Intermountain Healthcare’s Board of Trustees approved system-wide goals for 2014. Organized according to our six Dimensions of Care, the goals include 14 Clinical Board Goals and support our aspiration of providing extraordinary care to the people we serve. A summary of the 2014 goals is presented in the table below.
Board Goals for 2014
||This year’s Clinical Board Goals focus on the following areas:|
• Behavioral Health Clinical Program: Decrease inpatient psychiatric 30-day readmission rate for the Intermountain system.
• Cardiovascular Clinical Program: Integrate the treatment of heart failure patients across the continuum to improve care and reduce hospital readmissions.
• Intermountain Homecare: Improve care transitions to and from Homecare through effective communication, collaboration, and coordination among care providers.
• Intensive Medicine Clinical Program: Decrease mortality in patients diagnosed during their hospital stay with severe sepsis.
• Oncology Clinical Program: Improve the appropriate utilization of genetic screening to determine if families are at higher risk for colon and endometrial cancer.
• Patient Safety: Reduce the system rate of catheter-associated urinary tract infections.
• Pediatric Specialties Clinical Program: Build a care model for children with type 1 diabetes.
• Primary Care Clinical Program: Establish an individualized approach to diabetic care by engaging patients in self-management, primary care visits, and specialty consultations.
• Primary Children’s Hospital: Increase the involvement of infectious disease specialists in decisions to use outpatient antibiotic therapy via infusion, injection, or implantation.
• Rural Facilities: Implement electronic physician orders to guide evidence-based care for patients with the primary diagnosis of pneumonia, labor induction, pancreatitis, and sepsis.
• SelectHealth: Increase the percentage of SelectHealth members with diabetes who meet four measures of diabetes care: blood sugar control, cholesterol control, kidney function, and eye exam.
• Surgical Services: A three-part goal that reduces blood utilization, defines clinical outcome measures for specific development teams, and develops and implements a standardized process to decrease intracase supply utilization. Intracase utilization means the processes or units of care used within each health episode.
• CMS Value-Based Purchasing: The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards hospitals with incentive payments for the quality of care they provide to people covered by Medicare. The focuses for Intermountain’s goal in this area are to:
o Attain a significant improvement in the value-based purchasing process and outcome domains for select measures.
o Sustain progress for those hospitals that already meet or exceed national benchmarks.
• Women and Newborns: Improve care, cost efficiency, and resource utilization in the neonatal intensive care unit (NICU), and accurately estimate the number of babies with early onset bacterial infection.
||This goal includes service excellence measures for Intermountain’s hospitals, Medical Group, and SelectHealth.|
• Hospitals: Meet performance objectives based on projected performance in the Value Based Purchasing (VBP) program patient experience. Approximately 15 Intermountain hospitals will have adequate volumes to qualify for VBP using the National Research Corporation VBP dashboard.
• Medical Group: Meet performance objectives (based on average results for the entire year) for patient response to the survey question, “Overall, how would you rate your experience on this visit?”
• SelectHealth: Meet performance objectives based on a national service metric known as CAHPS (Consumer Assessment of Healthcare Providers and Systems). The target is based on the percentage of adults giving an overall rating for the health plan of 8, 9, or 10 on a 10-point scale.
||Four goals have been identified in this area, all related to implementation of the Cerner electronic medical record (EMR) product. Last year, Intermountain Healthcare and Cerner Corporation announced a partnership to implement the Cerner EMR and revenue cycle solutions across all Intermountain hospitals and clinics.|
Components of the 2014 goal include:
• Complete EMR specifications for clinic and defined outpatient settings.
• Complete EMR training for clinic physicians and other clinic users.
• Have the full office EMR software installed and functioning in at least 10 Medical Group clinics.
• Complete work plans for three other EMR-based areas: activity-based costing, Services Oriented Architecture, and the Clinical Element Model.
||Three goals in this area focus on employee health and well-being. The goals are based on measures of:|
• Intermountain employees’ use of a new online health assessment tool, which can help employees understand how they can improve their health and well-being.
• The number of employees who complete the online health assessment and follow through on completing at least one of their assigned coaching modules. Coaching can include digital (online) coaching, telephone coaching, or care management.
• The number of employees who complete the online health assessment and continue on to complete other wellness-related activities.
||Four physician engagement goals include coordinating efforts of physicians and Intermountain around value to the patients we serve:|
• Develop a way to help affiliated physicians participate on the Cerner electronic medical record (EMR).
• Make the EMR active in emergency departments and outpatient departments.
• Train Medical Group and affiliated clinicians in appropriate documentation to support accurate coding.
• Establish an “accountable panel” of physicians in each urban region. The panels will be used for products where Intermountain takes accountability for care value.
||Goals in this area focus on Community Benefit initiatives, utilization-based cost savings, and operating cash flow targets (achieved through efficiencies that are beneficial to the community and those purchasing healthcare). Every major Intermountain region or entity has a Community Benefit Goal to address one of Intermountain’s community health priorities.|