QVH Systems

Technology • Consulting • Analytics

Copyright 2020 QVH Systems, LLC. All rights reserved

The achievement of the Triple Aim - higher quality, lower costs and better health through optimized patient-clinician relationships in community-focused, physician-led, clinically integrated delivery systems which respect the professionalism of their health professionals and prioritize the provision of meaningful data at the point of care.

Our Mission

QVH Systems helps physicians and other healthcare professionals transition from fee-for-service to value-based medicine by providing affordable, flexible and comprehensive solutions.

Because optimal medical care depends on it, our solutions focus first on helping physicians and other health professionals understand the rules of the payment system and then get the information they need to succeed at the point of care.

We combine experts in practice redesign and accountable care with an elegant suite of modular, EHR-agnostic software tools to facilitate the practice of high quality, high-efficiency medicine in any payment system. Our tools and services support every aspect of value-based medicine and practice transformation.

QVH Systems enables all practices to succeed whether they are just starting out with upside-only payment programs, are ready to move to full-risk capitation, or are anywhere in between. Our solutions are also flexible and affordable enough to support clinicians in all modes of practice, including solo and small groups, FQHCs and other community and safety-net providers.

We combine experts in practice redesign and accountable care with an elegant suite of modular, EHR-agnostic software tools to facilitate the practice of high quality, high-efficiency medicine in any payment system. Our tools and services support every aspect of value-based medicine and practice transformation.

QVH Systems enables all practices to succeed whether they are just starting out with upside-only payment programs, are ready to move to full-risk capitation, or are anywhere in between. Our solutions are also flexible and affordable enough to support clinicians in all modes of practice, including solo and small groups, FQHCs and other community and safety-net providers.

Our Solutions

Information physicians and other members of the care team need at the point of care for optimizing treatment.

We use data and analytics to provide timely reports to clinicians of their patients who need help due to:

  • Gaps in care
  • Chronic conditions
  • High and rising risk
  • Recent transitions in care
  • Outdated or otherwise inaccurate risk factor scores
  • Utilization of inefficient or otherwise questionable services
  • Our tools assist clinicians optimize fee-for-service revenue for Preventive Services, Chronic Care Management (CCM), Transitional Care Management (TCM) and other current and proposed primary care, care management, and patient-centered services.
  • Our CMS-approved MIPS Qualified Registry assists clinicians identify quality gaps and maximize quality scores.
  • Our tools assist clinicians maintain appropriate risk profiles for their patients, and the appropriate documentation in their EHRs for those risk profiles.

Information clinicians, medical directors and care coordinators need for care management.

We use data and analytics to provide timely reports to the care management team of patients they may assist by:

  • Notifying the patient’s PCP of a transition or other urgent change that warrants review and action
  • Communicating with the patient or others consistent with the direction given by the PCP in the patient’s care plan
  • Contacting the PCP concerning high risk patients who do not have a current care plan

We also provide a HIPAA-secure communications platform necessary to enable these communications, and the tools to enable the maintenance of a directory of referral and other community resources.

Information clinicians, medical directors and care coordinators need for care management.

We use data and analytics to provide timely reports to the care management team of patients they may assist by:

  • Notifying the patient’s PCP of a transition or other urgent change that warrants review and action
  • Communicating with the patient or others consistent with the direction given by the PCP in the patient’s care plan
  • Contacting the PCP concerning high risk patients who do not have a current care plan

We also provide a HIPAA-secure communications platform necessary to enable these communications, and the tools to enable the maintenance of a directory of referral and other community resources.

Our Approach

Flexible solutions tailored to your needs

We understand that all health care is local. Our solutions are flexible, tailored to meet the needs of physicians and other clinicians with different interests and experience and communities with different needs, resources and opportunities. We are committed to working with you as partners, not as consultants.

Support for all payment models

There are many paths to the achievement of optimal health care delivery. Our solutions support success in all payment systems designed to promote higher quality, better health and lower cost, including:

  • Increased fee for service payment for those services that promote prevention and care coordination.
  • Maximizing the likelihood of shared savings by reducing unnecessary costs, such as preventable hospitalizations, unplanned readmissions and ED admissions and services provided in a more expensive sellng, e.g., when an office visit or ASC would be the best alternative.
  • Ensuring appropriate budgets/funding for capitated programs and benchmarked accountable care programs by helping to ensure each patient covered in these programs has an accurate risk factor payment adjustment.

