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, - - 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
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)
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
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