1. Nonprofit organization initiated by Caterpillar and OSF HealthCare System in 2006 Quality Quest for Health Employers Providers Insurers Policy Makers Consumers Individually, stakeholder priorities conflict  Providers – income based on volume  Employers – health care trend lowers profit  Insurers – enrollment and utilization generate income  Consumers – more is better

2. Agree on Best Care Six Sigma team defines quality elements Measure What Matters Colonoscopy Quality Index – ‘All-or-None’ Common Priorities CRC Screening & Surveillance Colonoscopy Create Positive Incentives Caterpillar P4P & contracts require participation in data program Redesign Care Processes Data system, better histories, change in practice, ongoing QI focus Report Results Publicly Quality Quest on-line reports 2 How It Works

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4. Transparency Prompts Action Colonoscopy Quality Index Trend www.qualityquest.org Transparency provides recognition for those doing well and motivation for those who are not. Public Reporting Begins www.qualityquest.org