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 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)

DRAFT: Quality Alliance Steering Committee Document National Framework for Quality and Cost Transparency for High-Value Care AHRQ NQF National Priorities Partners* Foundations Other NCQA Set national The Joint Commission Continuously priorities and goals AMA PCPI evaluate QIOs to drive Medical Societies health and Regional Collaboratives improvement and Medical Specialty Boards health care Providers affordability CMS Oversight Organizations AHRQ Employers Others** Improve quality Health Plans and reduce waste Develop and test evidence- based measures Consumer Outcomes High Quality Establish effective public Fed/State Govt NQF Endorse and maintain policies, payment policies, Equitable Health Plans measures and incorporate and consumer incentives to Employers Affordable specifications into EHRs reward or foster better Consumers Patient-Centered performance Providers Develop coordinated Generate public and streamlined reports on quality and implementation cost strategies: prioritization, Aggregate data and QASC timelines, and pilot test and Quality Alliances process solutions validate standard Joint Commission NCQA performance Medical Specialty Boards information Regional Collaboratives QASC Fed/State Govt. Regional Collaboratives Health Plans RHIOs/HIEs Others CMS States Health Data Stewards *List of all involved partners available. ** Nursing, Academic Commnities, etc.

NQF Extended Episode Framework Applied to Low Back Pain Trajectory 1 (T1) Returning back to work & assuming normal activities of daily living Confirm back pain syndrome; Rule out red flags Focus on: (i.e. malignancy, infection) • Quality of Life • Functional Status • Patient-generated goals • Education & prevention Diagnosis & Population at Risk of future episodes Initial Follow-up Shared Decision Surgery or Management Care & Making & Medical Adults with back pain Prevention Informed Choice Treatment Trajectory 2 (T2) PHASE 3 PHASE 4 PHASE 5 Patient at risk for long- PHASE 2 term chronic disability PHASE 1 Patient baseline Focus on: assessment of function, • Quality of Life mental health & • Functional Status comorbidities • Patient-generated goals Staying Healthy (T1) Getting Better Living w/ Illness/Disability (T2) Episode begins – Episode ends – onset of symptoms 1 year