Intermountain Trustee AN EMAIL BRIEFING FOR INTERMOUNTAIN HEALTHCARE TRUSTEES

August 2019

INTERMOUNTAIN INITIATIVES

Digital Front Door pilot available at three clinics Integrated digital experience empowers people to take active role in managing health

Patients at Layton Family Practice, Memorial Internal Medicine, and West Valley Family Practice can now try Intermountain’s new digital experience to book appointments, check their symptoms, communicate with their providers, and more—all online—as part of the Digital Front Door pilot program.

The Digital Front Door is a new integrated digital experience that empowers people to take an active role in managing their health. It consists of personalized mobile and web platforms that seamlessly guide consumers—including patients, SelectHealth members, members of the community, etc.—through their health journey with Intermountain and SelectHealth. The Digital Front Door experience is meant to complement the in-person interactions people have with our caregivers.

“The experience we provide ahead of, during, and beyond clinical care is one place where we need to step up and differentiate ourselves,” said Kevan Mabbutt, Intermountain’s senior vice president and chief consumer officer. “We need to provide a more seamless, convenient, transparent, and empowered experience than we do today. Transforming our digital experience will get us one step closer to this goal.”

Mabbutt added, “The Digital Front Door experience will help us deliver on our mission in new ways and better meet the expectations of those we serve. Intermountain and SelectHealth caregivers will also benefit from more engaged and informed patients and members, and from streamlined communication and processes. Overall, this new experience enables us to be good stewards of our resources as we guide people to the most appropriate, high-quality, and affordable care.”

More about the Digital Front Door pilot program:

• The pilot will run now through spring 2020, with new features being released on a rolling basis. • Examples of features that will be available during the pilot include: Online appointment booking with providers at the pilot clinic locations, symptom checker, options to help patients get care now (including access to Connect Care), provider messaging, care record view, bill payment, and payment plan assistance. • Pilot participants will use the mobile and web platforms to manage their health and care at the pilot clinic locations and share their feedback with Intermountain so the experience can be continually improved. • Approximately 3,000 people will participate in the pilot. • SelectHealth will also test the provider search and cost estimator features during the pilot. • The pilot will only impact caregivers and patients at the three pilot locations, along with a few support teams.

Clinical programs cut opioid prescriptions Rate of opioid prescriptions after injury or surgery continues to decrease

Intermountain caregivers continue to reduce the number of opioids being prescribed. Here is an update on progress in the Musculoskeletal and Surgical Services clinical programs.

Physicians and advanced-practice providers in the Musculoskeletal Clinical Program cut the number of opioids prescribed after orthopedic surgeries by more than 30 percent after they were shown comparative data about prescribing practices and a survey that showed they were often prescribing twice as many opioids as their patients were taking.

When Intermountain leaders set a goal in late 2017 to reduce the number of opioids prescribed to patients for acute conditions, the Musculoskeletal Clinical Program started gathering specific data about prescribing practices, said Casey Leavitt, the program’s executive clinical director. That information was put on dashboards that allowed caregivers to review several different opioid-related measures—by surgeon, by specialty, by procedure, and by facility. They also began reviewing the opioid prescribing data in weekly subspecialty meetings with surgeons across the system.

“We wanted to compare, for example, surgeons who do total joint replacement,” she said. “We didn’t want to lump all physicians together.”

The opioid dashboard would show the system averages for each procedure and physicians could see if they were prescribing above or below the averages.

Jackie Eve, PhD, data analyst, created the data visualizations for the dashboards and automated monthly emails to the surgeons with the prescribing data for their area of subspecialization. She said from December 2017 to December 2018, the number of opioids being prescribed after orthopedic surgery decreased by 30 percent. The average number of tablets prescribed at discharge dropped from 48 to 34 tablets per patient. That average is now down to 31 tablets per patient.

Overall Intermountain’s rate of opioid prescriptions after an injury or surgery is down 15 percent this year, or 416,716 fewer opioid tablets, compared to the first six months of 2018.

The Surgical Services Clinical Program also surveyed patients to find out how many pills they were using after a given procedure, Leavitt said. The team discovered physicians were often prescribing twice as many opioid pills as their patients were taking. Gordon Kimball, MD, an orthopedic surgeon at , said after he saw the data, he made changes and he now asks his patients how many opioids they actually took after he prescribes them.

