Transcript Document 7563403

Value Driven Health Care, an
Opportunity for Change
Presented by, Jeff Flick
CMS Regional Administrator, Region IX
January 22th, 2007
The Healthcare Challenge
What do we know today?
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We spend more per capita on healthcare than any other
country in the world
In spite of those expenditures, quality is often inferior to
other nations
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Often doesn’t meet expected evidence-based guidelines
There are significant variations in quality and costs
across the nation
Public Perceptions
Percent who say they are dissatisfied
with the quality of health care in this
country…
2004
2000*
Has the quality of health care in this
country…
Gotten
worse
Stayed
about the
same
55%
40%
44%
38%
4%
17%
Don’t
Know
Gotten
better
* Gallup Poll conducted September 11-13, 2000 with 1,008 U.S. adults.
Source: Kaiser Family Foundation / Agency for Healthcare Research and Quality / Harvard School of Public Health National Survey on Consumers’
Experiences with Patient Safety and Quality Information, November 2004 (Conducted July 7 – September 5, 2005).
A Variation Problem
Dartmouth Atlas of Healthcare
President Bush Signs
Executive Order on
Value-Driven Health Care
August 22, 2006
Four Cornerstones of Value-Driven
Health Care
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Quality Standards: Systems need to be
designed to collect quality-of-care
information, and help define what
constitutes quality care.
Price Standards: Agreement is needed
on how to aggregate claims information so
“episode of care” costs for specific doctors
and hospitals can be measured and
compared.
Four Cornerstones of Value-Driven
Health Care
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Interoperable Health System:
Standards must be set so different health
systems can quickly and securely
communicate and exchange data.
Properly Placed Incentives: All parties
– providers, patients, insurance plans, and
payers - must be subject to contractual
arrangements that reward both those who
offer and those who purchase high-quality,
competitively – price heath care.
6 AQA Pilot Sites
Minnesota Community
Measurement
California
Cooperative
Healthcare
Reporting
Phoenix Regional
Initiative
Healthcare Value
Measurement Initiative
Wisconsin
Collaborative
for Healthcare
Quality
Indiana Health
Information Exchange
Massachusetts
Health Quality
Partners
Stay Informed Through
Region IX Stakeholder Call
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Every 3rd Thursday of the Month, 2-3pm PST
Next call March 15th, 2007
Toll Free: 888-452-0273
Pass Code: Stakeholder Call
Leader: Jeff Flick
Register for “CMS Region IX Stakeholder”
ListServ for notification and details about
calls through:
http://www.cms.hhs.gov/apps/mailinglists/
Thank You!
Jeff Flick, Regional Administrator
415-744-3501
[email protected]