The Science of Public Reporting September 10, 2012 AHRQ 2012 Annual Conference Lunch & Learn Session Celeste Torio, PhD, MPH Staff Service Fellow AHRQ Center for Delivery, Organization, and Markets

Audience & Purposes of Public Reporting AudiencePurposes ProvidersQuality improvement; Benchmarking InsurersPay-for-performance; Provider tiering GovernmentInform policy; Public health efforts EmployersEmployee education; Cost reduction ResearchersEvaluation; Lower research costs MediaShaming & blaming; Congratulations Consumers Provider selection (“shopping”)

AHRQ’s Role in Public Reporting AHRQ Does NOT Do Provider-Level Reporting, But:  Develops measures  Consumer Assessment of Healthcare Providers & Systems (CAHPS)  Quality Indicators  Provides technical assistance & learning networks for public report producers  Example: 24 Chartered Value Exchanges (CVEs)  Represent over 124 million individuals  Public reporting is a major activity  TalkingQuality.gov

The Science of Public Reporting Initiative Patient Protection and Affordable Care Act (PPACA) directs the Center for Medicare & Medicaid Services (CMS) to develop health care quality and resource use measures and disseminate them through methods such as public reporting Patient Protection and Affordable Care Act (PPACA) directs the Center for Medicare & Medicaid Services (CMS) to develop health care quality and resource use measures and disseminate them through methods such as public reporting Goals: Goals: – Forge a coordinated, evidence-based approach to public reporting at the national and local levels – Improve the science of public reporting – Incorporate scientific best practices into national and local reports – Improve data for public reporting – Assess impact

The Science of Public Reporting Initiative: The Structure A partnership among AHRQ, CMS, and the Office of the Assistant Secretary for Planning & Evaluation (ASPE) A partnership among AHRQ, CMS, and the Office of the Assistant Secretary for Planning & Evaluation (ASPE) Combination of grants, contracts, staff to: Combination of grants, contracts, staff to:  Build the science  Engage stakeholders to facilitate use of new evidence Related Activities: Related Activities:  Interagency workgroup from AHRQ, CMS, and ASPE  NQMC HHS quality measures inventory  Inventory of potential data sources for reporting benchmarks  Analyses to track changes in provider performance on reported measures

The Science of Public Reporting Initiative: Grants AHRQ is awarding a number of research grants in fiscal year AHRQ is awarding a number of research grants in fiscal year Examples of funded grants Examples of funded grants – Developing a Framework for Public Reporting Using All-Payer Claims Databases (National Association of Health Data Organizations (NAHDO) & All Payers Claim Database Council (APCDC)) – Public Reporting for Consumers on Assisted Living (The Center for Excellence in Assisted Living) – Other Active Grants

The Science of Public Reporting Initiative: Goals of Grant Research Design: Improve the design and presentation of public reports to meet the needs of consumers, particularly priority populations. Design: Improve the design and presentation of public reports to meet the needs of consumers, particularly priority populations. Dissemination: Increase consumer use and the dissemination of public reports, particularly among priority populations. Dissemination: Increase consumer use and the dissemination of public reports, particularly among priority populations. Data: Improve the underlying data and methodology of public reports to make them more credible, meaningful, and useful. Data: Improve the underlying data and methodology of public reports to make them more credible, meaningful, and useful.

The Science of Public Reporting Initiative: Goals of the Coordinating Center Goals: Goals:  Distill existing and new evidence on “what works” in public reporting and under what circumstances.  Identify promising advances in the content, design, and dissemination of public reports.  Facilitate collaboration across public reporting researchers and other stakeholders to speed the dissemination of findings.

The Science of Public Reporting Initiative: Scope of Work for Coordinating Center Scope of Work Scope of Work 1. Convene and Coordinate Work of Grantees 2. Create and Manage a Federal Public Reporting Work Group 3. Develop Products 4. Convene Second AHRQ National Public Reporting Summit 5. Program Management 6. Optional – Assess State and Regional Needs for Public Reporting Tools and Evidence

Thank you Celeste Torio