1. Accountability and Improvement: Lessons from the Field 2007 National Health PolicyConference Christopher Queram President and CEO

3. Does Public Reporting Matter? University of Oregon Research Team –Judith Hibbard, PhD –Funding from Robert Wood Johnson Foundation Experimental Design using WI Hospitals –Does making hospital performance public improve quality compared to sharing performance information with hospitals on a private basis?

4. Percent of Hospitals with Statistically Significant Improvements or Declines in Maternity Performance in the Post-Report Period:

5. Changes in Performance in the Post-Report Period – Among Hospitals with Worse Than Expected Scores at Baseline* * p <.05

6. WCHQ Ambulatory Performance Reporting - - Anecdotal Evidence Baseline (72%) Year One (82%)

7. 35% to 50% in Good Control 46% 35% 50%

8. 47% to 56% in Good Control

9. A1c<7 Year Three A1c<7 Baseline

10. Factors Influencing Positive Gains in Quality Public Reporting Professional/Institutional Pride Enlightened Clinical Leadership Collaborative Models for Knowledge Sharing, Transfer Financial Incentives?