Health IT Enhancement and Quality Metrics Planning


Iowa recognizes the need to create a framework to support the move from volume to value, as well as the need to establish information management protocols. Iowa’s goal during Award Year 3 of SIM is to plan, develop, and implement the necessary technology and infrastructure to promote the exchange of information to improve service delivery. Plans for integrating data from external providers, such as electronic medical record (EMR) data and hospital discharge data, using health information technology (HIT), health information exchange (HIE), and Electronic Health Records (EHR) capabilities are being specifically explored. Multi-Stakeholder Engagement Groups are currently being established as a first step in developing an understanding of the need for additional HIT infrastructure and the glide path necessary for Iowa.

The Value Index Score (VIS)

Iowa currently uses an analytic vendor, 3M, to provide analytics and develop quality improvement scores utilizing claims and encounter data.  The Value Index Score (VIS) is an enterprise tool for measuring health system change and the components necessary for that change. It produces a single, holistic, composite score that quantifies how well a provider takes care of his or her entire patient population within a system of care, based upon 6 critical primary care domains.
 

Achieving an A-APM Model in Iowa

To achieve an A-APM model in Iowa, the collection of clinical quality measures (in addition to the administrative measures from VIS), is a new consideration of the Iowa definition of quality. The state is in the early planning stages to identify infrastructure and measures that are comparable to MACRA QPP to be used in an Other Payer A-APM model to support future programs within Iowa. 
 
During Award Year 3 SIM will focus efforts to plan, develop, and implement the necessary technology and infrastructure to promote the exchange of information to improve service delivery.  Iowa will conduct a Provider Readiness and Health IT Infrastructure survey to obtain a true picture of what capabilities and gaps may exist in Iowa. The results of the survey should help us plan solutions that clearly outline our value propositions and the next steps for implementation.
 

Information Resources