison Healthcare is on a mission to help patients and employers avoid inefficient and unnecessary treatments. Adding Regenexx to their community of Smart Care Centers was both beneficial for the clients of Edison Healthcare and the patients they serve.

Each Smart Care Center consistently offers intelligent, thorough, and compassionate care for complex medical issues. By contracting directly with Smart Care providers around the world, Edison Healthcare is pioneering a new level of health care for patients and they are closing in on offering the most affordable medical services for employer groups.

With this new partnership, Regenexx is now the solution for Edison Healthcare patients who have been told they are in need of orthopedic surgery. Founding the field of Interventional Orthopedics, Regenexx offers a solution that provides a low-cost alternative to as many as 70% of orthopedic surgeries allowing employers to save more than 80% on orthopedic costs.

Tom Emerick, CEO and Co-Founder of Edison Healthcare, shared “Edison Healthcare welcomes Regenexx to the team. They offer a low cost and safe way to treat certain orthopedic problems. We expect employers and their employees to see great value in this program.”

When asked about this innovative collaboration Regenexx Chief Executive Officer, Jason Hellickson said, “As a provider of the most advanced non-surgical orthopedic care available in the United States, Regenexx is excited to continue our mission of producing the best-possible patient outcomes for Edison Healthcare through successful alternatives to orthopedic surgery.”

Contact us today to learn more. Edison Healthcare: 866-982-7988 Regenexx Corporate: 888-547-6667

Southern Hills Hospital & Medical Center Now Offers Mako Advanced Robotic-Arm Assisted Joint Replacement Procedure

By | Innovation, Press Release

Advanced technology is less invasive for total knee, partial knee and total hip replacements

Southern Hills Hospital & Medical Center is excited to announce its new Mako advanced robotic-arm assisted total knee, partial knee and total hip replacement program. This highly advanced robotic technology transforms the way joint replacement surgery is performed, enabling surgeons to increase accuracy. The first procedure was performed at the hospital by Roger A. Fontes, MD.

“We are proud to offer this highly advanced robotic procedure in our region,” said Adam Rudd, Chief Executive Officer, Southern Hills Hospital & Medical Center. “This technology further demonstrates our commitment to provide our patients with outstanding healthcare while growing our orthopedic services.”

This minimally invasive procedure is available for those suffering with debilitating pain of the knee or hip. Our specialty trained, orthopedic surgeons can treat patient-specific knee or/and hip conditions with the most advanced technology designed to improve patient outcomes. 

Through a CT scan of the diseased joint, the system creates a 3D modeling of the patient’s bone anatomy. This allows surgeons to create a personalized surgical plan based on each patient’s unique anatomy. By selectively targeting only the part of the bone damaged by degeneration, surgeons can resurface the diseased portion, while helping to spare the healthy bone and ligaments surrounding the joint.

Southern Hills Hospital & Medical Center holds advanced certification for total hip and knee replacements and hip fracture by the Joint Commission, the nation’s leading organization on accreditation. As leader in orthopedic services, Southern Hills performed 454 joint procedures in 2017 for hip and knee.

A Culture of Innovation Creates Continuous Improvement

By | Innovation, Press Release, Uncategorized

For those of you who are early adopters like I am, you’re probably aware of the latest Apple technology introduced this month. Apple’s use of consumer data has allowed them to build the best product for consumer needs. They are innovators in their industry. Just like Apple, Regenexx has been on the forefront of the Interventional Orthopedic industry based on our unique ability to track and analyze every one of our patients. We have patients who are 5, 8, 10 or even 12 years out from their nonsurgical Regenexx procedure. This amount of research and data allows us to make advancements in our field that bring patients an outcome based treatment approach customized to their specific orthopedic needs and are grounded in improving the lives of our patients.

Regenexx® stem cell procedures have been studied extensively for more than a decade and our patients are part of the world’s largest human mesenchymal stem cell re-implantation database for orthopedic purposes.

We are the only orthopedic providers in the world with an outcome registry. 

