Medisolv’s algorithms provide recommendations to enable the most efficient measure improvement pathway towards achieving your financial goals.  In some cases, it may be possible to achieve your financial goal by improving significantly in a single measure.  Recommendations in the Value Maximizer simulator try to balance between providing the most “efficient” pathway towards achieving your financial goals while suggesting a minimum number of measures with a realistic jump in improvement for each measure.   For measures in the Hospital Value Based Purchasing Program, Medisolv’s “efficiency index” describes the amount of effort it takes to achieve a set financial target for each point option. Efficiency is based on “net gain”, meaning the financial gain achieved with each measure score “leap” (0-10 points), divided by “effort”, which is the change in performance divided by the range in performance across other U.S. hospitals. For measures in the Hospital Acquired Conditions Reduction Program, Medisolv first computes observed complications, and then computes the financial impact of reducing each complication for each measure and provides the most efficient path to removing the penalty with the fewest measures. For measures in the Hospital Readmission Reduction Program, Medisolv computes excess readmissions and then computes the impact of reducing each excess readmission for each cohort; providing the most least number of reduced readmissions to meet a targeted financial goal.