Transcript CHA and Champs Templates
The Center for Health Affairs
April 2006
The Focus on Quality A Closer Look at a National Trend
Issue Brief available at: www.chanet.org
The Evolving Field of Quality Improvement in Healthcare
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Institute of Medicine (IOM) report To Err Is Human heightened public discussion Emphasis on:
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data collection
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measurement of treatment outcomes
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implementation of clinical pathways Trend to begin tying reimbursement to progress on quality measures
National Quality Initiatives Take Shape
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Accrediting body
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Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)
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Core Measures National Patient Safety Goals Payers
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Centers for Medicare & Medicaid Services (CMS)
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Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU)
National Quality Initiatives Take Shape (cont’d)
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Payers
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CMS (cont’d)
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Hospital Quality Alliance – Improving Care Through Information Initiative
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In collaboration w/ the American Hospital Association and others
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Premier Hospital Quality Incentive Demonstration
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In collaboration w/ Premier, Inc.
National Quality Initiatives Take Shape (cont’d)
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Business groups
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The Leapfrog Group
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Hospital Quality and Safety Survey
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The Institute for Healthcare Improvement
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100,000 Lives Campaign
Rating Systems and Report Cards Evolve to Inform Consumers
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U.S. News & World Report
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America’s Best Hospitals
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Solucient
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100 Top Hospitals HealthGrades
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HealthGrades ratings
Evaluating Quality Initiatives and Rating Systems / Report Cards
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Importance of risk adjustment
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Statistical process to identify and adjust for variation in patient outcomes stemming from differences in patient characteristics
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Credibility dependent on measures used
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Surveys of providers’ reputations vs. compliance with clinical pathways
What our Hospital Is Doing