Regenexx® Patient Outcome Data by Body Part Treated below:

https://www.regenexx.com/outcomes/

The current case study shows the economic and physical impact we are making with our corporate clients

As of February, 2018… We have reduced our corporate partners’ orthopedic costs by 84% at an overall savings of nearly $6.140 MILLION dollars with an average patient improvement at 6 months of 80%. 

Patient Success is Our Priority

Sheri, a small business owner, was able to keep her company running by avoiding a lengthy recovery and opting for a non-surgical patented Regenexx procedure. Sheri is back to 98 percent of her function and virtually pain free at her six month appointment. See Sheri’s 2-minute video below:

https://www.youtube.com/watch?v=jihVlCpMhmg

Promoting Your Employee’s Well-Being through the Nation’s Leader in Regenerative Medicine

Updates and Findings From Regenexx®

We look forward to showing you how our corporate program helps companies just like yours save money while contributing to employee well-being and orthopedic health.

To learn more about the Regenexx Corporate Program visit:  https://regenexxcorporate.com

Live well,

Jason Hellickson, CEO, Regenexx

www.RegenexxCorporate.com

Work: 1 (319) 899-4332

jhellickson@regenexx.com

UnitedHealthcare Helps People be More Active with Apple Watch

By | Innovation, Press Release

 

  • New program will enable eligible UnitedHealthcare plan participants to obtain Apple Watch by meeting daily walking goals
  • Apple Watch is the latest device available through UnitedHealthcare Motion, one of the nation’s leading wearable device wellness programs that motivates people to walk and improve their health engagement
  • Select program participants will have access to Apple Watch starting in July, with full availability to all participants later this year 

UnitedHealthcare announced a program to encourage people across the country to improve their health by walking, enabling eligible plan participants to obtain Apple Watch® by meeting daily walking goals.

For the first time, Apple Watch will be integrated into UnitedHealthcare Motion®, a national digital wellness program that provides eligible plan participants access to activity trackers that can enable them to earn up to $1,000 per year by meeting certain daily walking goals*.

Eligible participants will be able to receive and start using Apple Watch (initially paying only tax and shipping), with the option to apply program earnings toward the full purchase price of the device. Program participants will be able to own – with a zero balance – the world’s No. 1 smart watch in as little as six month by meeting daily walking goals. UnitedHealthcare Motion participants who already own Apple Watch will be also able to use it with the program.

Since UnitedHealthcare Motion’s inception, participants have collectively walked more than 180 billion steps and earned nearly $30 million in rewards. Among eligible employees, 66 percent registered their devices, with nearly two-thirds of those active with the program.

“UnitedHealthcare Motion is part of our consumer-focused strategy that is driving toward a simple, integrated, mobile-centric ecosystem that delivers value to consumers,” said Steve Nelson, CEO of UnitedHealthcare. “Smart watches and activity trackers stand alongside transparency in physician selection and medical costs, easy virtual visits with health care professionals, and digital coaching and online wellness programs, all of which are designed to support consumers in enhancing their health and improving how they navigate the health care system.”

UnitedHealthcare Motion is available to employers with self-funded and fully insured health plans nationwide. The program enables employees to earn up to $4 per day in financial incentives based on achieving F.I.T. goals*:

  • Frequency: complete 500 steps within seven minutes six times per day, at least an hour apart;
  • Intensity: complete 3,000 steps within 30 minutes; and
  • Tenacity: complete 10,000 total steps each day.

Apple Watch is available through UnitedHealthcare Motion and enables users to see how they are tracking against the program’s three daily F.I.T. goals, helping integrate physical activity and engagement with their health plan. Research shows people who consistently achieve the F.I.T. goals tend to improve their health and reduce their medical expenses.


Apple Watch is a health and fitness companion with intelligent coaching features, and water resistance, and now with Apple Watch Series 3, it also features an altimeter. The program’s F.I.T. targets are set in the UnitedHealthcare Motion app, which integrates with HealthKit to use data from Apple Watch to track daily goals.

