Quality Measurement for Health Care Purchasing

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Quality Measurement for Health Care Purchasing

• Wisconsin Collaborative for Healthcare Quality

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(No Transcript)
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The Collaborative was Formed...

• on the principle that improving quality will
  result in better patient care and more rational
  costs

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Business/Labor Partners

• The Alliance
• Appleton Papers
• Badger Meter
• Daimler Chrysler
• Schneider National

• Sentry Insurance
• Serigraph, Inc.
• The Trane Company
• United Auto Workers
• Wisconsin Manufacturers Commerce (WMC)

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The Collaborative will

• Select a set of common measures
• Publish individual and comparative measures and
  performance data
• Research and share best practices
• Work with other stakeholders to improve
  healthcare performance

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Measures of Quality

• Safety
• Effectiveness
• Patient Centered

• Timeliness
• Efficiency
• Equity

Institute of Medicine
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Measurement Selection Criteria

• Easily available and accessible
• Prevalence of the condition
• Potential for improvement
• Clinical evidence
• Comparability of data
• Interpretability of data

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The Collaborative Difference

• Independent verification and public reporting of
  data
• Engagement of business and labor partners in
  developing useful measures

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The Collaborative Difference

• Learning from the quality improvement experiences
  of our business and labor partners
• Open sharing of best practices
• Looking at entire spectrum of care (physicians,
  hospitals, clinics, etc.)

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Example Inpatient Measure
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Example Office Care Measure
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Example Patient Satisfaction
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Example Leapfrog
Average across all categories
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Why Publicly?

• Take control, or be controlled -
• Payer pressure Lack of evidence for high
  quality care
• Employer Efforts Quality Counts and Pay for
  Performance
• Government Effort Physician office data

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Why Now?

• We can lead, or we can follow
• Provides strategic focus