What does the National Healthcare Agenda Mean to Us?. Developed in cooperation with Patricia C. Kienle, MPA, FASHP and Wayne S. Bohenek, Pharm.D., M.S., FASHP Reviewed July 2009. What do we mean by “Quality”?. Safe - avoiding injuries to patients from the care that is intended to help them
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What does the National Healthcare Agenda Mean to Us?
Developed in cooperation with Patricia C. Kienle, MPA, FASHP and Wayne S. Bohenek, Pharm.D., M.S., FASHP
Reviewed July 2009
What do we mean by “Quality”?
Safe - avoiding injuries to patients from the care that is intended to help them
Effective - providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and overuse, respectively)
Patient Centered - providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions
Timely - reducing waits and sometimes harmful delays for both those who receive and those who give care.
Efficient - avoiding waste, including waste of equipment, supplies, ideas, and energy
Equitable - providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
Stakeholder Response to Patient Safety
Mandatory requirements for accreditation
mandatory and voluntary
Specific initiatives identified by this institution.
Do more with less
Provide incentives to providers that use tools to increase safety and can demonstrate performance.
National Quality Forum www.qualityforum.org
Data Collection, Aggregation, Verification
Public Reporting and Accountability
Were the goals achieved?
Annual Payment Update
Hospital Quality Alliance
Growth of Publicly Reported Measures
2004 – Annual Payment Update of .4% tied to submitting 10 HQA measures
2007 – Annual Payment Update of 2% tied to submitting 21 HQA Measures and CMS able to add additional measures; HCAHPS next.
Number of Measures
Pay for Performance (P4P)
Source: Premier, Inc
Top Performance Threshold
Payment Adjustment Threshold
Anticipated Payment Scenario
Source: Premier, Inc
Centers for Medicare and Medicaid (CMS)
Outpatient Quality Reporting Measures for 2009
Understand the National Healthcare Agenda
Understand How this Institution Prioritizes the National Agenda
Develop and Align Our Pharmacy’s Programs Accordingly
Influence you Facility’s Strategic Direction
Develop Skills in Performance Improvement
And Change Management