About UnitedHealthcare

UnitedHealthcare is dedicated to helping people live healthier lives and making the health system work better for everyone by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. In the United States, UnitedHealthcare offers the full spectrum of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.2 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide. The company also provides health benefits and delivers care to people through owned and operated health care facilities in South America. UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified health care company. For more information, visit UnitedHealthcare at www.uhc.com or follow @UHC on Twitter.

 

Stryker Mobile Operating Room Experience (M.O.R.E.)

By | Education, Innovation

Cutting-edge medical training is alive and well in Las Vegas with a recent visit from a Stryker Mobile Operating Room Experience (M.O.R.E.)  cadaver training lab. On March 2-4, all Valley Hospital Medical Center orthopedic surgery residents participated in the training experience in conjunction with the UMC Orthopedic program.

The M.O.R.E. trailer was created by Stryker, one of the world’s leading medical technology companies offering an array of innovative products in Orthopedics, Medical and Surgical, Neurotechnology and Spine, which help improve patient and hospital outcomes.  The trailer travels around the country to educate and train surgeons on specific surgical techniques and the latest technology.

The M.O.R.E. trailer spans 1200 square feet and includes eight fully equipped stations.  It has the capacity to educate up to 32 professionals at a single time and is outfitted with a wide range of surgical power tools, remote cameras, surgical lights and more.

According to Steven Nishiyama, senior orthopedic resident at Valley Hospital, the purpose of the visit

was to provide our residents with a direct “hands-on” experience with cadavers and surgical dissection education. “The M.O.R.E. lab brings a real-life, interactive educational experience to medical communities all over the country without the burden of travel,” said Nishiyama.  “This highly innovative classroom on wheels allows our residents to explore the complexity of human anatomy while receiving critical training on the latest technologies in orthopedic trauma surgery.”

Valley Hospital Medical Center’s Orthopedic Surgery Residency Program was one of the first orthopedic surgery residency training programs in the country to participate in the Stryker M.O.R.E. Lab training.

Health District, Trac-B Exchange, Launch Southern Nevada’s First Needle Exchange

By | Education, Innovation

In an ongoing effort to reduce the transmission of bloodborne infections and their related health complications to people who share needles, the Southern Nevada Health District and Trac-B Exchange, in collaboration with the Nevada AIDS Research and Education Society (NARES), launched Southern Nevada’s first comprehensive needle exchange program, including a delivery component brand new to the United States-vending machines.

The implementation of the needle exchange program and vending machine pilot program is the result of efforts by the Health District, the Harm Reduction CenterLV and Trac-B Exchange in collaboration with NARES. People using the new needle exchange vending machines are required to register at Trac-B Exchange, as well as with community partners who are contracted with Trac-B to provide services. Community members accessing the pilot project services are limited to receiving two boxes a week. Each box contains items needed to reduce the risk of infections. In addition to providing people who inject drugs with access to sterile needles and syringes and facilitating the safe disposal of used needles and syringes, these programs can serve as a gateway to services and care they might not access otherwise. This includes information about health care, substance abuse counseling, treatment, and other services. The program is available to anyone who lives Southern Nevada.

“Needle exchange programs are model public health programs. It starts with providing a clean needle and syringe to one person. However, we know one in 10 HIV diagnoses occur in people who inject drugs. Providing clean needles and supplies is a proven method for limiting disease transmission in a community. In addition to providing supplies to individual clients, the goal of our program is to improve the health and well-being of people affected by drug use by increasing their access to health care, providing them with education, and reducing the risk of harm to others in our community,” said Dr. Joe Iser, Chief Health Officer of the Southern Nevada Health District.

Injection drug use continues to be a common infection source for newly diagnosed HIV patients. In Clark County, it is estimated that about 9 percent of new HIV diagnoses occur among people who inject drugs. Sharing needles increases the risk of HIV infection as well as infection with other bloodborne illnesses like hepatitis B and C. In recent years, heroin use has increased by 60 percent and the heroin and prescription opioid epidemics could lead to new HIV outbreaks even though between 2008 and 2014, annual HIV diagnoses among people who inject drugs decreased by 40 percent. The practice of sharing needles is higher among younger injection drug users, and recent statistics indicate that the percentage of whites who are starting to use injection drugs has increased 114 percent.

