Dr. Kyle Bradford Jones examines the Netflix algorithm for user preference as a model for developing provider selection tools that match patient values with their care needs.

What is the strongest predictor of an effective solution? It’s not the size of the committee or the length of the brainstorming session. The best predictor of successful solutions is how well the problem is understood. Investing time in defining, investigating and analyzing the problem can lead to transformative solutions.

Follow Utah’s Nutrition Care Services as they produce and deliver over 300 lunches to inpatients all over our hospital, all at the same time. The work of this exceptional team highlights a complex lean operation that—before now—has largely gone unseen.

What does healthcare really cost to deliver? And does the cost really make a difference in patients’ health and experience? The University of Utah tackled this problem with the creation of Value Driven Outcomes (VDO), a program to enable local clinical decision makers to lead improvements in care delivery relative to cost, quality, and service.

Improving value in healthcare means redesigning care to meet patients’ needs. We must push ourselves beyond patient satisfaction surveys to reduce uncertainty, complexity, and confusion in the delivery of care. Matthew Stein, MD, and the Breast Imaging team unflinchingly faced a source of uncertainty for patients: waiting for mammogram results.

The following case study examines a new core competency in delivering value at a system level. At the University of Utah, leaders created integrated oncology teams organized for the patient. Collapsing historical silos and empowering front-line leaders grew adaptive teams that offered better value to cancer patients.

Chief Medical Officer of Press Ganey Tom Lee reminds us that value does not happen by accident, and good intentions are not enough. The goal of improving value has to be a major focus for everyone in an organization.