“This reporting has been one of the best things I’ve ever seen, because it’s showed me where I was,” he said. “It showed me how I compare to other physicians and it gave me a reference point so I could significantly decrease the number of narcotics I was ordering. I think I order less than half, maybe 30 to 35 percent of the number of narcotics I used to order. So the data has been extremely helpful for me.”

Leavitt said she’s heard other surgeons make similar comments after seeing the data and watched as overnight they cut back the number of opioids they were prescribing.

The Musculoskeletal Clinical Program has also worked with its advanced-practice providers (APPs), who do much of the prescribing, and selected some to be leaders in the effort to decrease the opioids being prescribed for patients.

They’ve also begun setting prescribing defaults for physicians by procedures and those have been built into iCentra, Leavitt said.

Clinical program leaders have also encouraged physicians to suggest recovering patients use acetaminophen and ibuprofen where appropriate instead of opioids, she said.

“I think there’s been this perception about opioids that they’re the best and only way to manage pain,” Leavitt said. “And acetaminophen and ibuprofen are extremely powerful and effective at reducing pain, and they don’t have the other side-effects a lot of patients really dislike, such as nausea, vomiting, and constipation.”

Community pharmacies synch when patients pick up medications Pharmacy coordinates medication refills

Medication synchronization—which means the pharmacy will coordinate the refill of your medications so you can pick them all up at the same time each month—is a new way Intermountain Community Pharmacies are helping patients take their medication as prescribed.

Medication adherence can impact patient outcomes more than specific treatment itself, according to the World Health Organization. Nonadherence may account for up to 50 percent of treatment failures, around 125,000 deaths, and up to 25 percent of hospitalizations each year in the United States. It also delivers a hefty price tag to the healthcare patients and payers.

Here’s how medication synchronization works and its benefits:

• A patient’s prescriptions are scheduled to be filled on the same day of the month, which eliminates the need for patients to manage each medication separately. For even more convenience, patients can sign up for free home delivery. • Patients are contacted in advance to confirm prescriptions that need to be filled and to identify any changes in therapy. The pharmacist will review a patient’s overall health conditions, provide education where needed, and conduct a full medication review to help keep patients on track. • Medication synchronization can improve health outcomes and quality measures. This helps patients obtain the right medicine at the right time with fewer delays in treatment. It also reduces the number of times a patient needs to call providers with medication-related questions. • A recent study found patients with cardiovascular disease whose medications are synchronized can be up to three times more adherent to their medication recommendations, have a 9 percent lower rate of hospitalization and emergency department visits, and have a 3 percent lower rate of outpatient visits than those whose medications aren’t synchronized.

“Our new medication synchronization service is another way our pharmacies will deliver a consistent, high-quality patient experience,” said Buck Stanford, system pharmacy operations director for Community-Based Care. “We have some of the most comprehensive adherence solutions available to help people live the healthiest lives possible.”

UPDATES AND FEATURES

National leaders look to Intermountain as model health organization Intermountain recognized for high-quality and affordable care

U.S. government leaders are looking for ways to better provide accessible, value-based healthcare at an affordable cost to patients across the nation, and they’re looking to Intermountain Healthcare as a model. Utah congressman Ben McAdams and Florida congresswoman and former Health and Human Services secretary Donna Shalala, who served under President Bill Clinton, came to Intermountain in July looking for ideas they can spread to other parts of the country.

“Nothing’s more important for me than finding innovative solutions that help Utah families with their healthcare costs,” Rep. McAdams said at a news conference held in an operating room at Intermountain Medical Center during their visit.

Rep. Shalala, who was involved in starting the Children’s Health Insurance Program (CHIP) to provide healthcare coverage to low-income children, said she came to Utah to learn about Intermountain’s value-based healthcare—a rarity, she said, that only operates in a “very few places” in the world.

“We could argue about universal care and how we get there, but the real focus ought to be high-quality care for everyone at an affordable price,” Rep. Shalala said. “Those of us in government need to pay attention to what’s happening in the private sector. Intermountain is one of the places where we can learn the most about high-quality care at an affordable cost.”