According to the CDC, just one in four injection drug users reported receiving all of their supplies from sterile sources in 2015.

“Trac-B Exchange is the first needle exchange program in Las Vegas with a consistent schedule of available times, a physical location for accessibility, a variety of harm reduction materials and supplies, along with testing and education. Trac-B is proud to assist all community collaborators in this cost-effective effort and in the promotion of the vending machine pilot project,” said Rick Reich, Program Director of the Trac-B Exchange.

Needle exchange vending machines are available at Trac-B Exchange’s location at 6114 W. Charleston Blvd. from 10 a.m. – 2 p.m., Monday – Thursday. Trac-B Exchange is a storefront location where people can utilize the vending machines to exchange used needles for clean ones. Each Wednesday, HIV and hepatitis C testing are available at Trac-B Exchange between 10 am. – 2 p.m. For more information, call (702) 840-6693 or visit www.HarmReductionCenterLV.com.

Additional locations for the needle exchange programs:

 Aid For AIDS of Nevada (AFAN)

1120 Almond Tree Lane, Las Vegas, NV 89104

702-382-2326

Community Counseling Center

714 East Sahara, Las Vegas, NV 89104

702-369-8700

Access information about the Southern Nevada Health District on its website: www.SNHD.info. Follow the Health District on Facebook: www.facebook.com/SouthernNevadaHealthDistrict, YouTube: www.youtube.com/SNHealthDistrict, and Twitter: www.twitter.com/SNHDinfo. The Health District is available in Spanish on Twitter: www.twitter.com/TuSNHD. Don’t have a Twitter account? Follow the Health District on your phone by texting “follow SNHDinfo” to 40404. Additional information and data can be accessed through the Healthy Southern Nevada website: www.HealthySouthernNevada.org.

 

Red Rock Radiology, and MountainView Hospital, Offer 3D Mammograms

By | Innovation, Press Releases, Recent Releases

$75 3D Mammography special offered during May in honor of Mother’s Day

Red Rock Radiology, a department of MountainView Hospital, announces its latest offering, SenoClaire™, GE Healthcare’s new breast tomosynthesis solution designed with a three-dimensional imaging technology.

The 3D mammography machine is being installed at MountainView’s outpatient imaging clinic, Red Rock Radiology, 7130 Smoke Rand Rd., Las Vegas, NV, 89128, and will be available beginning mid-April for appointments.

As part of the new technical offering, and in honor of Mother’s Day, Red Rock will be offering $75, 3D screening mammography for women who may be uninsured or underinsured. This special program is available May 1, 2017 to May 31, 2017. Program participants must be at least 40 years old. If you have insurance, please check with your provider. You may find that your mammogram is already fully covered.

To schedule your annual mammogram or take advantage of the special $75 screening mammogram program, please call:

Red Rock Radiology

A Department of MountainView Hospital

7130 Smoke Ranch Road

Las Vegas, NV 89128

1-855-476-1268

 

SenoClaire, which was approved by the FDA in  2014, uses a low-dose short X-ray sweep around the positioned breast with nine exposures acquired with a “step-and-shoot” method, removing the potential motion from the tube helping to reduce blur and increase image sharpness.

“We are pleased to be provide women with the latest precise screening tool available to help detect breast cancer,” Jeremy Bradshaw, MountainView Hospital Chief Executive Officer, said. “When cancer is identified and treated earlier, we know women have a better rate of survival.”

A key challenge when performing screening mammography is keeping the radiation levels as low as possible. With GE’s SenoClaire, there is no increase in dose from a 2D standard mammogram to a 3D view, which means there is no increased radiation to patients during a SenoClaire breast exam.

In addition to offering more clarity, confidence and low dose, SenoClaire offers a comprehensive solution by helping to improve overall workflow. SenoClaire is compatible with CentricityTM PACS with Universal Viewer and supports the DICOM standard that can be read by capable PACS vendors. When SenoClaire is combined with GE Healthcare’s Centricity PACS and Centricity Clinical Archive solution², clinicians have access to the patient’s longitudinal record, providing data that helps to enable better patient care.

