AHRQ Quality Initiatives: Driving System Transformation through Local, Regional and National Collaboration Carolyn M. Clancy, MD Director Agency for Healthcare Research and Quality Alliance for Health Reform Washington, DC – April 15, 2011

National Quality Strategy: Three Broad Aims Better Care Improve the overall quality, by making health care more patient-centered, reliable, accessible and safe Healthy People/ Healthy Communities Healthy People/ Healthy Communities Improve the health of the U.S. population by supporting proven interventions to address behavioral, social and environmental determinants of health, in addition to delivering higher-quality care Affordable Care Reduce the cost of quality health care for individuals, families, employers and government Created Under the Affordable Care Act

National Quality Strategy: Six Priorities Making care safer by reducing harm caused in the delivery of care Making care safer by reducing harm caused in the delivery of care Ensuring that each person and family is engaged as partners in their care Ensuring that each person and family is engaged as partners in their care Promoting effective communication and coordination of care Promoting effective communication and coordination of care Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease Working with communities to promote wide use of best practices to enable healthy living Working with communities to promote wide use of best practices to enable healthy living Making quality care more affordable for individuals, families, employers and governments by developing and spreading new health care delivery models Making quality care more affordable for individuals, families, employers and governments by developing and spreading new health care delivery models

All Health Care is Local National goals and common standards are important, but real improvement takes place in local settings… National goals and common standards are important, but real improvement takes place in local settings… – HHS AHRQ Chartered Value Exchange (CVE) Program – 24 regional or community collaboratives – HHS ONC Beacon Community Program – 15 regional collaboratives – RWJ Aligning Forces Program – 17 regional collaboratives – NBCH business-led coalitions – 60 regional collaboratives To promote federal-level coordination, AHRQ staff regularly meets with leadership of these community based quality improvement initiatives, as well as QASC, NQF, NRHI, etc. To promote federal-level coordination, AHRQ staff regularly meets with leadership of these community based quality improvement initiatives, as well as QASC, NQF, NRHI, etc.

AHRQ CVE Program: Opportunities for Strategic Alignment Within Communities Formed in 2007, brings together 24 community quality collaboratives Formed in 2007, brings together 24 community quality collaboratives Committed to mission of quality transparency and improvement Committed to mission of quality transparency and improvement Represents 124 million lives, more than one-third of U.S. population Represents 124 million lives, more than one-third of U.S. population Involves more than 600 health care leaders Involves more than 600 health care leaders Purchasers Purchasers Consumer Organizations Consumer Organizations Health Plans Health Plans Providers Providers State Departments of Health, State Data Organizations, QIOs, HIEs, Universities State Departments of Health, State Data Organizations, QIOs, HIEs, Universities

24 Chartered Value Exchanges

Opportunities for Collaboration and Expansion Chartered Value Exchanges Aligning Forces for Quality Other NHRI Members Beacon Communities QASC: March 2011 – Network for Regional Healthcare Improvement

Coming Soon! MONAHRQ 2.0 Local discharge data Your Own Health Care reporting Site HCAHPS results Hospital Compare measure results AHRQ QIsAHRQ QIs Hospital utilization & costsHospital utilization & costs Regional utilization & costsRegional utilization & costs Calculate & Report: Hospital Compare inpatientHospital Compare inpatient Also Reports : HCAHPS measuresHCAHPS measures States Now Using MONAHRQ: HI, NV, ME, IN Measures Results from Hospital Compare and HCAHPS Enables Public Reporting and Engagement in Less-Resourced Communities monahrq.ahrq.gov /

Other AHRQ Resources and Activities Model Public Report Elements: A Sampler Now Available TalkingQuality Web Site (Re- Release) Now Available AHRQ National Summit on Public Reporting for Consumers, March experts are developing strategies to inform public- and private-sector policies and practice on reporting for consumers Methodological Considerations in Generating Provider Performance Scores for Use in Public Reporting Coming Soon

Thank You AHRQ Mission To improve the quality, safety, efficiency, and effectiveness of health care for all Americans AHRQ Vision As a result of AHRQ's efforts, American health care will provide services of the highest quality, with the best possible outcomes, at the lowest cost