AHRQ Quality Initiatives: Driving System AHRQ Quality Initiatives: Driving System Transformation through Local, Regional Transformation through Local, Regional

and National Collaboration and National Collaboration

Carolyn M. Clancy, MDCarolyn M. Clancy, MDDirectorDirector

Agency for Healthcare Research and QualityAgency for Healthcare Research and Quality

Alliance for Health ReformAlliance for Health Reform

Washington, DC – April 15, 2011Washington, DC – April 15, 2011

National Quality Strategy: National Quality Strategy: Three Broad Aims Three Broad Aims

http://www.healthcare.gov/center/reports/quality03212011a.htmlhttp://www.healthcare.gov/center/reports/quality03212011a.html

Better CareImprove the overall quality, by making Improve the overall quality, by making health care more patient-centered, health care more patient-centered, reliable, accessible and safereliable, accessible and safe

Healthy People/Healthy Communities

Improve the health of the U.S. population Improve the health of the U.S. population by supporting proven interventions to by supporting proven interventions to address behavioral, social and address behavioral, social and environmental determinants of health, in environmental determinants of health, in addition to delivering higher-quality care addition to delivering higher-quality care

Affordable CareReduce the cost of quality health care for Reduce the cost of quality health care for individuals, families, employers and individuals, families, employers and governmentgovernment

Created Under the Affordable Care Act

National Quality Strategy: National Quality Strategy: Six Priorities Six Priorities

Making care safer by reducing harm caused in the Making care safer by reducing harm caused in the delivery of caredelivery of care

Ensuring that each person and family is engaged as Ensuring that each person and family is engaged as partners in their care partners in their care

Promoting effective communication and coordination Promoting effective communication and coordination of care of care

Promoting the most effective prevention and treatment Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting practices for the leading causes of mortality, starting with cardiovascular disease with cardiovascular disease

Working with communities to promote wide use of Working with communities to promote wide use of best practices to enable healthy living best practices to enable healthy living

Making quality care more affordable for individuals, Making quality care more affordable for individuals, families, employers and governments by developing families, employers and governments by developing and spreading new health care delivery models and spreading new health care delivery models

All Health Care is LocalAll Health Care is Local

National goals and common standards are important, National goals and common standards are important, but real improvement takes place in local settings…but real improvement takes place in local settings…– HHS AHRQ Chartered Value Exchange (CVE) Program – 24 HHS AHRQ Chartered Value Exchange (CVE) Program – 24

regional or community collaborativesregional or community collaboratives

– HHS ONC Beacon Community Program – 15 regional HHS ONC Beacon Community Program – 15 regional collaborativescollaboratives

– RWJ Aligning Forces Program – 17 regional collaborativesRWJ Aligning Forces Program – 17 regional collaboratives

– NBCH business-led coalitions – 60 regional collaborativesNBCH business-led coalitions – 60 regional collaboratives

To promote federal-level coordination, AHRQ staff To promote federal-level coordination, AHRQ staff regularly meets with leadership of these community regularly meets with leadership of these community based quality improvement initiatives, as well as based quality improvement initiatives, as well as QASC, NQF, NRHI, etc.QASC, NQF, NRHI, etc.

AHRQ CVE Program: AHRQ CVE Program: Opportunities for Strategic Alignment Opportunities for Strategic Alignment

Within Communities Within Communities

Formed in 2007, brings Formed in 2007, brings together 24 community together 24 community quality collaborativesquality collaboratives

Committed to mission of Committed to mission of quality transparency and quality transparency and improvementimprovement

Represents 124 million Represents 124 million lives, more than one-third lives, more than one-third of U.S. populationof U.S. population

Involves more than 600 Involves more than 600 health care leadershealth care leaders

PurchasersPurchasers Consumer Consumer

OrganizationsOrganizations Health PlansHealth Plans ProvidersProviders State Departments State Departments

of Health, State of Health, State Data Organizations, Data Organizations, QIOs, HIEs, QIOs, HIEs, UniversitiesUniversities

24 Chartered Value Exchanges

Opportunities for Opportunities for Collaboration and ExpansionCollaboration and Expansion

Chartered Value ExchangesAligning Forces for QualityOther NHRI MembersBeacon Communities

QASC: March 2011 – Network for Regional Healthcare Improvement

Coming Soon! Coming Soon! MONAHRQ 2.0MONAHRQ 2.0

Local Local discharge discharge

datadata

Your Own Health Your Own Health Care reporting SiteCare reporting Site

HCAHPS HCAHPS resultsresults

Hospital Hospital Compare Compare measure measure

resultsresults

• AHRQ QIsAHRQ QIs• Hospital utilization & costsHospital utilization & costs• Regional utilization & costsRegional utilization & costs

Calculate & Report:Calculate & Report:

• Hospital Compare inpatientHospital Compare inpatient

Also ReportsAlso Reports::

• HCAHPS measuresHCAHPS measures

States Now Using MONAHRQ: HI, NV, ME, INStates Now Using MONAHRQ: HI, NV, ME, IN

Measures Results from Hospital Compare and HCAHPSMeasures Results from Hospital Compare and HCAHPS

Enables Public Reporting and Engagement in Less-Resourced CommunitiesEnables Public Reporting and Engagement in Less-Resourced Communities

monahrq.ahrq.gov / monahrq@ahrq.govmonahrq.ahrq.gov / monahrq@ahrq.gov

Other AHRQ Resources and Activities

Model Public Report Model Public Report Elements: A SamplerElements: A Sampler

Now AvailableNow Available

TalkingQuality Web Site (Re-TalkingQuality Web Site (Re-Release)Release)

Now AvailableNow Available

AHRQ National Summit on AHRQ National Summit on Public Reporting for Public Reporting for

Consumers, March 2011Consumers, March 2011

130 experts are developing 130 experts are developing strategies to inform public- strategies to inform public- and private-sector policies and private-sector policies

and practice on reporting for and practice on reporting for consumersconsumers

Methodological Methodological Considerations in Considerations in

Generating Provider Generating Provider Performance Scores for Use Performance Scores for Use

in Public Reportingin Public Reporting

Coming SoonComing Soon

Thank YouThank You

AHRQ Mission AHRQ Mission

To improve the quality, safety, To improve the quality, safety, efficiency, and effectiveness of efficiency, and effectiveness of health care for all Americanshealth care for all Americans

AHRQ VisionAHRQ Vision

As a result of AHRQ's efforts, As a result of AHRQ's efforts, American health care will American health care will provide services of the highest provide services of the highest quality, with the best possible quality, with the best possible outcomes, at the lowest costoutcomes, at the lowest cost

www.ahrq.govwww.ahrq.gov