About MountainView Hospital:

MountainView Hospital is a state-of-the-art, full-service medical facility located in the heart of northwest Las Vegas, one of the fastest growing areas in the Valley. With a dedicated and talented staff of employees and outstanding physicians, MountainView Hospital is recognized for high patient satisfaction and for providing quality and compassionate care to our community since 1996. The hospital is a member of the respected Sunrise Health System consisting of Sunrise Hospital, Sunrise Children’s Hospital, Southern Hills Hospital and several surgery and diagnostic imaging centers offering a complete range of specialized and technologically advanced services. @MountainViewLV

MountainView Hospital
3100 N. Tenaya Way, Las Vegas, NV 89128
www.mountainview-hospital.com

 

 

Desert Springs Hospital to Utilize Next Gen Cardiac Mapping System

By | Innovation, Press Releases, Recent Releases

New technology will benefit patients with cardiac arrhythmias by creating high-density “map” of the heart to pinpoint problem

Desert Springs Hospital is the first hospital in Nevada to utilize the EnSite Precision™ cardiac mapping system, a next-generation platform designed to improve accuracy, automation and flexibility for diagnostic mapping used in ablation procedures to treat patients with abnormal heart rhythms (cardiac arrhythmias). The new system allows physicians to see the electrical flows in the heart in real time.

“This mapping system significantly helps electrophysiologists determine the mechanism and location of common and uncommon cardiac arrhythmias,” explained cardiac electrophysiologist Arjun Guraraj, MD, who performed the first case using the technology on April 4, 2017. “I place catheters within the heart to try to localize the origin of the arrhythmia. This mapping system finds the focus of an arrhythmia by constructing a very high density map of the heart, which can lead me to its location within millimeter accuracy.” 

The system maps the heart’s electrical currents by communicating via catheters inside the heart and electrodes on the patient’s back and chest. It can also monitor the patient’s breathing and heart contractions.

Upon locating the arrhythmia, an ablation is performed, which applies heat to the tissue where abnormal heartbeats originate. The heat creates a lesion or scar on the tissue, which makes it incapable of conducting the arrhythmia. 

“We are very pleased to offer this new technology to benefit our patients,” said Ryan Jensen, Chief Executive Officer for Desert Springs Hospital. “The ability to accurately pinpoint an arrhythmia’s location and ablate it can reduce the risk of stroke, hospitalization and even death.”

 Patient Benefits

*Mapping system creates faster, more accurate high-density maps to pinpoint the problem area
*Helps physician diagnose the arrhythmia and determine best treatment approach
*Minimizes fluoroscopic radiation exposure

What Are Cardiac Arrhythmias?
Cardiac arrhythmias can be thought of as an electrical short-circuit that can lead to palpitations and very rapid heart rates, explained Dr. Gururaj.  Many times, this short-circuit is a very small area within the heart that takes command from the natural pacemaker in the heart.  Some arrhythmias are benign, but others can cause serious consequences, including sudden death. 

People with cardiac arrhythmias often experience no symptoms; others may experience heart palpitations, tightness in the chest, shortness of breath, dizziness, lightheadedness, fatigue, fainting and anxiousness. Over time, untreated atrial fibrillation can cause a stroke.

As the population ages, the prevalence of patients experiencing cardiac arrhythmias is expected to increase. The most common arrhythmia, atrial fibrillation, affects more than three million Americans and millions more worldwide. Cardiac mapping systems help physicians diagnose an arrhythmia and determine the best course of action to successfully manage and treat the irregular heartbeat.

 Cardiac Capabilities at Desert Springs Hospital

The addition of the EnSite Precision™ cardiac mapping system is one of several new devices and technology added to Desert Springs Hospital’s extensive cardiovascular services program over the past two years.

 In 2016, it was the first in southern Nevada to use the new Absorb dissolving heart stent and to offer patients with non-valvular atrial fibrillation (AF) an alternative to long-term warfarin (blood thinner) medication with the newly approved WATCHMAN Left Atrial Appendage Closure (LAAC) Implant. 