We help you develop relationships with interested payers

We assist you to identify payers that may be interested in contracting with clinicians pursuing transformation efforts on favorable terms.

We encourage consideration of the upside-only opportunity in the MSSP-ACO Pathways program which is still available for 2 years for physicians who have no experience with risk contracting.

We help you develop relationships with interested payers

We assist you to identify payers that may be interested in contracting with clinicians pursuing transformation efforts on favorable terms.

We encourage consideration of the upside-only opportunity in the MSSP-ACO Pathways program which is still available for 2 years for physicians who have no experience with risk contracting.

Why QVH Systems?

We are Unique and We Understand You

We put patients and their physicians first

We believe physicians and other healthcare professionals working directly with patients and their caregivers are the most important people in the healthcare transformation process. We target our solutions to these key professionals, empowering them with an understanding of population management and the information they need to care for each patient at the point of care.

We are affordable

QVH Systems understands that cost-efficient care requires cost-efficient tools. We do our best to minimize costs and to enable payment from new revenue streams our tools help you access.

We are committed to local clinical leadership

We respect local physicians and other clinicians, and understand that they must lead the effort to build effective health care delivery systems for their communities.

We understand that HIT and data are just tools - not ends

We believe that health information technology needs to be enabling. We leverage a secure, cloud-based and EHR-agnosic communications platform and state of the art analytics to make clinical integration a reality.

We support clinicians in all specialties and all modes of practice

We believe clinical integration can be as effective as physical integration, and that physicians in smaller practices can be as successful in providing excellent, efficient care as hospitals or health systems that employ physicians.

We provide the expertise you need to succeed with both population health and fee-for-service payment systems

Our solutions integrate the technology, services and analytics you need for success in this transitional payment environment.

We understand your needs and are committed to your success

Our founders have spent their entire professional careers working with physicians, other health care professionals and their professional associations. They have been on the front lines with clinicians and their patients for the last 30 years.

QVH Systems understands the challenges and the opportunities ahead. We are committed to creating and supporting an environment where physicians and other health professionals can have the choice to remain independent.

Copyright 2020 QVH Systems, LLC. All rights reserved

Products and Services

MIPS Navigator™

The easy, affordable solution to MIPS. Create a practice specific plan to maximize your MIPS score, generally in less than 1 hour:

  • Answer practice demographic questions
  • Review the available options
  • Make your selections
  • Print your plan

Use AIR™ as your MIPS Qualified Registry and your Navigator Plan becomes your Registry performance dashboard!

AIR™

The Advanced Integrated Registry (AIR™) Is a MIPS Qualified Registry. AIR™ supports:

  • All measures for all MIPS categories
  • All specialties and health professions
  • Solo to multi-specialty practice, IPA or ACO
  • Flexible data entry options to reduce or eliminate manual work
  • Easy identification of qualified patients and the steps necessary to close gaps

ACE™ Portal

The Advancing Care Excellence™ (ACE™) Portal is a complete clinical integration tool built on an EHR-agnostic, HIPAA-secure communications platform. ACE™ provides the information physicians and other clinicians need at the point of care for optimizing treatment, ensures all members of the care team can remain in contact, and enables ACO leadership to benchmark and evaluate population results.

  • Gaps in care
  • Chronic conditions
  • High and rising risk
  • Recent transitions in care
  • Utilization of inefficient or otherwise questionable services

SnapHx™ (Pat. Pending)

SNAP Hx™ is a revolutionary analytics tool that allows clinicians to understand a patient’s complete medical history at a glance – every service the patient has received, regardless of location or provider, and what it cost.

By transforming claims and EHR data into a comprehensive medical history, health professionals and administrators can easily visualize the gaps in care, the sequelae of inadequate care coordination, and the impact of inefficient providers:

  • No need to spend time extracting the meaningful information from verbose EHR entries in multiple systems
  • Actionable opportunities can be separated from idiosyncratic anomalies
  • Members of a patient’s care team can engage in clinically meaningful conversations
  • Patients can easily see what has been happening as well as their potential trajectory(s)
Copyright 2020 QVH Systems, LLC. All rights reserved

Leadership Team

Brad Cost
Brad C. Cost
Chief Executive Officer/Chief Operating Officer

Brad Cost became the chief executive officer and president of QVH Systems, LLC in 2019. He had served as the company's COO since its inception in 2016. Cost is a highly knowledgeable and credible source within the healthcare industry. He has an impressive work history proving his success within the industry and owns various companies including: a national, EHNAC accredited claims clearinghouse, Infinedi, an electronic data interchange consultant firm, an interactive software development firm and many more.