Intermountain CEO Marc Harrison, MD, shared five examples of things Intermountain is doing to improve access and reduce costs at the news conference:

• Reimagining primary care. Dr. Harrison said about 25,000 patient members are enrolled in the team-based care model that focuses on preventive care to keep patients well. So far, the model has produced a 60 percent decrease in hospital admissions, a 35 percent decrease in emergency department admissions, and a 20 percent decrease in per member per month costs, he said. • Civica Rx. The not-for-profit generic drug company banded together by Intermountain and other healthcare systems and philanthropists is fighting the skyrocketing cost of prescription drugs by providing low-cost generic drugs to participating hospitals. • Mental health integration. Intermountain addresses mental health needs as part of each patient’s primary care visits. “If we can take care of people’s psyche at the same time as we take care of their physical body, it keeps people at home, out of the hospital, out of the emergency department, at work, and with their families, and with substantial savings,” Dr. Harrison said. • Addressing the social determinants of health. Dr. Harrison said things like stable housing, food, transportation, and employment play a major role in people’s health, and only 10 percent of a person’s health is based on what’s done at hospitals or doctor’s offices. • Telehealth. Intermountain is a leader in providing telehealth support services to rural hospitals across the Intermountain West. Programs like Neonatal Telehealth, TeleCritical Care, TeleStroke, and TeleTrauma help raise the level of care at rural hospitals and keep families from having to travel long distances to receive care at larger hospitals. Plus it reduces costs. Dr. Harrison said rural hospitals across the country have closed or are at risk of closing, but not in Utah thanks in part to telehealth.

“I think we can learn from some of the successes that are happening here in Utah and take them to other places in the country,” Rep. McAdams said.

Read more about the congressional visit in the Deseret News.

Foundation receives $100,000 grant for pediatric cancer research Intermountain Foundation at Primary Children’s Hospital receives Hyundai Impact Award Grant

Intermountain Foundation at Primary Children’s Hospital has received a $100,000 Hyundai Impact Award Grant from Hyundai Hope on Wheels®, a not-for-profit organization that is committed to finding a cure for childhood cancer.

The grant was officially presented to cancer researcher Dr. Luke Maese at Intermountain Primary Children’s Hospital on August 7. The gift will allow Dr. Maese and other caregivers practicing at Primary Children’s Hospital to continue to significantly advance children’s cancer care in the U.S.

Representatives from Hyundai and Primary Children’s joined community members, cancer patients, and cancer survivors at Primary Children’s Hospital to celebrate the generous gift. “This donation has the dual effect of allowing us to continue to provide outstanding care to patients, while accelerating research and discoveries,” said Dr. Maese.

“We are deeply grateful to Hyundai for helping to make our care for children with cancer excellent and accessible, comprehensive and compassionate,” said Dr. Richard Lemons, Health and Primary Children’s Hospital Medical Director and Division Chief of Pediatric Hematology/Oncology. “These generous donations help us to discover new ways to treat cancer, improve the future of children’s health, and keep the child first and always in all that we do.” With this latest grant, Primary Children’s Hospital has received more than $2.2 million in total grants from Hyundai Hope on Wheels toward the goal of making childhood cancer history.

Patients battling cancer at Primary Children’s Hospital participated in the program’s signature Handprint Ceremony by dipping their hands in different colors of paint and placing them on a white 2019 Hyundai Santa Fe. The result served as a representation of their individual and collective journeys, hopes, and dreams.

Have you checked out Dr. Harrison’s ‘Thanks for Asking’ podcast? Intermountain caregivers ask questions of CEO Marc Harrison, MD

This podcast features caregivers from across Intermountain asking questions of Intermountain CEO Marc Harrison, MD. Caregivers can request to join the podcast and ask their question by emailing [email protected].

In recent podcasts, Dr. Harrison and caregivers discuss fostering engaged caregivers and performing under pressure.

Recent Intermountain research news Research topics include breast cancer treatment, antibiotic stewardship initiatives

Intermountain using new process and technology to find breast tumors faster, reducing discomfort and cost for patients. Over the last two years, radiologists and surgeons at Intermountain Healthcare’s Breast Care Center at Intermountain Medical Center have instituted a new process to streamline the diagnosis and treatment of breast cancer patients.