In 2015, the hospital’s electrophysiology lab began using Stereotaxis Epoch technology, which uses magnets to navigate catheters inside the heart during diagnostic and ablation procedures. By using this technology, patients are exposed to less radiation while undergoing EP procedures. It also minimizes the risk of complications, like perforation, and increases procedural success in treating complex arrhythmias like atrial fibrillation, ventricular tachycardia and other rhythm disorders of the heart.

Physicians are independent practitioners who are not employees or agents of Desert Springs Hospital Medical Center. The hospital shall not be liable for actions or treatments provided by physicians.

The Valley Health System (VHS) cares for patients throughout Southern Nevada and surrounding communities. Accredited by The Joint Commission, VHS hospitals provide a comprehensive array of medical services including cardiovascular, neurosciences, maternity and women’s health, emergency and surgical care, along with specialty programs in stroke, chest pain, pediatrics, orthopedics, diabetes, wound care, surgical weight loss/bariatrics, geropsychiatric services and acute inpatient rehabilitation units. For more information, visit www.valleyhealthsystemlv.com

Updated information about The Valley Health System can be found on:

Twitter: www.twitter.com/ValleyHealthLV

YouTube: www.youtube.com/TheValleyHealthSystem

Facebook:

Centennial Hills Hospital Medical Center

Desert Springs Hospital Medical Center

Henderson Hospital

Spring Valley Hospital Medical Center

Summerlin Hospital Medical Center

Valley Hospital Las Vegas

MountainView Hospital Acquires Second da Vinci Xi® Surgical Robotic System

By | Innovation, Press Releases, Recent Releases

Robot System is the Latest in Minimally Invasive Surgery

MountainView Hospital’s Las Vegas Institute for Robotic Surgery has acquired its second da Vinci Xi® surgical robotic system, allowing surgeons more access to the latest equipment for minimally invasive surgery for patients.

MountainView Hospital was the first hospital in Las Vegas to offer the da Vinci Xi® as a surgical option, with the addition of its first Xi surgical robotic system in November 2014.

“Since adding the first Xi system to our suite of OR capabilities, demand from surgeons and patients continues to increase such that a second Xi system was needed,” said Jeremy Bradshaw, MountainView Hospital Chief Executive Officer. “The Xi allows for more complex, minimally invasive surgeries. The addition of a second Xi system allows us to meet the growing demand and needs of our community.”

Along with the addition of the new robot, MountainView added a second Trumpf TruSystem™ 7000dV OR Table to its robotic surgical suites. Rather than traditional stationary tables, these integrated surgical tables move in tandem with the surgical robotic system, allowing for optimal positioning of the patient.

Additionally, MountainView acquired a third surgical console, allowing for the possibility of dual surgeons in one case and for the expansion of training. Since launching the Las Vegas Institute for Robotic Surgery in 2011, MountainView has pioneered robotic procedures, including Southern Nevada’s first robotic lobectomy, delivered advanced education courses to providers, and participated in nationwide clinical trials.

The da Vinci Xi has broader capabilities than prior generations of the da Vinci Xi system, and has the ability to be used for thoracic, colorectal, gynecological and general surgery. Minimally invasive surgery allows for a quicker recovery time, less pain, less bleeding and shorter hospitalization.

The Xi possesses 3D-HD visualization, giving surgeons a highly magnified view. The da Vinci Xi system’s overhead arm architecture provides the surgeon anatomical access from virtually any position, simplifying multi-quadrant surgeries. Smaller, thinner arms coupled with longer instrument shafts permit greater range of motion and more flexibility than ever before.

MountainView continues to be the leader in robotic surgery, offering an extensive panel of surgeons and pairing them with trained staff and nurses, who are part of dedicated robotic surgical teams. The da Vinci Xi joins MountainView’s current da Vinci Xi and Si robotic systems.

MountainView offers many different types of robotically assisted procedures including ear, nose and throat (ENT), gynecological, fertility and gynecological oncology, urogynecological, urology, thoracic, colorectal and general surgery including single-site gallbladder surgery. For a full list of procedures performed by the Las Vegas Institute for Robotic Surgery, please visit: www.LVIRS.com. To find a physician who practices at MountainView’s Las Vegas Institute for Robotic Surgery, please call (702) 962-5021.

