The Focus on Quality

1
The Focus on Quality
April 2006

• A Closer Look at a National Trend
• Issue Brief available at www.chanet.org

2
The Evolving Field of Quality Improvement in
Healthcare

• Institute of Medicine (IOM) report To Err Is
  Human heightened public discussion
• Emphasis on
• data collection
• measurement of treatment outcomes
• implementation of clinical pathways
• Trend to begin tying reimbursement to progress on
  quality measures

3
National Quality Initiatives Take Shape

• Accrediting body
• Joint Commission on the Accreditation of
  Healthcare Organizations (JCAHO)
• Core Measures
• National Patient Safety Goals
• Payers
• Centers for Medicare Medicaid Services (CMS)
• Reporting Hospital Quality Data for Annual
  Payment Update (RHQDAPU)

4
National Quality Initiatives Take Shape (contd)

• Payers
• CMS (contd)
• Hospital Quality Alliance Improving Care
  Through Information Initiative
• In collaboration w/ the American Hospital
  Association and others
• Premier Hospital Quality Incentive Demonstration
• In collaboration w/ Premier, Inc.

5
National Quality Initiatives Take Shape (contd)

• Business groups
• The Leapfrog Group
• Hospital Quality and Safety Survey
• The Institute for Healthcare Improvement
• 100,000 Lives Campaign

6
Rating Systems and Report Cards Evolve to Inform
Consumers

• U.S. News World Report
• Americas Best Hospitals
• Solucient
• 100 Top Hospitals
• HealthGrades
• HealthGrades ratings

7
Evaluating Quality Initiatives and Rating Systems
/ Report Cards

• Importance of risk adjustment
• Statistical process to identify and adjust for
  variation in patient outcomes stemming from
  differences in patient characteristics
• Credibility dependent on measures used
• Surveys of providers reputations vs. compliance
  with clinical pathways

8
What our Hospital Is Doing