Intermountain Research AAHRPP accreditation featured on ABC 4 segment. Intermountain Healthcare Research was featured on an ABC 4 sponsored segment about the accreditation from the Association for the Accreditation of Human Research Protection Programs (AAHRPP) for ensuring the highest protections for participants in clinical research studies. Raj Srivastava, MD, MPH, assistant vice president of research, talked about the AAHRPP accreditation and what it means for Intermountain.

Intermountain’s People in Research win major awards, share research around the world. Walker Clark, DDS, a second-year pediatric dental resident at Primary Children’s Hospital, won first place at the My Kid’s Dentist and Orthodontics Research Paper Competition for his paper on an alternative restorative technique. Lauri Linder, PhD, a clinical nurse specialist for Cancer Transplant, was invited to speak at the VIVA Asia Nursing Symposium about bloodstream infection prevention in children with cancer, based on her previous research and publications on central line-associated blood stream infections (CLABSI) prevention.

Intermountain is studying the effects of antibiotic stewardship initiatives in our urgent cares. How can we improve antibiotic prescribing in the urgent care setting? And how will implementing the Centers for Disease Control and Prevention’s antibiotic stewardship best practices affect antimicrobial resistance? Those are the questions Intermountain researchers hope to answer in a new study that entered its implementation phase July 1. The Centers for Disease Control and Prevention awarded a $1.8 million contract to Intermountain and the University of Utah for the study. ACCESS

Innovative solutions reducing costs, improving care Intermountain’s efforts make care more affordable, keep people well

Making healthcare more affordable for the people we serve is a top priority for Intermountain. That’s what Intermountain CEO Marc Harrison, MD, said at series of meetings held this summer with managers from across the organization. Dr. Harrison told managers Intermountain is well-positioned to lead the nation in providing the best care at an affordable cost, and, with the help of each caregiver, it’s a goal we can achieve.

“We have a crisis in American healthcare right now,” he said. “Healthcare is unaffordable. The existing healthcare system is oriented toward driving volume. As an industry we do too many things to too many people that they really don’t need, which hurts them economically and sometimes physically. But Intermountain has a great history of innovation and together we can drive change.”

Dr. Harrison shared some alarming national statistics about the cost of healthcare:

• One in four people will forego medical care this year because it’s too expensive • One in three Americans ration their prescription drugs because they can’t afford them • About half of Americans worry an unexpected healthcare expense will bankrupt them • Healthcare expenses are the number one cause of bankruptcy in the United States • Dr. Harrison said the statistics are better in Utah and Intermountain’s charity care program is helping those who can’t afford care, but he said we can do more.

“We’re doing a great job with the cost of healthcare and Intermountain is as competitive and cost- effective as any large system in the United States,” Dr. Harrison said. “But we have a long way to go and we’re going to drive this forward together. How are we going to get there? By keeping people well, by providing the most accessible and affordable care, and by creating a sustainable model.”

Here are examples of innovative solutions at Intermountain that are reducing costs and improving care, which Harrison shared with our managers:

• Civica Rx, the not-for-profit generic drug company banded together by Intermountain and other healthcare systems and philanthropists to fight the skyrocketing cost of prescription drugs by providing low-cost generic drugs to participating hospitals. • Reimagined Primary Care, the team-based care model that focuses on preventive care to keep patients well. The model already has about 25,000 patient members enrolled and has seen impressive results, such as a 60 percent decrease in hospital admissions, 35 percent decrease in emergency department admissions, and a 20 percent decrease in per member per month costs, Dr. Harrison said. • Addressing social determinants of health such as stable housing, food, transportation, and employment. • Reducing opioid misuse. Intermountain has reduced the number of opioid tablets prescribed for acute care by more than 30 percent in the last year and is working hard to make further reductions. • Integrating mental health care into clinics as part of each patient’s primary care experience. • Finding and implementing caregiver ideas. Intermountain caregivers implemented nearly 49,000 continuous improvement ideas in 2018—more than 130 ideas each day. Many of these ideas both improved quality and reduced expenses.

Our efforts to make care more affordable and keep people well, Dr. Harrison said, were the biggest considerations behind Intermountain’s recent decision to acquire HealthCare Partners Nevada, a group of physicians and clinics based in Las Vegas.

“Their team has chosen to practice in a population health, value-based care fashion—and they’re really good at it,” Dr. Harrison said of HealthCare Partners Nevada. “The acquisition is an expression not only of our desire to grow, but our desire to learn. We feel like we’ve found kindred spirits. They’re really eager to learn from us, and we’re eager to learn from them. We looked long and hard for partners who can make us better and share that value of keeping people well and keeping the cost of their healthcare down before making this decision.”

Dr. Harrison added that although helping people stay well and out of the hospital is a key part of Intermountain’s strategy moving forward, that doesn’t mean we won’t continue to provide the best possible hospital care when our patients need it.

“We’ll still focus on helping people when they’re in a car accident, have a heart attack, or get cancer,” he said. “But we have the opportunity to do that in conjunction with a ‘keep people well’ system. We’re still going to have great trauma programs, great heart surgery programs, great cancer care programs, and great neuro ICUs, but won’t it be terrific if we can actually keep people out of some of those places? And have them stay as close to home as possible in the least restrictive environment?”

Dr. Harrison emphasized that Intermountain is making changes from a position of strength. “Intermountain, in a really tough environment, is really doing well. Our quality and safety have never been better. Our patient experience is on the rise. At a time when a lot of other health systems are struggling economically, we’re strong. But we need to continually innovate and change to remain a model healthcare system. If not us, who? If not now, when?”

Some other things Intermountain and SelectHealth are doing to reduce costs and return money to our patients and members:

• Lower annual rate increases. We reduced our annual price increases in 2019 by $15 million. • Lower-cost care settings. Intermountain is reducing unnecessary ER visits by increasing access to appropriate care in lower-cost settings such as InstaCares, physician offices, and Connect Care. • Lower individual premiums. We reduced SelectHealth individual plan premiums by 2.7 percent in 2019, a $27 million reduction from 2018 premium rates. • Affordable SelectHealth Share premiums. Intermountain guarantees a premium rate increase for new clients of SelectHealth Share of only 2.5 percent in years two and three of their three-year contract. For current clients, the guaranteed premium rate increase is only 2 percent for all three years. This compares to an industry-wide premium increase of more than 5 percent. • Stork Savers. Intermountain’s Stork Savers program offers a lower-cost cash price to patients without health insurance for mom and baby care associated with uncomplicated births. • Supply initiatives. Intermountain has a set ratio between what we pay and what we charge patients for supplies and drugs. When we reduce our costs, we can directly lower charges to patients for those items. We negotiated better prices on supplies in 2018 that resulted in more than $32 million in cost savings. • Financial assistance. We’ve expanded our financial assistance program to cover needed health services for families with income levels up to 200 percent of the national poverty level. The 2019 national poverty level for a family of four is $25,750.

STEWARDSHIP

Intermountain Governance Office begins launch of system-wide board portal One Intermountain Board Governance Plan works to enhance and improve the trustee experience

Beginning in July, Intermountain will implement Nasdaq’s Boardvantage solution as a system- wide board portal. This new development is significant: each board—wherever it is in the system—can now adopt the governance best practice of using an electronic portal.

Nasdaq’s Boardvantage portal is a customizable solution that is secure, robust, and intuitive with dedicated customer support. Each board will have its own team space. From there, trustees can access board books and materials electronically. And the portal will serve as an interconnected central repository of important governance documents.

The portal promises to serve as a one-stop shop for all our board needs. In addition to board team spaces, the portal features a One Intermountain Governance team space. Over time, this site will replace the Trustee Resource Center in its entirety, serve as the platform for trustee communications, and house the One Intermountain Board Governance Plan, along with its growing Guidance and Resources.

Given Intermountain’s many boards, the Governance Office will implement the portal on a rolling basis. We begin in early July with the northern community boards, move on with the majority of the boards in late July and August, and finish with the Foundation and its related boards in early September.

Each implementation phase starts with administrator user training. These administrator users include board liaisons and their executive assistants and support staff. After the administrator users are trained, trustees can expect to see email invitations to register for end-user training and the portal in August and September.

Using a portal or moving from one electronic portal to another is easy for the end user. Typically, end users are proficient on the Nasdaq Boardvantage portal after one 30-minute webinar. Nasdaq offers these 30-minute webinars every Tuesday and Thursday. The Governance Office aims to complete full implementation before the end of the third quarter.

This new system-wide portal is in line with our One Intermountain Board Governance Plan and the Governance Office’s work to enhance the trustee experience—to give trustees the tools when, where, and how they need to perform their best. If you have any questions, please contact Intermountain’s Governance Office at (801) 442-3584 or [email protected]. EVENTS AND RECOGNITION

Save the date: Intermountain Trustee Forum is Friday, November 15 Board Chair Gail Miller invites all trustees to attend interactive discussions

Intermountain’s Trustee Forum will be Friday, November 15, at the City Creek Marriott in downtown . This will be an opportunity to have an interactive discussion with fellow trustees and Intermountain leadership—to hear about your successes, your challenges, and how we can help with the important work you’re doing on your boards and in your communities.

Please watch for your invitation and registration form in September.

We hope you’ll join us for this engaging and informative networking opportunity. So please mark this date in your calendar today!

Intermountain Foundation president, chief development officer receives international honor David Flood receives the 2019 Association for Healthcare Philanthropy Si Seymour award

The Association for Healthcare Philanthropy (AHP) has named David Flood, chief development officer and president, Intermountain Foundation, as the recipient of the 2019 AHP Harold J. (Si) Seymour award, the association’s highest honor.

“Board members, volunteers, and fellow leaders alike appreciate Dave’s passion, courage, good humor, and commitment to service,” said Intermountain president and CEO Marc Harrison, MD. “He connects with others in authentic ways that inspire trust—making them want to be a part of doing the right thing for our communities.”

“Under David’s leadership, Intermountain Foundation has inspired contributions approaching $300 million—more than doubling the amount raised over the previous five years,” Dr. Harrison continued. “His team’s remarkable fundraising stems from Intermountain Foundation’s stellar reputation for investing wisely back into the community. Donations have funded patient‐friendly facilities, supportive community programs, cutting-edge research and technology, and medical education that helps Intermountain attract and retain the best caregivers.”

Kem Gardner, founding board chair of Intermountain Foundation and former board chair of Intermountain Healthcare, said, “As I’ve experienced personally, David has the exceptional ability to bring together people of diverse backgrounds to serve a common purpose and a larger good. He shares a vision to help people, then inspires others to join in and devote their time and talents to make it a reality.” Continuing an emphasis on building and empowering talented teams and volunteer leadership, Intermountain Foundation has transformed its landscape to become an efficient and effective national model. Flood will be honored at a special awards dinner in October during the 2019 AHP Annual International Conference in Washington, D.C. To learn more about the award and see previous winners, click here.

Since 1970, the Si Seymour award has recognized distinguished leadership in the healthcare philanthropy community and AHP affairs. Candidates considered for the honor must possess a detailed history of successful fundraising and professional contributions to healthcare philanthropy.

“David is a remarkable leader in the field of healthcare philanthropy,” the AHP said. “[His] efforts led to [Intermountain] Foundation’s recognition for four consecutive years as an AHP “High Performer,” representing the top 25 percent of all reporting organizations.”

Seven hospitals honored by U.S. News & World Report Intermountain facilities recognized for performance, care

Seven Intermountain hospitals have been included in U.S. News & World Report’s Best Hospitals and Best Pediatric Hospitals rankings and ratings.

Each year the magazine ranks hospitals by evaluating data on nearly 5,000 U.S. hospitals in 16 adult medical specialties, nine adult medical procedures or conditions, and 10 pediatric specialties. Of the 58 hospitals evaluated in Utah, , Intermountain Medical Center, Dixie Regional Medical Center, and McKay-Dee Hospital were named among the five best hospitals in Utah, while Primary Children’s was named the best children’s hospital in the state. TOSH and LDS Hospital were ranked “High Performing” in knee replacement and knee replacement and hip replacement procedures, respectively.

“These results speak to the great teaming of our caregivers and the strength of One Intermountain,” said Shannon Phillips, MD, chief patient experience officer. “Thank you for working together to provide our patients with the safest, highest-quality, most-affordable outcomes and experiences in healthcare.”

Information on how U.S. News ranks the nation’s hospitals can be found here.

