an initiative of

Public Employers Health Purchasing CommitteeApril 26, 2010

1Partner for Quality Care is an initiative of the Oregon Health Care Quality

Corporation www.PartnerForQualityCare.org

Today

• Who am I and why should you care• Quality measurement basics 101• What are the tough issues in quality

measurement• Purchaser perspective in the debate

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Quality Corp Mission

To measure & improve the quality of health care in Oregon through collaboration

Quality 101 - definition

• Lay-terms– Care that works– Safe– Timely– Tailored to you

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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• Institute of Medicine– Safe– Effective– Efficient– Patient

Centered– Timely– Equitable

Evidence Base for Quality Reporting

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Improved Quality

Quality 101 - why

• National Quality Forum– 615 approved measures

• National Committee for Quality Assurance– HEDIS 32 measures routinely available

• eValu8• State: quality, mortality, infections and

readmissions• Partner for Quality Care

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Quality 101 – Ground work laid

Old way

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New way

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8(10) plans & 11(9) primary care measures

• Prevention screening (breast & cervical cancer, chlamydia)

• Diabetes (A1c, LDL, eye, kidney function)

• Cholesterol management• Asthma medication management• Depression medication management

(2)

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Reports sent to:

• 2268 practitioners

• 327 clinics

• 121 medical groups

•Round 1: June 16th, 2009

•Round 2: January15, 2010

Tough Issues• Not everything that can be counted

counts, not everything that counts can be counted– Measurement science is…pretty crude– We don’t have all that we need/want– Fairness tradeoffs are required

• Measurement takes somebody’s resources

• Using data can have unintended consequences

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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7 Answers for Purchaser

• Brochure

Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Partner for Quality Care is an initiative of the Oregon Health Care Quality Corporation www.PartnerForQualityCare.org

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Care varies!

Purchaser interest drives improvement!