WE CAN DO BETTER

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WE CAN DO BETTER

• Debra Nixon, MSHA, BSN
• Your Partners in Quality, LLC
• AHRQ Annual Conference
• September 28, 2007

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We Must Do Better90th Arizona Town HallApril
2007

• Expand Health Care Coverage
• Reduce Shortages of Health Care Professionals
• Make Behavioral Health Care a Priority
• Expand the Use of HIT
• Plan for the Future

• Practice Evidence-Based Medicine
• Encourage Personal Knowledge and Accountability
• Measure and Report on Quality
• Restructure Public Health funding
• Provide Primary Care to Undocumented Immigrants

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We Must Do Better90th Arizona Town HallApril
2007

• Expand Health Care Coverage
• Reduce Shortages of Health Care Professionals
• Make Behavioral Health Care a Priority
• Expand the Use of HIT
• Plan for the Future

• Practice Evidence-Based Medicine
• Encourage Personal Knowledge and Accountability
• Measure and Report on Quality
• Restructure Public Health funding
• Provide Primary Care to Undocumented Immigrants

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Arizona Initiatives and the Need for Consumers

• Arizona Partnership Implementing Patient Safety
  (APIPS)
• Arizona Hospital and Healthcare Association
  (AzHHA) Safe and Sound
• Phoenix Healthcare Value Measurement Initiative
  (PHVMI)
• Arizona Health Information Exchange and
  Electronic Health Record (HIeHR) Utility Project
• Arizona Health-e Connection

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Arizona Partnership Implementing Patient Safety
(APIPS)

• Started in 2002, incorporated in 2006
• Interested in statewide Patient Safety
  Initiatives
• Fifty health care organizations
• Activities include
• Healthcare Summit
• Health Care Decisions Week
• E-Prescribing
• Consumers - represented on Board

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AzHHA Safe and Sound

• Goal - Arizona will be Safest State in the nation
• Alert Wrist Bands
• Statewide and Regional
• The Med Form
• Prevention of medication errors
• Available Spanish/English and www.themedform.com
• Take Five
• Five easy steps to remember when going to
  hospital
• Forget Me Not
• September, 2007 - Focus on role of patient/family
  in safety
• Addresses cultural issues within the organization
• Consumers - On hospitals boards, focus groups,
  education.

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Phoenix Healthcare Value Measurement Initiative
(PHVMI)

• Collaborative venture of Arizona employers,
  providers, and health plans
• Data Repository - Arizona HealthQuery at the
  Center for Health Information Research at ASU
• Agreed on Consensus based goals
• Improve community health
• Collaborate to assure access to data
• Publicly report value
• Support the building of HIT Infrastructure
• Promote beneficiary involvement
• Consumers - Educate and partner

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Arizona Health Information Exchange and
Electronic Health Record (HIeHR) Utility Project

• Federal Medicaid Transformation Grant - 12
  million to Arizona Health Care Cost Containment
  system (AHCCCS)
• Develop an on-line HIE and EHR system through
  secure web portal
• Goal - 2009
• Aligned with Arizona Health-e Connection,
  non-profit to coordinate HIT in Arizona Arizona
  Health Privacy Project focused on HIE privacy and
  security issues and Southern Arizona Health
  Information Exchange (SAHIE)
• Consumers - Focus Groups, January 2008

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Arizona Health-e Connection

• Mission Statement
• To facilitate the design and implementation of
  integrated statewide health data information
  systems that support the information needs of
  consumers, health plans, policymakers, providers,
  purchasers, and researchers and that reduce
  healthcare costs, improve patient safety, and
  improve the quality and efficiency of healthcare
  and public health services in Arizona.
• Executive Order in 2005 - Establish Roadmap to
  achieve a plan for Arizona to achieve statewide
  HIT and explore the implementation of EHR by 2010
• Funding - St. Lukes Health Initiatives and BHHS
  Legacy Foundation
• Involved Steering Committee, 5 task groups, 250
  members, five months.
• Executive Director Hired - July, 2007
• Consumers - Represented on Board and Committees

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What is being done to include
consumers?

• Recognition of consumer involvement
• Strategic Partnerships
• Board Involvement, Committee Representation, and
  Focus Groups
• Health Guide America

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Health Guide America

• HGA established in 2006
• Non profit 501C3
• Grassroots effort
• Mission To help individuals and communities
  make informed decisions about healthcare through
  education, dialogue , and access to information.
• Services include
• Consumer Advocacy Network
• Communication Strategies
• Web-based Resources for consumers

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Health Guide America (contd)

• Held first Planning Meeting, representing eight
  local consumer organizations
• Establish network to
• Select important initiatives and inform consumers
• Support state initiatives
• Identify issues and topics for consumer education
• Apply for grants and seek other funding
  opportunities

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Why it works in Arizona?

• Quote from Robert Kolodner, head of HHS Office of
  the National Coordinator for HIT
• Arizona gets it. You have in fact embodied that
  idea of fostering collaborations and bringing to
  the table a wide spectrum of stakeholders, all of
  whom have to be involved
• 
  Modern Healthcare, September 7, 2007

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It is the Tipping Point that magic moment
when an idea, trend, or social behavior crosses
a threshold, tips, and spreads like wildfire.
Gladwell, M.
2002
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We can, must and will do better.Debra
Nixon602-625-2758dnixon_at_yourpiq.com