Michael Sexton M.D.
Michael J. Sexton M.D.
Chief Medical Officer

Michael Sexton brings his 40 years of experience as a physician practicing accountable care and physician leader at the state and national levels to oversee all QVH Systems’ services as they impact clinicians. Dr. Sexton understands the need for innovative, affordable solutions for physicians and other health professionals faced with the transformation to value-based payment. He is excited to work with the QVH Systems’ team in its development and deployment of the QVH Systems products and services to empower physicians and other health professionals to achieve clinically satisfying and financially rewarding practices.

Catherine Hanson J.D.
Catherine I. Hanson J.D.
Chief Strategy Officer

Catherine Hanson is an AV-rated, nationally recognized healthcare attorney, skilled at navigating the complex interpersonal, political and regulatory environments required to achieve success in the current healthcare environment. Ms. Hanson served as the California Medical Association’s chief lawyer for over 20 years, led AMA’s state and private sector advocacy unit for over 5 years and continues to serve “of counsel” to WhatleyKallas LLP, a full-service, national healthcare boutique law firm with a demonstrated commitment to - and tangible results in connection with – the representation of healthcare providers.

David Ginsberg
David Ginsberg
Chief Compliance Officer

David Ginsberg is co-founder and President of PrivaPlan Associates, Inc. He has more than 25 years of experience in the healthcare industry. His prior experience includes serving as co-founder and Executive Director of the Colorado Physician Network, a statewide network of 2,500 physicians that provided a physician managed collaboration with a regional HMO. Mr. Ginsberg was also Vice President of Intellectron/Medcobill, a large regional physician practice management and billing company providing services to over 1,000 physicians in California, during which time he implemented the second Medicare electronic claims transmission program of its kind and pioneered an EDI solution for Medicaid.

Brian Meahan
Chief Technology Officer

Brian Meahan has over 20 years of experience in IT, designing and developing systems for International and Fortune 100 clients, including retail, aerospace, defense contractors, health information and patient population management. Currently he manages a team of developers, analysts and data scientists that are focused on the data of over 2 million patient lives to assist Clinicians, Hospitals, FQHCs and other health care providers and facilities to streamline their business operations, improve patient management and optimize their patient encounters to be successful in outcome-based healthcare programs.

Patricia E. Sokol, RN, JD
Chief Quality and Care Continuity Officer

Patricia Sokol graduated from Loyola University Chicago, School of Law in 2000, after 25 years of nursing experience. Ms. Sokol’s nursing and legal experience has spanned the spectrum of advocacy and patient care across the United States, including patient education, women’s health, patient safety, and medical ethics. Ms. Sokol was introduced to safety science by United States Air Force pilots at the US Fighter Weapons School, Nellis Air Force Base, Nevada. She has studied safety science in numerous areas outside of health care including aboard a United States Naval Carrier, the USS Carl Vinson (CVN-70); in the city of Detroit; and at Harley Davidson and Universal Studios, both in Orlando, Florida.

Kimble Ross
Chief Association and Government Relations Officer

Kim Ross is a public affairs consultant and partially rehabilitated lobbyist. In his previous incarnation he coordinated for 16 years the political, legislative, and regulatory matters for the Texas Medical Association as their Vice President for Public Policy and Director of Public Affairs. During his tenure, Medical Economics characterized TMA as "America's Best Medical Society", and Texas Monthly described Mr. Ross as "Texas' Best Strategist" in a survey of Texas’ political power brokers.

Copyright 2020 QVH Systems, LLC. All rights reserved
Contact QVHS

Contact Us

1437 South Boulder Avenue
Suite 1030
Tulsa, OK 74119-3116
Main Office: 918-858-0166
Customer Service: 844-459-7847
Fax Number: 918-249-4460
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