an initiative of Public Employers Health Purchasing Committee April 26, Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation
Today Who am I and why should you care Quality measurement basics 101 What are the tough issues in quality measurement Purchaser perspective in the debate Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 2
Quality Corp Mission To measure & improve the quality of health care in Oregon through collaboration
Quality definition Lay-terms –Care that works –Safe –Timely –Tailored to you Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 4 Institute of Medicine –Safe –Effective –Efficient –Patient Centered –Timely –Equitable
Evidence Base for Quality Reporting Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 5 Feedback to providers Public reporting Tied meaningfully to incentives Improved Quality Quality why
National Quality Forum –615 approved measures National Committee for Quality Assurance –HEDIS 32 measures routinely available eValu8 State: quality, mortality, infections and readmissions Partner for Quality Care Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 6 Quality 101 – Ground work laid
Old way … …
New way … …
8(10) plans & 11(9) primary care measures Prevention screening (breast & cervical cancer, chlamydia) Diabetes (A1c, LDL, eye, kidney function) Cholesterol management Asthma medication management Depression medication management (2) Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 9
10
Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 11 Reports sent to: 2268 practitioners 327 clinics 121 medical groups Round 1: June 16 th, 2009 Round 2: January15, 2010
Tough Issues Not everything that can be counted counts, not everything that counts can be counted –Measurement science is…pretty crude –We don’t have all that we need/want –Fairness tradeoffs are required Measurement takes somebody’s resources Using data can have unintended consequences Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 12
7 Answers for Purchaser Brochure Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 13
Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 14
Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation 15 Care varies! Purchaser interest drives improvement!