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HCQIP: Catalyzing Transformational Change

Why should we feel hopeful?. Hospital data, data warehouse, 501bDOQIT, legislative mandate, warehouseIOM study of QIO programDashboard and move of data toward real timeCustomer surveyIHI partnership (Merck fellow)Steady strengthening of human resourcesCombining processes and outcomes. HCQIP

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HCQIP: Catalyzing Transformational Change

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    1. HCQIP: Catalyzing Transformational Change

    2. Why should we feel hopeful? Hospital data, data warehouse, 501b DOQIT, legislative mandate, warehouse IOM study of QIO program Dashboard and move of data toward real time Customer survey IHI partnership (Merck fellow) Steady strengthening of human resources Combining processes and outcomes

    3. HCQIP Strategic Framework

    4. What is HCQIP The Medicare Healthcare Quality Improvement Program comprises all of the work of the Quality Improvement Organizations and the ESRD Networks. We hope that it will come to comprise all of the things CMS does that (can) improve the quality of care for Medicare beneficiaries.

    5. Statutory Mission for the QIOs Improve the efficiency, effectiveness, economy, and quality of services delivered to Medicare beneficiaries. -- Social Security Act 1862g

    6. HCQIP Vision for the Health Care System The right care for every person every time.

    7. What is the right care? Safe Effective Patient-centered Timely Efficient Equitable -- Institute of Medicine Crossing the Quality Chasm

    8. Pursuing Perfection: A National Picture

    10. HCQIP Management Goals Be effective: Accelerate improvement in quality and efficiency of care Be efficient: Do what works best and do it lean Be recognized: For adding value to the health care system Create a workplace that attracts and retains great employees

    11. How will we know? Safety Percentage of patients harmed by care Effective Percent of beneficiaries who receive evidence-based care Percent of beneficiaries who achieve desired outcomes Patient-centered Beneficiary experience with care received Percent of beneficiary complaints resolved to beneficiary’s satisfaction

    12. How will we know? 4. Timely (individual project measures) 5. Efficient Cost of inappropriate and wasteful care Percent of hospital payments that are accurate Equitable (individual project measures) Other: Stakeholder and provider awareness of and satisfaction with the program HCQIP employee satisfaction

    13. HCQIP Critical Strategies (How we will accelerate change) Create partnerships with others involved in improving health care Promote the use of comparative performance data, transparency, and public reporting Promote the use of information technology to increase efficiency and accuracy Spread learning and success Focus on increasing system reliability and safety Promote the use of rapid cycle improvement and process redesign methods Focus on decreasing waste and inefficiency Support and promote workforce development

    14. Transformational Change We are not in the business of helping the system do it better, we are in the business of helping the system do it right. Doing it right requires transformation of the healthcare system. ? We must focus on projects where our efforts are likely to be transformational.

    15. Some transformational projects Office information technology reimagines how doctors’ office work is done Surgical care improvement partnership imagines an army of stakeholders working effectively together Mediation reimagines what to do with a complaint Corporate partnerships (nursing homes and dialysis) reimagine government-business relationships

    16. What is the strategic planning effort? 20 teams (at least 2 QIO representatives on each) 90 days (complete March 31) Within the strategic framework Product: aims, measures, projects, CMS support strategy, and focus. Interim reports for core contract activities here, today and tomorrow. It’s exciting.

    17. As you participate in today’s and tomorrow’s meetings Recognize that presenters are describing the current draft of rapidly evolving work. Listen for what is transformational and what may be too traditional. Suggest and discuss breakthrough changes. Imagine how we can make the world profoundly different and better. Go forth and change the world.

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