Setting a National Agenda for Quality and Safety Janet M. Corrigan, - - PowerPoint PPT Presentation

setting a national agenda for quality and safety
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Setting a National Agenda for Quality and Safety Janet M. Corrigan, - - PowerPoint PPT Presentation

Setting a National Agenda for Quality and Safety Janet M. Corrigan, PhD, MBA President and CEO Member Councils Consumer Council (Chair Brian Lindberg, Vice Chair Maureen Corry) Health Plan Council (Chair Chris Izui, Vice Chair Lisa


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Setting a National Agenda for Quality and Safety

Janet M. Corrigan, PhD, MBA President and CEO

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Member Councils

  • Consumer Council (Chair Brian Lindberg, Vice Chair Maureen Corry)
  • Health Plan Council (Chair Chris Izui, Vice Chair Lisa Latts)
  • Health Professionals Council (Chair Bob Haralson, Vice Chair Bill

Rich)

  • Public/Community Health Agencies Council (Chair David

Gifford, Vice Chair Denise Love)

  • Purchasers Council (Chair Andy Webber, Vice Chair David Hopkins)
  • Provider Organizations Council (Chair Paul Convery, Vice Chair

Chris Hebert)

  • Quality Measurement, Research & Improvement Council

(Chair Lou Diamond, Vice Chair Barbara Corn)

  • Supplier & Industry Council (Chair Dave Domann, Vice Chair

Kathleen Shoemaker)

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National Framework for Quality and Cost Transparency for High-Value Care

NQF National Priorities Partners* NCQA The Joint Commission AMA PCPI Medical Societies Medical Specialty Boards CMS AHRQ Others** NQF QASC Quality Alliances Joint Commission NCQA Medical Specialty Boards QASC Regional Collaboratives RHIOs/HIEs CMS States Health Data Stewards

Consumer Outcomes

High Quality Equitable Affordable Patient-Centered

Set national priorities and goals to drive improvement and affordability Develop and test evidence- based measures Endorse and maintain measures and incorporate specifications into EHRs Develop coordinated and streamlined implementation strategies: prioritization, timelines, and process solutions Aggregate data and pilot test and validate standard performance information Generate public reports on quality and cost Regional Collaboratives Fed/State Govt. Health Plans Others QIOs Regional Collaboratives Providers Oversight Organizations Employers Health Plans Continuously evaluate health and health care

AHRQ Foundations Other

Improve quality and reduce waste Establish effective public policies, payment policies, and consumer incentives to reward or foster better performance Fed/State Govt Health Plans Employers Consumers Providers *List of all involved partners available. ** Nursing, Academic Commnities, etc.

DRAFT: Quality Alliance Steering Committee Document

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NQF Extended Episode Framework Applied to Low Back Pain

Getting Better Staying Healthy (T1) Living w/ Illness/Disability (T2)

Confirm back pain syndrome; Rule out red flags (i.e. malignancy, infection)

Follow-up Care & Prevention

Episode begins –

  • nset of symptoms

Trajectory 2 (T2) Patient at risk for long- term chronic disability Focus on:

  • Quality of Life
  • Functional Status
  • Patient-generated goals

Population at Risk

Adults with back pain

Surgery or Medical Treatment

Episode ends – 1 year

Patient baseline assessment of function, mental health & comorbidities PHASE 1 PHASE 2 PHASE 4 PHASE 5 PHASE 3

Shared Decision Making & Informed Choice Trajectory 1 (T1) Returning back to work & assuming normal activities

  • f daily living

Focus on:

  • Quality of Life
  • Functional Status
  • Patient-generated goals
  • Education & prevention
  • f future episodes

Diagnosis & Initial Management