AHRQ Learning Network for Chartered Value Exchanges (CVEs)

1. AHRQ Learning Network for Chartered Value Exchanges (CVEs) September 2008 CVEs may wish to tailor this slide deck for use with stakeholders in your community.

2. AHRQ’s Learning Network Builds on Value-Driven Health Care Principles • All health care is “local” • Transparency – accurate meaningful information on quality and cost – is key to provider improvement and consumer engagement • Collaboratives involving key stakeholder groups – public and private payers, providers, plans and consumers* – hold promise to foster requisite reforms *and in some cases State data organizations, Quality Improvement Organizations, and health information exchanges

3. Transformational Goal of CVEs: Improved Quality and Efficiency High Efficiency Low Low High Quality

4. What Will This Take? • Good measures and data • Strong local coalitions • Evidence-based reporting, payment strategies • Evidence, tools, strategies for improvement • Collaboration across sites

5. Identify and share promising practices that improve health care value Translate interventions into adaptable change strategies Identify gaps where innovation is needed Provide face-to-face and virtual opportunities for peer-to-peer sharing of experience Create a user-friendly, Web-based knowledge repository AHRQ Goals for Learning Network Measurement Incentives Data aggregation Report Cards Provider Incentives Consumer

6. User-driven Philosophy • Users identify questions that need to be addressed when considering or designing value-driven health care strategies, which are used to form the outline for Learning Network technical assistance content. • Needs assessment takes a number of forms -- • Initial needs assessment, both formal and informal (June 07, September 07), to prioritize (Phase I) technical assistance • One-on-one interviews after CVE sites are selected (to prioritize Phase II technical assistance) • Periodic needs assessment update • Each technical assistance product includes at least one review (draft stage) by subset of community stakeholders

7. Three Levels of Technical Assistance for CVEs One-on-one for topics specific to a CVE requiring targeted assistance (e.g., building a business model for a specific community) Cluster for topics involving only a subset of CVEs (e.g., consumer incentives for diabetes) Network-wide for topics relevant to all CVEs (e.g., evidence-based public reporting)

8. CVE Learning Network Venues • Audio-conferences • Webinars (2-3 per month) • Web site resources and Internet chat forums • In-person meetings • One-on-one consultations, e.g., experts online, telephone

9. Learning Network Web Site Private site for CVE communities: • Home page with calendar • About the Learning Network • Members • Communities • Forum • Technical Assistance • Library & Links • Search

10. Learning Network Web Site: Calendar

12. Focus of AHRQ Learning Network for CVEs • Technical assistance content spans contemplation, design and implementation decisions across the following activities identified by user/stakeholders as high priority: • Collaborative leadership & sustainability • Public at-large engagement • Quality & efficiency measurement • Public reporting • Provider incentives • Consumer incentives • Capacity for improving quality • HIT/HIE

13. Collaborative Leadership Technical assistance product: Sustainability Models for Multi-stakeholder Quality Collaboratives, includes three case studies, two pilot sites, and a sustainability model toolbox

14. Collaborative Leadership (cont.) Community Inventory Tool to gather detailed information on seven focus areas

15. Public Reporting Best Practices in Public Reporting Technical assistance product:

16. Provider Incentives AHRQ Decision Guide on Pay for Performance Technical assistance product:

17. Consumer Incentives AHRQ Decision Guide on Consumer Financial Incentives, with zoom-in section on provider tiering Technical assistance product: