Value Institute for Health and Care Annual Report 2022

2022 Annual Report

Letter from the Team In 2018, Jay Hartzell, then the Dean of the McCombs School of Business and now the President of the University of Texas at Austin posed a singular challenge to the Value Institute: increase UT’s impact on the global stage. Since then, efforts to deliver against that challenge have been building. In the past year, they blossomed.

In April, the Value Institute convened the Redefining Health Care 2022 Barcelona Summit, where more than 100 patients and health care leaders from 22 countries gathered to address some of the vexing problems facing the international health care community. In addition, global leaders including Johnson & Johnson, Medtronic, and Air Liquide joined the Business Group on Health and Texas Global at the University of Texas at Austin to provide crucial sponsorship of the Summit.

Students from Canada, Mexico, Saudi Arabia, South Africa, and Switzerland joined our Master of Science in Health Care Transformation degree program, bringing our total of international students to 17, representing seven countries.

Members of the Value Institute team, benefiting from the move to online meetings, taught programs in Argentina, Australia, Brazil, Canada, Ireland, the Netherlands, Puerto Rico, South Africa, and Taiwan, and brought the Value Institute’s insights and implementation frameworks to world-leading institutions including Providence Health Care (Vancouver, British Columbia), the Rotman School of Management (Toronto, Ontario), the Michael Smurfit Graduate Business School (Dublin), Erasmus University (Netherlands), and the China Medical University (Taiwan).

In addition, the Value Institute’s team continued to provide leadership and insight to global organizations including the World Economic Forum, the European health innovation organization EIT Health, and the International Consortium of Health Outcomes Measurement (ICHOM).

We continued to build our valuable relationships in Australia and New Zealand through partnerships with the Australian Health and Hospital Association, the Australian Centre for Value-Based Health Care, and the Medical Technology Association of New Zealand.

Table of Contents 04

Platform Strategy 06

Redefining Healthcare Summit

While the Value Institute’s international impact expands, its contributions nationally, statewide, and locally are growing as well. The Value Institute continues to build its close relationship with the Institute for Healthcare Improvement (IHI), and hosted IHI’s CEO, Dr. Kedar Mate, as this year’s investiture speaker. The Value Institute delivered the keynote address at the Texas Doctor of Nurse Practitioner conference in Lubbock, recognizing the nation-leading role that the state plays in training nurses. The Value Institute, in partnership with Ascension Seton, is leading research efforts to better understand the health needs and outcomes that matter most to women in our community.

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Translational Research on Health Care Transformation 14

Equipping Transformation Leaders 18

Master of Science in Health Care Transformation Class of 2022

The transformation of health care to high value will require a community of committed change agents, and the Value Institute’s education programs are the cornerstone of training that community. Nearly everyone at the Value Institute is involved in our teaching, from creating our unique education assets to facilitating the spirited discussions that are the hallmark of our “how to”-oriented education programs. This year, Alice Andrews and Scott Wallace were awarded Dell Medical School’s Distinguished Teaching Award, and Scott was nominated by Dell Medical School Interim Dean George Macones for the President’s Associates Graduate Teaching Excellence Award.

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Experiential Learning Projects 22

Celebrating the Success of Our Graduates 24

Core Faculty and Guest Speakers 28

The Value Institute Team

In the following pages are more stories from the past year. The Value Institute is at the epicenter of a vibrant community of people working to improve the health outcomes that matter most for everyone. We appreciate your support in this journey and we look forward to accomplishing even more in the coming years.

The Value Institute Team

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Letter From the Team

ANNUAL REPORT • FALL 2022

Our Platform Strategy for Accelerating Health Care Transformation

The mission of the Value Institute for Health and Care has never been more relevant or more urgent. The pandemic sharpened the focus on health care; specifically, more attention was paid to the inequities and disparities of the existing systems of care, the burden borne by clinicians and caregivers working within an often-dysfunctional system, and the fundamental frailty of the system and its complicated, sometimes opaque supply chains.

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Letter From the Team

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Transformation is an awesomely challenging task. Transformation is systemic, not incremental. It is big and bold, not waiting in the margins. Transformation contemplates innovations contributing to integrated systems of health, built intentionally around and wholly in the service of delivering the outcomes that matter most to patients.

This work requires a comprehensive effort that spans research and clinical transformation, builds and uses implementation frameworks, and supports the vast transformation communities, empowering everyone both doing and affected by this work. At its core, transformation seeks to deliver better health outcomes for each and for all.

Since its founding in 2017, the Value Institute has advanced high-value transformation with a Platform Strategy that uses the insights of research and clinical transformation to construct implementation frameworks that

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Letter From the Team

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Improve Health For All

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ation Leaders • L ead form s n ing ra T Tra ing n s f a o ns r p r T matio l ip fo linica n u C r q E h on Insig ts and Fr am tati n e ew m e o m r o a pl tion nsf a r C T o re

in turn accelerate the work of individuals and teams within communities. We demonstrated the global impact of this strategy in April 2022, when we convened more than 100 people from 22 countries who are directly involved in health care transformation at the inaugural Redefining Health Care Summit in Barcelona.

Building on the Summit, we are continuing to gather individuals and organizations who seek to advance health care transformation. We enable them to assist each other by sharing lessons learned and collaboratively solving problems. Together, we are identifying and beginning to tackle the hardest problems that beset all of us: equity, the needed structures for value-based procurement, and the models for sustainable, outcomes-based reimbursement.

As you’ll see in the following pages, our Platform Strategy stands strong and the work continues…

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Redefining Health Care Summit: Barcelona 2022

From April 5-7, the International Barcelona Convention Center hosted the Value Institute’s inaugural international Summit.

Attended by more than 100 people from 22 countries, the Summit was the first postpandemic gathering of health transformation leaders from around the globe.

Among the participants were Experience Luminaries, people who came and shared insights from undergoing a significant health challenge and focused the discussions on outcomes that matter to patients.

The Summit wasn’t a conference; it was a gathering organized around three key principles: a coffee break, a gift exchange, and an empty suitcase. First, we recognized that few people like conferences, but everyone likes conference coffee breaks where people gather one-on-one and talk.

So, we set out to host a coffee break, broken up by sessions. Second, we framed the gathering as a gift exchange and asked everyone to bring their insights about how to advance transformation and to exchange them with other participants. Third, we hoped that there would be such a great exchange of insights that people would need to come with an empty suitcase to fill with all they’d learned.

apply their insights and seek solutions to lingering problems.

Each session used small group breakouts to foster conversations among the participants that identified demonstrated solutions, highlighted the most challenging problems, and fostered networks of transformation leaders now positioned to help one another.

Workstreams • • •

Outcomes, Gaps, and Equity Relationship-Centered Care and the Workforce Scale, Sustainability, and Digital Transformation

Transformation Community Hubs • • • •

Joyful Childhood Purposeful Primary Care Meaningful Cancer Journeys Thriving With Chronic Conditions

The Summit was organized around three Workstreams, issue-based themes that are of immediate concern to the transformation movement and that require collective solutions. In addition, the Summit focused on four Transformation Community Hubs, specific contexts in which participants could

A report on the Summit is available at valueinstitute.utexas.edu/publications.

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Redefining Health Care Summit

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The Value Institute for Health and Care will be hosting the second Redefining Health Care Summit in 2024. Go to valueinstitute.utexas. edu/summit for more information.

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Redefining Health Care Summit

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I heard from visionaries like Elizabeth Teisberg and had conversations with thought leaders from over 22 countries, all driven to transform and redefine health care based on what matters most to patients. It has been an incredibly humbling experience, and I was excited to hear from other delegates that we need to continue sharing and learning from each other.

Bonnie Tang Director, Design Strategy at Bridgeable

I had the pleasure of attending the Redefining Health Care Summit in Barcelona. After many months of preparation under the leadership of the Value Institute for Health and Care, we met experts in high-value care implementation from Australia, South America, North America, Africa, Asia, and Europe. I feel privileged to work with people who I follow and admire.

Cristina Bescos Director of Innovation EIT Health & CEO of EIT Health Spain

In all my career and the conferences, summits, and courses I’ve attended around the world, this event was the most personally fulfilling 3 days I’ve ever had. It was so intimate and welcoming; I knew nobody but immediately felt the welcome, energy, and stimulation of being surrounded by positive like-minded people, with a genuine and generous willingness to share their knowledge and experiences and to listen to mine and those of Ireland’s health system!

John Sheehan Radiologist and Clinical Director of Radiology, Blackrock Health, Ireland

Translational Research on Health Care Transformation

A rich understanding of the lived experience of patients is foundational to designing care that is equitable, relationship-centered, and improves the outcomes that are meaningful to patients. Our model for clinical transformation puts patients squarely in the role of the expert on their own experience and is used to gain insights into previously unrecognized challenges, unmet needs, and outcomes that matter most. These insights inform health care delivery improvement and redesign.

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Translational Research

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Patient-Centered Research

This year we completed a project funded by St. David’s Foundation in collaboration with two federally qualified health centers (FQHCs) in Texas. This project examined the needs of people living with type II diabetes and people living with depression and their experience with telehealth. The project was completed in two phases. The first phase consisted of a literature review and primary interviews with clinicians and FQHC leadership and staff.

You can view the results of the first phase of the project at learning.stdavidsfoundation. org/research/improving-patient-outcomesthrough-telehealth. Phase 2 of the project consisted of conducting Experience Group sessions with people living with type II diabetes and those living with depression who received care served by both FQHCs. With insights from those sessions, we held workshops with Foundation and FQHC leaders to begin brainstorming opportunities to address unmet needs, gaps in care, and

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ways to improve the outcomes that matter most. The results of the second phase are forthcoming.

Clinical Transformation Projects

Our work continues with the Children’s Comprehensive Care Clinic at Dell Children’s Medical Center to implement an integrated care delivery model that brings together primary and subspecialty care through telehealth-enabled biannual Whole Child visits in a way that empowers caregivers as equal partners in setting their children’s health goals and creates connection between parents and clinicians. Part of the project also focuses on creating an alternative payment model to enable integrated care delivery. This work is being funded through a grant from the Episcopal Health Foundation.

We are delighted to share that the Value Institute for Health and Care is part of a Health Resources and Services Administration

Translational Research

(HRSA) grant to continue this work with the Children’s Comprehensive Care Clinic in partnership with the Senior Policy team at Dell Medical School. In addition to continuing to improve the integrated care delivery model and payment model, this grant will also focus on advancing health equity. Evaluating the care delivery model and disseminating findings to inform policy on integrating care for children with medical complexity and their families is another key component of the grant.

Outcome Measurement

As part of the work with the Children’s Comprehensive Care Clinic, the Value Institute partnered with the clinic’s family workgroup to develop family-designed outcome measures to measure the outcomes that matter most to children with medical complexity and their families. These measures can be viewed at bit. ly/3fPeaoL.

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Equipping Transformation Leaders

Equipping health care professionals around the world with the knowledge, tools, and abilities required to both implement and lead health care transformation is a central tenet of the Value Institute’s mission.

To this end, we deliver multi-day workshops and professional development sessions that facilitate learning and discussion; we develop custom programs for industry clients; and we offer our Master of Science in Health Care Transformation, a hybrid one-year degree program for health care leaders. The MS program is designed to be completed while working full time and to provide learners with the “how-tos” they need to catalyze health care transformation. Our educational programs are all highly interactive, focused on practical application, and designed to facilitate interaction and network building. Learners establish relationships and gain a cohort that they can learn with throughout their careers.

The Master of Science in Health Care

The Master of Science in Health Care Transformation prepares leaders and emerging leaders across the spectrum of health care to design, implement, and improve health care services to achieve better outcomes for individuals and families. To date, we have graduated three cohorts totaling 24 medical students and 111 health care professionals. In August of 2022 we welcomed a new class of six medical students and 21 health care professionals.

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The master’s program equips learners with the knowledge and skills needed to: • •

• •

Inspire higher aspirations for health care Develop high-value health care solutions and measure what matters to individuals and their families Succeed with value-based payment models by managing care processes and costs Innovate, implement, and lead change

In the fall, the courses inspire students to focus on patients and what outcomes matter most to them and their families. The spring’s courses prepare students to not only develop health care solutions and sustainable financial frameworks, but also to lead and communicate change. In the summer, the courses expand the frameworks, skills, and insights the students have been putting into practice to innovate and grow transformation strategically.

There are three concepts that are foundational to transforming health care that we weave through the courses, the experiential learning projects, and the residential sessions. These concepts are Health Equity, RelationshipCentered Care, and Personal Leadership.

Equipping Transformation Leaders

ANNUAL REPORT • FALL 2022

I really enjoy the diversity of perspectives represented in the class. I am often surrounded by other physicians and clinicians, so discussing ideas with people from business or other backgrounds is very informative and eye-opening.

Kristine Chapman Class of 2022

5 Reasons to Apply to Our MSHCT 1. Transform Health Care

The goal of health care delivery should be achieving better health results for individuals and families. In this unique, interdisciplinary program, students learn practical frameworks for increasing health care value by dramatically improving outcomes for patients.

2. Find Your Community

When you enter this program, you become a member of a powerful community of alumni that represent almost all areas of the health care industry.

3. Join a Diverse Cohort

Our cohorts include people from a wide range of backgrounds, ideas, and viewpoints. In the health sector, cohorts have included payers, nurses, physicians, medtech experts, executives, military members, and many others.

4. Engage with World-Class Faculty

The program is taught by faculty in both the McCombs School of Business and Dell Medical School, as well as three other colleges across The University of Texas at Austin. Faculty are both academic and industry experts.

5. Designed for Working Professionals

Delivered in a hybrid format that combines online and onsite learning, the program is designed to be completed while working full time.

The MS Health Care Transformation program changed how I approach my work in multiple ways. When I started this program, I took a step back and looked at how I engage and communicate with my patients as a physical therapist. I began to change my thinking to address what matters to the patient versus addressing solely what I think the individual needs from a scientific approach.

Alanna DiBiasi Class of 2022

Master of Science in Health Care Transformation Class of 2022

In August, the MS. in Health Care Transformation program added 43 health professionals to an expanding alumni network equipped to lead high value transformations. The Class of 2022 was the third cohort to complete the yearlong master’s program. The cohort included experienced health professionals across the sector from eight states and five countries, including Saudi Arabia, Canada, Switzerland, and South Africa.

James Huffman was nominated by the Class to represent the cohort as their speaker for the MSHCT 2022 investiture. Jim has had an extensive career in employee benefits for large global companies. He is Chairman of the Business Group on Health and is a force for achieving high value health care for the workforce and their families.

Jim told us he enrolled for the MSHCT program because “we need health care that can be measured and deliver value beyond performance guarantees and service level metrics. There is so much innovation and venture capital coming into health care, and the opportunity to help shape that development is exciting.”

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The investiture keynote was delivered by Kedar Mate, MD. Dr. Mate is President and CEO at the Institute for Healthcare Improvement (IHI), President of the Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College.

Kedar challenged the Class of 2022 to take action and reminded us that “at its heart, the science of improvement is a science of knowledge and learning. It can speed our ability to detect where systems are failing and bring resources and better solutions to the most challenged and weakest parts of systems.”

Congratulations to the Master of Science in Health Care Transformation, Class of 2022!

Equipping Transformation Leaders

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Class of 2022

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Experiential Learning Projects

The 3 C’s of CML

To elucidate how clinical care can better support patients with chronic myelogenous leukemia (CML), this project aims to assess outcomes that matter most to patients, obstacles to their care, unmet needs, and gaps in care via interviews and experience groups with patients and clinicians. These outcomes, obstacles, needs, and gaps will be compared against currently existing clinical surveys used in CML care to determine how better outcomes measures may be developed. The long-term goal is to use the findings to inform the development of clinical tools and resources for more comprehensive assessment and measurement of outcomes that matter to CML patients, as well as to construct tools and EMR functions that permit longitudinal collection and sharing of outcomes with CML patients.

Closing the Communication Gap

The aim of this project is to improve the experience of cardiac surgery patients and their family support system by facilitating communication between the medical care team, patient, and family support system at a scheduled time for inpatient rounding. When faced with obstacles to family presence, a phone call or video conferencing platform will be used, allowing for consistent two-way communication in real time and on demand.

Adolescent IPU

An adolescent-centered health clinic will improve the health of this underserved population. Providers in the clinic will be trained specifically to address the health care needs of adolescents, and the clinic space will be bright, age-appropriate, easily accessible, confidential, and community aware. By providing care specifically to this population, we can create equity by reducing barriers to health for adolescents. We can also give them a voice in their care and achieve better health outcomes.

patients in the emergency department at MDA. Our goal is to improve surgical consults’ efficiency and reduce patient boarding (a boarded patient is a patient who has been admitted but is still waiting physically in the ED) and overall ED length of stay. Research has shown that holding patients in the ER leads to poor outcomes such as increased mortality and length of stay.

Building Resilience and Reducing Burnout at Meeker Family Health Center

Healthcare worker “burnout” has reached a new high amid the coronavirus (COVID-19) pandemic, leaving an already taxed health care system in the United States with fewer resources, as well as perpetuating physician and staff shortages. The fact that 8% of doctors in the United States permanently closed their offices between March and July of 2020, leading to 16,000 fewer practices and physicians available for care, is a powerful illustration of the impact of burnout on patient care. Moreover, burnout has led to colloquial and clinical depression and mental health issues among these workers, such as suicidal ideation or substance use disorders.

The Grit to Growth team believes that healthcare staff and clinicians in rural and underserved areas are critical to the health and wellbeing of the populations they serve.

MFHC is a Rural Health Center (RHC) located in northwestern Colorado and serves a community of 2500 people. Our team will test and implement strategies to reduce burnout among clinicians and staff at MFHC. Maternal Health

We have targeted our ELP on oncology

CarePartners aims to achieve better health outcomes by increasing usage of prenatal care and therefore reducing preterm births and low birth weights, and improving hospital outcomes and patient and provider experiences. Our team will work with CarePartners to evaluate their program for patients enrolled in the Intensive Care Pathway based on outcomes that matter most to pregnant women. From our

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Experiential Learning Projects

Emergency Department Optimization

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qualitative research and evaluation of the program, we will give recommendations to CommUnityCare on ways they can adapt their CarePartners program to better reach their patient’s desired outcomes.

Measuring What Matters in Peripheral Neuropathy

We aspire to understand what outcomes are important to patients with chronic inflammatory demyelinating polyneuropathy (CIDP) and gain a shared understanding of aspects of their lives affected by their condition to optimize shared decision making.

By doing so, we hope to optimize treatment by ensuring that patients who remain on IVIg (and other treatments) are truly responding.

This may reduce the number of patients being unnecessarily treated with IVIg and other immunosuppressive therapies, and avoid potentially serious side effects, while allowing alternative therapies to be explored.

Back to Value

The Back to Value team aspires to understand what outcomes are important to our patients by conducting qualitative research and Experience Group sessions, looking at what outcome measures are available in the literature, and assessing how they correlate with each other. We will start with patients with spinal degenerative pathology that have had a single lumbar decompression and fusion procedure (including a transforaminal interbody fusion) . We would like to measure these patients’ outcomes within our practices--both private practice and a military hospital--in South Africa. We also hope to find if there is a relationship between the qualitative data and quantitative data that may already exist. After understanding the outcomes that matter to this group of patients, we aim to collaborate with the South African Spine Society with the goal of incorporating our identified outcomes into the spine registry the South African Spine Society plans to create.

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Experiential Learning Projects

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Celebrating the Success of Our Graduates

Since it launched in the fall of 2019, the MS in Health Care Transformation degree program has graduated 118 leaders who are taking on the challenge of transforming health care in their work. Although these leaders already have successful careers, the impact that their learning in this program has had on their work has led to many of them receiving promotions within their organizations or forging a new path at another.

Alumni Career Highlights

Bethlyn Gerard, Class of 2021, transitioned from her consulting career to the Director of Advancing Care Excellence for Southwestern Health Resources.

Susan Kohl, Class of 2021, is now the System Medical Director for Sound Physicians.

Gilbert Torres, Class of 2021, was promoted to Director of Population Health at Privia Health.

Jen Poteat, Class of 2021, was promoted to Executive Director at Miora Connection.

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Nida Zakiullah, Class 2022, was recognized for her ability to lead high value changes and was promoted from Family Care Physician to Medical Director of Primary Care for Baylor Scott & White Health.

Anas Banah, Class 2022 was promoted to Chief Medical and Clinical Officer for Fakeeh Care Group.

Leanne Clark, Class of 2022, was promoted to Associate Director of Strategy & Operations of Women’s Health at Dell Medical School.

Celebrating Our Graduates

ANNUAL REPORT • FALL 2022

2020 alumni from United States (TX, MI, GA, AL, KS, IL, NY, VT, KY, NC, MO) 2021 alumni from Saudi Arabia, South Africa, Canada, Switzerland, United States (TX, MI, VA, WI, CO, TN, NY, NC, FL, CA, OH, WA, OR)

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2022 alumni from Brazil, Canada, United Kingdom, Pakistan, Saudi Arabia, South Africa, Switzerland, United States (TX, WA, CO, OH, MA, WI, CA, NV) 2023 enrolled from South Africa, Mexico, United States (TX, FL, IL, LA, NY, CO, AL)

Celebrating Our Graduates

ANNUAL REPORT • FALL 2022

The MSHCT program has taught me to both start and end with the patient in mind.

Prior to starting this program, my problem-solving was always very process-focused. Now, when making a decision, I think about how that decision will impact the patient, not how it will impact the process.

Lauren Byrd Class of 2022

Core Faculty and Guest Speakers

We are grateful to the following individuals who shared their time and expertise with us and our students.

Core Faculty

Alice Andrews, PhD Assistant Professor Dell Medical School The University of Texas at Austin Indranil Bardhan, PhD Professor McCombs School of Business The University of Texas at Austin Kathleen Carberry, RN, MPH Assistant Professor Dell Medical School, The University of Texas at Austin Erin Donovan, PhD Associate Professor Moody College of Communication The University of Texas at Austin Barbara Jones, PhD Associate Dean, Department Chair, Professor, Steve Hicks School of Social Work The University of Texas at Austin Steve Limberg, PhD Chaired Professor McCombs School of Business The University of Texas at Austin Kristie Loescher, PhD Assistant Dean, Senior Lecturer McCombs School of Business, The University of Texas at Austin

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Paula X. Rojas, BA Community Equity Strategy Consultant Embody Transformation Texas Elizabeth Teisberg, PhD Distinguished University Chair and Professor Dell Medical School and McCombs School of Business, The University of Texas at Austin Scott Wallace, JD, MBA Associate Professor Dell Medical School The University of Texas at Austin Andrew Well, MD, MPH, MSHCT Assistant Professor, Department of Surgery and Perioperative Care Guest Speakers

Adewole Adamson, MD, MPP Assistant Professor, Department of Internal Medicine, Dell Medical School The University of Texas at Austin Christina Åkerman, MD, PhD Affiliate Faculty Dell Medical School The University of Texas at Austin Sweden

Ryan Becerra Senior Software Developer/Analyst The University of Texas at Austin Texas Raquel Bono, MD Admiral (retired) “United States Navy & Defense Health Agency” Texas Kevin Bozic, MD, MBA Chair & Professor Dell Medical School, The University of Texas at Austin Andy Davis President & CEO Ascension Texas MSHA, MBA Texas Andrew Do Charles Fraser, MD Professor & Director “Texas Center for Pediatric and Congenital Heart Disease” Texas Ricardo Garay, CHW/ CHWI Program Manager, Population Health Dell Medical School The University of Texas at Austin Arotin Hartounian Senior Service Designer Ascension Texas Jay Hartzell President The University of Texas at Austin

Core Faculty and Guest Speakers

Miranda Hoff, MPAf Assistant Director, Department of Surgery and Perioperative Care Dell Medical School The University of Texas at Austin Karl Koenig, MD, MS Associate Professor Dell Medical School The University of Texas at Austin Michael Mackert, PhD Professor, Director of the Center for Health Communication Moody College of Communication The University of Texas at Austin Texas George Macones, MD, MSCE Interim Dean Dell Medical School The University of Texas at Austin Kedar Mate, MD President and CEO Institute for Healthcare Improvement Massachusetts Abby Morales, MSSW Social Worker Ascension Seton Texas Rebecca Munoz Young Adult Advisory Board, LIVESTRONG Cancer Institute Dell Medical School, The University of Texas at Austin

ANNUAL REPORT • FALL 2022

Melissa Murphy Founder and Chief Communication Coach The Pitch Academy Texas Jessica Murray Designer Dell Medical School The University of Texas at Austin Jesús Ortega “Director, Office of Diversity, Equity, and Inclusion” Dell Medical School The University of Texas at Austin Christopher Palmieri, MSHCA President and Chief Executive Officer Commonwealth Care Alliance, Massachusetts Natalie Privett, PhD Systems Designer Dell Medical School The University of Texas at Austin Jacob Rader Lee Shapiro, JD Chief Financial Officer Livongo, Florida Rocío Villalobos, MA Equity and Inclusion Program Manager City of Austin Texas Keegan Warren-Clem, LLM, JD Adjunct Professor Law & McCombs The University of Texas at Austin

Vice Admiral Raquel Bono, MD

As a Visiting Scholar, Vice Admiral Raquel Bono, MD, teaches in the Master of Science in Health Care Transformation program, collaborates in the Value Institute’s thought leadership efforts, and mentors students. This year she spoke to the Class of 2022 during Residential 4 and the Class of 2023 during Residential 1.

Before retiring from the U.S. Navy in 2019, Admiral Bono served as director of the Defense Health Agency (DHA), leading the $50 billion health care system to provide better care for military service members and their families through adopting a value-based approach.

As head of the DHA, Admiral Bono oversaw an enterprise of 50 hospitals and 300 clinics that serve more than 9.5 million beneficiaries.

She pushed the DHA system to improve care delivery by focusing on the health outcomes that matter most to patients.

Keegan Warren-Clem, JD, LLM

An adjunct professor dually appointed at The University of Texas School of Law and McCombs School of Business, Keegan Warren-Clem, JD, LL.M., challenges students and residents to explore law as a structural determinant of health. She is a 2020 National Academy of Medicine Emerging Leader in Health and Medicine Scholar and has written articles on public health law and policy, and the use of population health norms to understand outcomes of legal interventions.

Currently, Keegan is engaged in research that takes an epidemiological approach to legal interventions as a concrete means for addressing social determinants of health.

This year she spoke to the Class of 2022 during Residential 3 for the MS in Health Care Transformation program.

Lee Shapiro, JD

Lee Shapiro is a Managing Partner at 7wireVentures, an investment firm he co-founded over a decade ago. He also served as Chief Financial Officer of Livongo Health until November 2020. Previously he was President of Allscripts from 2001 until the end of 2012. His leadership was integral in the execution of over $4B in mergers, acquisitions, and financings. His responsibilities included the company’s strategy, international operations, business development and partnerships, legal, government relations, and health plan initiatives.

Prior to stepping in as CFO of Livongo and leading its 2019 IPO, Lee served on the board of the company since its launch, chaired the audit committee, and served as a member of its compensation committee.

During his tenure as CFO, Livongo also had a successful secondary offering, raised $550M in convertible debt, and entered into an agreement to merge at the highest valuation, $18.5B, of any healthcare technology company, based on revenue multiples.

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Keegan Warren-Clem, JD, LLM

This year he spoke to the Class of 2022 during Residential 3 for the MS in Health Care Transformation program.

Keegan is also the founding director of Medical-Legal Partnerships (MLP) at Texas Legal Services Center. Through MLP she and her team work collaboratively with health care providers to improve health outcomes through legal assistance and education, and law-informed clinical practice transformation.

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Vice Admiral Raquel Bono, MD

Lee Shapiro, JD

Core Faculty and Guest Speakers

ANNUAL REPORT • FALL 2022

It is rare to find oneself in the same room with people who are not only incredibly talented, dedicated and accomplished but also simply the most generous and kind people I have met in my professional career.

Thank you to Elizabeth Teisberg and Scott Wallace and everyone at the Value Institute for Health and Care at UT Austin for showing us what healthcare can be. I am inspired and hopeful, and I am truly honored to be a part of this community.

Nida Zakiullah Class of 2022

Executive Education

Custom Programs on Implementation

The Value Institute for Health and Care offers interactive executive education on how to implement high-value health care. These highly rated courses are short, concentrated, and action oriented; we expect participants to return to work able to deploy what they have learned and do something differently that will improve health care.

In addition to our master’s degree program and our open enrollment executive education workshops, the Value Institute develops exclusive custom programs tailored to the specific needs of organizations working to transform health and care. These programs cover a range of topics aimed at the “how-to” of implementing high-value health care as well as more specific topics related to outcome measurement, finance and sustainability, leadership, and strategy. Ranging from chief executives to rising clinical managers, participants develop new inspiration, insights, and ideas about what they can do tomorrow to achieve better health for the people they serve.

We offered two virtual executive education courses in 2021-2022, Experience Group Methodology and Measuring What Matters.

Our programs provide tools and real-world insights from health care leaders as well as case studies on organizations that are improving outcomes and reducing costs by changing the way health care is delivered and funded. Organizations often send teams to participate together. Former participants have also encouraged their colleagues to attend and have introduced them to the ideas and steps to making transformative change. Our programs also provide credits for Continuing Medical Education (CME) and Continuing Nursing Education (CNE). Those who want to delve even deeper into building the skills to lead transformation often return for our Master of Science in Health Care Transformation.

We have developed programs for and with several of our partners, including EIT Health and the Australian Healthcare and Hospitals Association, and we are in conversation with organizations across the health sector—from clinical care providers and payers to med tech and biopharma companies—about designing programs for their employees.

Transformation at Scale – Providence Health Care, Vancouver, BC

Learn more about the programs here: valueinstitute.utexas.edu/executive-education

The Value Institute is playing a role in advancing systemic transformation within the Canadian health care context at St. Paul’s Hospital, an acute care teaching and research

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Core Faculty and Guest Speakers

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hospital located in downtown Vancouver, British Columbia. Already home to many world-class medical and surgical programs, the New St. Paul’s Hospital, slated to open in 2027, will feature an array of redesigned, highvalue health services. Among the changes is a revisioning of the traditional department structure that will accelerate the adoption of value-based health care at scale.

Dr. Shannon Jackson and Dr. Kristine Chapman graduated from the Value Institute’s master’s program in 2022 and are actively involved in building organizational VBHC capacity and tools for implementation and advancing informatics to enable outcome collection while working on several smallscale projects across the continuum with strong emphasis on primary care and patient involvement.

