How We Lead

The Member-led HVHC Programs Committee sets the priority for each of our strategic pillars. Within each pillar, Member-led teams decide which projects to undertake and how to allocate resources to achieve project goals. See below for examples of projects in each area, along with some additional benefits of being an HVHC Member.

CMS Measure Reporting

CMS Measure Reporting – As healthcare delivery increasingly depends on value-based measurement, largely led by CMS, our Members benefit from HVHC studies that generate CMS value-based measures to identify best practices and evaluate new CMS payment models. Members receive timely and transparent insights on comparative CMS measure performance by facility, allowing them to plan for anticipated reimbursement implications and learn from each other to continuously improve. (See an example)

Best Practice Sharing

Best Practice Sharing – A hallmark of HVHC is the spirit of transparency and collegiality among trusted partners. As part of a HVHC Best Practices study, teams of clinical and quality improvement subject matter experts review comparative analytics, identify variations, and share internal practices to disseminate common practices that may lead to higher performance on value-based measures. HVHC

Best Practice Sharing initiatives facilitate identification of the “secret sauce” for safe, timely, effective, efficient, equitable, patient-centered care among leading healthcare delivery systems across the country. (See an example)

Payment Modeling

Payment Modeling – The rapidly evolving reimbursement environment requires healthcare delivery transformation and adoption of new competencies, including analytic capabilities to prospectively understand the impact of new payment models like ACOs and clinical bundles. Our Members engage key leaders in payor contracting, public demonstration model strategy, and business development to share approaches used to accelerate the transition from volume to value and provide feedback to CMS on new payment models and measures. (See an example)

Public-Private Partnerships

Public-Private Partnerships – HVHC has a demonstrated history of working with CMS and maintains a steadfast commitment to improving public policy and payment models using the HVHC Data Trust and subject matter expertise. For example, HVHC has partnered with CMS to identify appropriate risk adjustment, implement shared decision making, and provide direct input on policies and proposed rules. As CMS continues to encourage the adoption of value-based care models, HVHC Members are positioned to understand and provide collaborative, evidence-based feedback on new policies and payment models. (See an example)

In-Person Meetings

HVHC hosts semi-annual meetings each Spring and Fall. These gatherings are highlights of the year, giving Members a chance to work face-to-face and share progress on a wide variety of initiatives. Teams from every system come to learn from one another, developing and maintaining the relationships with valued peers – the heart of HVHC’s collaborative work.

Often, Members present innovative projects from their home systems, showcasing existing work and potentially sparking new projects for HVHC. These short, interactive presentations are one of the in-person meeting features Members most appreciate. (See an example)

The Value Proposition

Partnering for Excellence

CMS Measure Reporting: Hospital Compare

Using data from CMS updated on a quarterly basis, HVHC Members review unblinded, comparative performance across a wide array of measures. Detailed information about these measures is available via dynamic dashboards in the HVHC Vantage Reporting Portal, with drill-down and filter capabilities.

Best Practice Sharing: Sepsis Care Improvement

HVHC Members with advanced care processes have sustained high performance levels while helping other Members develop strong care processes to rapidly improve performance.

Payment Modeling: Bundled Payment Cost & Utilization Analyses

HVHC has assembled a broad set of stakeholders to explore the CMS Bundled Payments for Care Improvement Advanced (BPCI-A) initiative. The example below shows facility-level comparative reporting identifying outliers in high-cost cases; when reviewed at HVHC meetings, these data are unblinded to show top performers and outliers.

Payment Modeling: ACO Cost & Utilization Analyses

HVHC analysts use CMS claims data to explore population-level reporting and analytics. The example below shows utilization and cost metrics for two attributed populations. HVHC Members are using these reports to assess ACO performance under different scenarios. Example evaluations include: prospective or retrospective attribution, provider network structure to include all contracted providers or only employed providers, and whether to include regional providers in the ACO or remain in the MIPS track.

Public-Private Partnerships: CJR Rule Improvement

HVHC partnered with CMMI to explore risk adjustment approaches for the Comprehensive Care for Joint Replacement (CJR) bundled payment model. Findings suggest that HVHC facilities would be variably impacted by reimbursement changes under CJR; negative impacts are largely attributed to lacking risk adjustment.