More details about each hospital’s ranking:

Dixie Regional Medical Center

• Top-5 hospital in Utah • “High Performing” in four procedures and conditions: • Aortic Valve Surgery • Heart Bypass Surgery • Hip Replacement • Knee Replacement Intermountain Medical Center

• Top-5 hospital in Utah • Nationally-ranked in one specialty: • Pulmonology & Lung Surgery, No. 35 • “High Performing” in three procedures and conditions: • Abdominal Aortic Aneurysm Repair • Heart Bypass Surgery • Heart Failure

LDS Hospital

• “High Performing” in two procedures and conditions: • Knee Replacement • Hip Replacement

McKay-Dee Hospital

• Top-5 hospital in Utah • “High Performing” in three procedures and conditions: • Abdominal Aortic Aneurysm Repair • Heart Bypass Surgery • Knee Replacement

Primary Children’s Hospital

• No. 1 children’s hospital in Utah • Nationally-ranked in eight pediatric specialties: • Neonatology, No. 32 • Pediatric Cancer, No. 30 • Pediatric Cardiology & Heart Surgery, No. 41 • Pediatric Gastroenterology & GI Surgery, No. 33 • Pediatric Nephrology, No. 44 • Pediatric Neurology & Neurosurgery, No. 27 • Pediatric Orthopedics, No. 37 • Pediatric Urology, No. 42

TOSH

• “High Performing” in Knee Replacement

Utah Valley Hospital

• Top-5 hospital in Utah • “High Performing” in one specialty: • Pulmonology & Lung Surgery • “High Performing” in five procedures and conditions: • Abdominal Aortic Aneurysm Repair • Aortic Valve Surgery • Heart Bypass Surgery • Hip Replacement • Knee Replacement Dr. Lincoln Nadauld honored by Modern Healthcare Nadauld named to Top 25 Innovators list

Dr. Lincoln Nadauld, chief of Precision Health, Precision Genomics, has been named to Modern Healthcare’s inaugural Top 25 Innovators list.

The publication highlights the most pioneering minds in healthcare consumerism, quality and safety, and cost reduction. Dr. Nadauld is one of six honorees selected for their impact on quality and safety.

“Under Nadauld’s leadership, Intermountain is using genomics in new and innovative ways,” the magazine reported. “One breakthrough development decodes the genetic makeup of a patient’s unique cancer cells, allowing for more personalized treatment. [They also launched] a study using a half-million DNA samples to discover new connections between genetics and disease.”

The study refers to the recently announced Heridigene project, a large-scale collaboration between Intermountain and deCODE genetics that will analyze the complete DNA of 500,000 Utahns to help understand and prevent diseases such as breast cancer, colon cancer, and heart disease.

“Congratulations to Dr. Nadauld and the entire Precision Genomics team on this outstanding achievement,” said Mark Briesacher, MD, chief physician executive. “Their innovations are helping predict, identify, and prevent disease, empowering our patients to live their healthiest lives possible.”

Innovations of other honorees included reduced emergency department visits by empowering paramedics to provide care directly in the patient’s home, improved electronic medical record data through direct communication with a patient’s smartphone, and improved access to mental health services for patients in the criminal justice system.

Salt Lake Child Development Center earns top ratings Recognition received for healthy practices

The Intermountain Child Development Center in Salt Lake City recently received a Level 3 TOP Star Rating, which signifies the center offers the highest level of nutrition and physical activity practices for the children they serve.

TOP Star—which stands for Targeting Obesity in Preschool and Childcare Settings—is a Utah- based program developed in partnership with the Utah Department of Health and other childcare partners to help promote health and prevent obesity in children. TOP Star helps childcare providers improve their nutrition and physical activity policies, practices, and environments. “As part of our commitment to providing quality care, all our staff have participated in six hours of TOP Star training that outlined methods we can use to better support nutrition, physical activity, and breastfeeding in our program and individual classrooms,” said Mindy Young, the center’s director. “We’re working on implementing better practices in these three areas by providing more gross motor skill training in our classroom activity time, games for outside time, updating our menus to offer more whole-grain foods, more variety of vegetables, less fried and starchy foods, and supporting individual feeding needs of our young babies.”

