Niagara Health Quality Coalition 2003 Perspective

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Niagara Health Quality Coalition 2003 Perspective

• Presented by
• Bruce A. Boissonnault

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Everything Begins With Quality

• The first thing American medicine should dois
  define quality indicators and use them.
• George Lundberg,
• Former Editor of JAMA

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Defining Principles

• Employers Will Have A Voice In Health Care Policy
  Only When Theyve Earned One
• Cost Dominates The Public Policy Debate Because
  Only Cost Information Is Available Publicly And
  Widely Used
• If You Cant Rise Above Your Narrow Stations In
  Life, Do Something Else (i.e., Health Care
  Quality A Pareto Efficient System)
• Laws Of Business Apply To Health Care (e.g., Low
  Quality High Cost)
• Dont Reinvent The Wheel And Be Inclusive

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Governance

• NHQC Board
• 9 Large Employer Leader Representatives
• (500,000 Insured Lives)
• 3 Hospital System CEOs Plus 1 HANYS Officer
• 3 Health Plan CEO/COOs
• 3 Physician Leaders
• AQHC Membership
• 3,300 Employers State-Wide
• 32 Health Plans State-Wide
• Member of the Institute of Medicine
• World Leader In Health Care Actuarial Services
• Health Care Consumer Groups
• NHQC

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Strategic Interventions

• 1. Hospital Quality Measurement/CQI
• 2. Consumer Empowerment

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1. Hospital Quality Measurement Continuous
Quality Improvement
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Said Donald M. Berwick about AQHC/NHQCs New York
State Hospital Quality Indicators Report Card
The public will not receive timely information
by waiting for perfection in the data. Its time
to step on the gas, not the brakes, on
this.New York Times, November 25, 2003Donald
M. Berwick is the Institute of Medicines most
esteemed member and President of the Institute
for Health Care Improvement. Mr. Berwick never
had supported such a public report of quality
prior to reviewing NHQCs.
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WNBC Video
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The New York Times
The Post-Standard
The Buffalo News
Consumer Reports
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NHQC Patient Survey Project
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2. Consumer Empowerment
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Consumer Health

• www.myHealthFinder.com reaches up to 15,000
  people per hour
• Up to 3 million hits per day
• One of the Internets top 10 healthcare
  information sites Medica
• Consumer Reports Magazine
• NY Times
• Wall Street Journal
• 40 Local Papers

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Web Site Demo
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Finding Fault Divides Recognizing Quality
Enlightens
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Wrap-Up
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Recognition

• National Quality Forum (Representing National
  Business Coalition on Health)
• National Disclosure Project Member
• Centers for Medicare and Medicaid Services
  National Advisory Forum
• Agency for Health Care Research and Quality
  National Advisory Committee on Public Reporting
• Alliance for Quality Health Care, Founding
• Co-Chair, President
• Elected to Education and Research Committee of
  the National Business Coalition on Health

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Awards

• 2002 Eye On Quality Best in Nation Award,
• National Research Corporation/Picker Institute
• Selected by National Business Coalition on Health
  To Represent Its Members National on National
  Quality Forum
• Organizer National Leaders Forum on Hospital
  Public Reporting In Chicago (AHRQ)

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Awards Continued

• 2001 National Health Care Purchaser Award,
  National Health Care Purchasing Institute
• 2000 International Health Care Summit
• Harvard University
• Outstanding Service Awards,
• American Lung Association

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