About MountainView Hospital:

MountainView Hospital is a state-of-the-art, full-service medical facility located in the heart of northwest Las Vegas, one of the fastest growing areas in the Valley. With a dedicated and talented staff of employees and outstanding physicians, MountainView Hospital is recognized for high patient satisfaction and for providing quality and compassionate care to our community since 1996. The hospital is a member of the respected Sunrise Health System consisting of Sunrise Hospital, Sunrise Children’s Hospital, Southern Hills Hospital and several surgery and diagnostic imaging centers offering a complete range of specialized and technologically advanced services. @MountainViewLV

MountainView Hospital
3100 N. Tenaya Way, Las Vegas, NV 89128
www.mountainview-hospital.com

 

 

A Rallying Call for Value-Based Health Care

By | Innovation, Press Releases, Recent Releases

As a part of my professional development, I was certified by the National Committee for Quality Assurance (NCQA) as a Healthcare Effectiveness Data and Information Set (HEDIS) auditor in 2001. I have kept this certification while expanding my skills to include data validation and Pay for Performance Value-Based Program (P4PVBP) certification as I began to recognize the changing environment and the potential shift to VBP.

With today’s uncertainties in health care, the NCQA has joined several health care organizations in a call for a new model of care. In a letter to Congress and the administration, these groups have endorsed a shift from the fee-for-service health care system to value-based care. NCQA and its allies (doctors and specialty societies that represent physicians, health plans and payers) have developed a set of recommendations on how to move our health care system toward innovative, patient-centered care. These recommendations include:

  • Empowering and engaging patients so they can make informed health care decisions
  • Engaging patients to develop measures of provider performance
  • Recognizing that the socioeconomic status of many patients creates challenges to improving care and adjusting payments to providers as appropriate
  • Promoting public and private investment in transparency, evidence-based testing and scaling of alternative payment models, as directed by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), so clinicians, providers and payers can learn how payment models work and evolve in the clinical setting

Raising the bar on value-based purchasing will require buy-in across the health care sector. The NCQA and its allies supported further enhancement of HEDIS, one of the most widely used sets of health care performance measures in the country, and the P4PVBP. Health plans and medical groups use the standardized sets of performance measures developed by the NCQA and the Integrated HealthCare Association (IHA) to evaluate quality of care and services provided by their physicians, develop performance improvement initiatives, perform outreach to providers and members, and compare their performance with other health plans and medical groups.

As managed care becomes more a part of post-acute and long-term care and the nation experiences the further narrowing of provider networks, greater emphasis is being placed on quality performance and patient outcomes. Due to these changes, measure sets are focusing more on outcomes and cost effectiveness, rather than process measures, and conscious efforts are being made to align with other health care improvement initiatives.

Such measure sets include the new Quality Payment Program’s (QPP) Advancing Care Information (the ability to report selected eMeasures including appropriate resource use) and the IHA’s Total Cost of Quality (average health plan and member payments associated with care for a member for the year, adjusted for risk and geography). Another example is the newly redesigned P4PVBP (as developed and implemented among California medical groups), which includes a common set of quality and cost measures, a public report, a health plan incentive program, and public recognition programs.

I participated in an NCQA workgroup on eMeasure development and I’m looking forward to seeing the results of implementing a new NCQA/IHA strategy. This strategy strives to align the P4PVBP measure set with other commonly used measure sets (Quality Rating System, NCQA health plan accreditation, QPP), expand the TCOC measurement, evaluate eMeasures, and explore the feasibility of patient-centered measurements.

While performing P4PVBP audits this year in some of the top California medical groups, I was very interested in learning how implementing this program will affect the quality of their reporting and how these changes affect the care they provide their patients. We will begin seeing changes the clinical and cost measures in data from June 2016 and customer satisfaction survey results in the next few months. I appreciate how my unique vantage point as a certified auditor gives me a front row seat to watch the changes play out in our evolving health care system.

About the author