Transcript Chair Report: Topic Update Presentation

Chair Report:
Topic Updates
Bree Collaborative Meeting
October 1, 2012
Bree Collaborative Topics
 Readmissions
 Spine/low back pain
 Cardiology
 Obstetrics
Workgroup & subgroup membership posted on the Bree Collaborative
website:
http://www.hta.hca.wa.gov/bree_members.html
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Potentially Avoidable
Readmissions (PAR)
 PAR workgroup meeting #2 held 9/5/12
 Reviewed and adopted work plan
 Heard presentations on WA readmission initiatives
 Meeting #3 - Mid October
 Start prioritizing care transition strategies for individual
health systems and the community
 Start reviewing report outline
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Readmissions Accountable
Payment Model Subgroup
 Potential nominees solicited from Bree members,
WSHA, WSMA, and other stakeholders
 Nominees for sub group adopted by Bree steering
committee in late September
 In the process of asking nominees to serve/finalizing
group
 Payment Reform/Bundled Payment Webinar by
national experts Harold Miller and Francois de Brantes
on October 12th
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Spine/Low Back Pain
 Bree Collaborative at its August 2nd meeting approved a
motion to form a workgroup to develop evidence-based
recommendations on appropriate management of acute low
back pain (under 3 months)
 Nominees for workgroup adopted by Bree steering
committee in late September
 In the process of asking nominees to serve/finalizing group
 First workgroup meeting – to be scheduled for end of
October/beginning of November, followed by monthly
meetings
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Cardiology
RECAP
 Wide variation of use of percutaneous coronary
interventions (PCI); use of PCI for acute MI is appropriate;
not appropriate for non-acute or elective procedures
 “Appropriateness” hard to measure because
insufficient/missing data collected by hospitals; COAP’s
goal: help hospitals reduce inappropriate procedures by
helping them reduce insufficient data
 Bree Collaborative in July asked COAP to publically report
appropriate use of PCI data on a quarterly basis, by hospital
 COAP approved Bree Collaborative’s request and 4-step
process & timeline to fill missing PCI data and publish
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Cardiology, Con’t
Status: On schedule
Step #1: Completed, August 1, 2012; Appropriate use
insufficient information report (based on Q2 2011 through
Q1 2012), by hospital, was posted on COAP members-only
section of COAP website
Step #2: In process; COAP staff working with hospitals to
provide feedback and tools to reduce the amount of
insufficient information in their data, by end of December
2012
 COAP staff met with one hospital that requested
assistance
 Goal of COAP staff: reach out and meet with every
hospital before the end of December 2012
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Cardiology, Con’t
To be completed in 2013
Step #3: An updated appropriate use/insufficient information
report (based on 4th Quarter 2012 data only), by hospital,
given to the Bree Collaborative and hospitals to review;
hospitals will have the option to not be identified; Target
date: April 15, 2013
Step #4: An updated report (based on 4th Quarter 2012 data
only) will be posted on the public section of the COAP
website and potentially the Puget Sound Health Alliance ‘s
Community Checkup website, on a quarterly basis; hospitals
will have the option to not be identified; Target date: May 1,
2013
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Obstetrics
Recap: Bree adopted OB report & OB Implementation Plan on August
2nd
 Report sent to HCA administrator on August 21st
 Per Bree legislation HCA administrator reviews and decides to
apply recommendations to state purchased programs (Medicaid,
PEBB, Dept of Corrections, L&I)
 HCA administrator reviewing report now; outcome of review most
likely announced in a few weeks
 “Implementing” Implementation Plan
 Started disseminating report to Stakeholders
 Hospital CEOs (via Dept of Health)
 WA Perinatal Collaborative (via Dept of Health)
 National experts
 Highlighting report in organizations’ newsletters/blogs
 Puget Sound Health Alliance newsletter
 State of Health reform blog
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Obstetrics, Con’t
Implementation Tasks for October
 Continue disseminating report to stakeholders
 Continue to promote report (e.g., Seattle Times, blogs,
newsletters, etc)
 Organize media event with Governor
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