Utah Code Title 26. Utah Health Code § 26-33a-117. Identifying potential overuse of non-evidence-based health care

(a) uses principles such as the principles of the Choosing Wisely initiative of the American Board of Internal Medicine Foundation;  and

(b) is approved by the committee.

(a) analyze the data in the state's All Payer Claims Database;  and

(b) flag data entries that the calculator identifies as potential overuse of non-evidence-based health care.

(a) analyze the data described in Subsection (2)(b);

(b) review current scientific literature about medical services that are best practice;

(c) review current scientific literature about eliminating duplication in health care;

(d) solicit input from Utah health care providers, health systems, insurers, and other stakeholders regarding duplicative health care quality initiatives and instances of non-alignment in metrics used to measure health care quality that are required by different health systems;

(e) solicit input from Utah health care providers, health systems, insurers, and other stakeholders on methods to avoid overuse of non-evidence-based health care;  and

(f) present the results of the analysis, research, and input described in Subsections (3)(a) through (e) to the committee.

(a) make recommendations for action and opportunities for improvement based on the results described in Subsection (3)(f);

(b) make recommendations on methods to bring into alignment the various health care quality metrics different entities in the state use;  and

(c) identify priority issues and recommendations to include in an annual report.

(a) compile the report described in Subsection (4)(c);  and

(b) submit the report to the committee for approval.