To build more capacity within the St. Paul’s Hospital Organization, in Spring, 2022 the Value Institute facilitated two half-day interactive workshops for 50 clinical and operational leaders to prepare them to enable the transformation. Drs. Jackson and Chapman are continuing to work with clinical teams to help them adopt and implement value-based health care principles.

ANNUAL REPORT • FALL 2022

Primary Team Roles Strategy Elizabeth, Scott Operations & Communications Aida, Brandy, Danielle, Valeria Clinical Kathy Andrew, Brenda, Geronimo, Leah, Matt

Advocates

Demonstrations Translational Alice, Lauren

Community Christina

The Value Institute Team

The Value Institute for Health and Care is a highly collaborative interdisciplinary team that represents decades of expertise in various fields, including clinical and leadership aspects of achieving high-value health care as well as research, writing and communications, pedagogy, and marketing. Members of the team have spent years studying patient needs, outcomes measurement, cost measurement, interdisciplinary learning teams, care delivery solutions, health care funding and payment, and strategies for growth. In addition, the team has honed its pedagogical strategy by developing effective and engaging educational experiences for both health care leaders enrolled in its executive education programs and students in the Master of Science in Health Care Transformation.

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Alumni and Partners

Christina Åkerman, MD, PhD Affiliated Faculty, Department of Medical Education, Dell Medical School Alice Andrews, PhD, Director of Education Valeria Campos Administrative Associate Kathleen Carberry, RN, MPH, Outcomes Program Officer

The Value Institute Team

Education Kasey Andrea, Aubri, Brendan, Jennifer, Victoria

Victoria Davis, PhD Research Writer and Curriculum Specialist

Leah Galuban, MPH Research Project Manager

Kasey Ford, MA Assistant Director, Education for Learning Design

Aida Gonzalez, MEd Assistant Director of Operations and Communications

Brenda Garza, MSHCT Senior Qualitative Research Coordinator

Danielle Hicks, MA Marketing and Communications Coordinator

Brendan Hardy, MEd Director of Recruiting, Admissions and Partnership Development

Aubri Hoffman, PhD Research Writer and Curriculum Specialist Jennifer Majors Senior Academic Program Coordinator

ANNUAL REPORT • FALL 2022

Andrea Rampone, BFA Instructional Technology Specialist Elizabeth Teisberg, PhD Executive Director Scott Wallace, JD, MBA Managing Director Brandy Whitten Executive Assistant Lauren Acosta, PhD, Senior Research Writer

Special Acknowledgments

As we conclude another year in our quest to transform health care, we gratefully acknowledge some of the people whose gifts of thought, time, and money have enabled the ongoing success of the Value Institute for Health and Care. The Value Institute’s first and most enduring patron is Corbin Robertson, Chairman of the Board of the Cullen Trust for Higher Education and an early champion of high-value care and health care transformation.

Mr. Robertson created the generous chair endowment that fuels our work.

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The Value Institute Team

The Redefining Health Care 2022 Summit in Barcelona marked a new milestone on the Value Institute’s path as an international epicenter of high-value care. A remarkably hard-working Value Institute team conceived and delivered that event. Their work was uniquely enabled by the early and resolute support of Dr. Karin Cerri, Ph.D., Head of Health Economics and Market Access at Johnson & Johnson, Ellen Kelsay, President and CEO of the Business Group on Health, and Dr. Sonia Feigenbaum, Ph.D., Senior Vice Provost for Global Engagement and Chief International Office of UT Austin.

Patients and families are at the core of our purpose, and again this year, the thoughtful patients kept our work focused on delivering better health outcomes for each and for all.

Rebecca Muñoz, Ryan Becerra, and Abby Morales joined us to share their stories and reinforce the importance of building care around the needs of those being served. Seven international patients joined us in Barcelona in the role of “Patient Luminaries,” enlightening Summit participants about the primacy of outcomes that matter to patients. Hundreds of people have shared their life stories as participants in our Experience Group research studies, helping us design more effective health solutions based on the needs of patients and the outcomes that matter most to them. We thank them all.

Our thanks to Interim Dean George Maccones, who led the Dell Medical School through this year, and we extend our welcome to Dr. Claudia Lucchinetti, MD, who begins her tenure as dean in December 2022.

Finally, we congratulate and thank the Master of Science in Health Care Transformation Class of 2022, who continued the tradition of their preceding classes with their dedication, hard work, camaraderie, and humor. We miss our Tuesdays with you.

ANNUAL REPORT • FALL 2022

valueinstitute.utexas.edu 512-495-5878