Intermountain in the news Recent news stories about Intermountain in the national and international media

NewsMax.com, July 2, 2019: Bad Genes Not a Death Sentence “Researchers at the Intermountain Heart Institute in Salt Lake City undertook a study that involved comparing the heart health of 700,000 with the genetic information in a registry containing data on 23 million people.”

Business Insider, July 2, 2019: Big Hospital Systems are Borrowing an 80-Year Old Idea to Keep Patients Healthy and Cut Costs, and It Could Be The Future of Healthcare “And health systems like Geisinger in Pennsylvania and Intermountain Healthcare in Utah are at the forefront, in part, because they run their own insurance plans and are used to taking on financial responsibility for patients.”

Hospice News, July 8, 2019: Intermountain COPD Risk Scores Help Identify Patients Who Need Hospice “Clinicians at Salt Lake City-based health system Intermountain Healthcare have developed risk scores for patients suffering from COPD that can help health care providers identify which patients need hospice care versus curative treatments.”

Pharmacy Times, July 8, 2019: Naloxone Dispensing Found Higher at Facilities with Opioid Workflow “A retrospective study by Intermountain Healthcare Research found statistical significance between the rate of patients receiving naloxone with opioid prescriptions at health system pharmacies when compared to non-health system pharmacies. Health system pharmacies were found to dispense naloxone at a higher rate.”

Harvard Business Review, July 8, 2019: Building a Startup That Will Last “One example of putting mission ahead of profit comes from Intermountain Healthcare and their decision in 2016 to cannibalize $700 million in patient revenues to begin its transformation from a volume-based, fee-for-service healthcare operation to a value-based model.”

CNBC.com, July 9, 2019: These 10 States Are The Best Places in America To Land Your Dream Job “Major Employers: Utah—Intermountain Healthcare …”

Bloomberg, July 10, 2019: Trump Calls for Overhaul of Costly Kidney Dialysis Program “[Home dialysis] is under-penetrated right now because the system is dominated by large, for-profit dialysis providers, said Michael Phillips, a doctor and managing partner at Intermountain Ventures, a unit of the hospital system Intermountain Healthcare.” Healthcare Dive, July 16, 2019: Intermountain Starts New Company to Spur Shift Toward Value “The Salt Lake City-based integrated health system has pushed a number of initiatives aimed at disrupting healthcare delivery and reflecting the trend of paying for quality over quantity of services.”

Fortune magazine, July 16, 2019: Digital Health “Intermountain Healthcare is known for its experimental aspirations, whether as a leader in a nonprofit drug collaborative led by hospitals or its latest effort, a new health platform company called Castell.”

Fierce Healthcare, July 16, 2019: Intermountain Launches New Startup Aimed at Value-Based Care “Salt Lake City-based Intermountain Healthcare launched a new company aimed at boosting value-based care capabilities among providers and payers.”

Healthcare IT News, July 17, 2019: Intermountain Launches New Spinoff With Focus on Value- Based Care “The new company, named Castell, seeks to help these organizations speed their transition from volume to value-based care, with analytics, decision support, and other innovative tools hatched at Intermountain.”

Bloomberg Businessweek, July 18, 2019: A Former Science Minister Wants to Fund the NHS by Selling Access to Patient Data “U.S.-based Intermountain Healthcare just announced a partnership with Amgen to map and study the genomes of half a million people.”

Health Executive magazine, July 23, 2019: Civica Rx Partners with Hikma Pharma to launch 14 injectables “In May, Civica, which was founded with more than $100 million in backing from industry players such as Mayo Clinic, Intermountain Healthcare, and Trinity Health, penned a deal to distribute antibiotics with Xellia Pharmaceuticals.”

FoxNews.com, July 26, 2019: Vaping Linked to 8 Teens Treated for Breathing Issues, Chest Pain, Hospital Says “…Primary Children’s Hospital in Salt Lake City recently published a case in the New England Journal of Medicine involving a teen whose pen exploded in his face, causing injuries that mimicked close-range gun shots.”

Medscape, July 29, 2019: AF, Carotid Disease Synergistic for Risks for Stroke, Dementia “Our study is one of the largest ever done, with the longest follow-up, of patients with either carotid disease of AF or both conditions, T. Jared Bunch, Intermountain Medical Center, told Medscape Medical News.”

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