Patient Safety: Key Aspects of the Policy Agenda

1. Patient Safety: Key Aspects of the Policy Agenda Janet M. Corrigan, PhD President and CEO National Quality Forum March 2010

2. Looking Back: What have we accomplished? • Safety as a National Priority • Public Reporting • Payment Alignment • Health Information Technology • Education and Technical Assistance

3. Looking Back: What have we accomplished? • Safety as a National Priority • National Priorities – National Priorities Partnership and IHI • HAI Campaigns -- DHHS and Consumers Union • Public Reporting • Payment Alignment • Health Information Technology • Education and Technical Assistance

4. Looking Back: What have we accomplished? • Safety as a National Priority • Public Reporting • AHRQ National Health Care Quality Report • Hospital Compare • State Initiatives • Payment Alignment • Health Information Technology • Education and Technical Assistance

5. Looking Back: What have we accomplished? • Safety as a National Priority • Public Reporting • Payment Alignment • Pay-for Performance • Non-payment for HACs • Health Information Technology • Education and Technical Assistance

6. Looking Back: What have we accomplished? • Safety as a National Priority • Public Reporting • Payment Alignment • Health Information Technology • American Reinvestment and Recovery Act • Education and Technical Assistance

7. Looking Back: What have we accomplished? • Safety as a National Priority • Public Reporting • Payment Alignment • Health Information Technology • Education and Technical Assistance • AHRQ Programs • Patient Safety Organizations

8. Looking Forward: What might come from health reform? • Provisions Related to the Quality Enterprise • Healthcare Acquired Conditions • Readmissions

9. Looking Forward: What might come from health reform? • Provisions Related to the Quality Enterprise • Set national priorities and goals and align federal programs • Support for measure development and endorsement • Extensive public reporting requirements • Value-based purchasing including consultative processes • QI, systems redesign, and health professions education • Healthcare Acquired Conditions • Readmissions

10. Looking Forward: What might come from health reform? • Provisions Related to the Quality Enterprise • Healthcare Acquired Conditions • Public reporting • Payment adjustments for hospitals • Readmissions

11. Looking Forward: What might come from health reform? Senate Bill • Provisions Related to the Quality Enterprise • Healthcare Acquired Conditions • Readmissions • Reporting requirements for health plans and provider organizations • Reduced payments for preventable readmissions • Hospitals required to implement safety evaluation systems and comprehensive discharge planning • Mandatory QI program for poor performing hospitals

12. Conclusion • Safety is a priority at the national and state levels • Health care environment more aligned with achieving safety goals –strong and growing commitment to transparency and payment alignment • Strong federal investment in HIT • Growing portfolio of best practices, education, and technical assistance programs • Policymakers have attempted to strike a balance between “carrots and sticks”