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Collaborative efforts to improve health care safety, quality, and affordability in Indiana through transparency, education, and recognition. Initiatives include expanding voluntary hospital surveys, engaging stakeholders, and promoting quality improvement. Challenges include increasing hospital participation and creating price-sensitive consumers. Next steps involve the rollout of surveys and public recognition for quality improvements. Information packet includes national fact sheet, history, and updates on Indiana rollout.
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2005-06 Indiana Leapfrog Roll-Out Collaboration First
PrinciplesImproving health care safety, quality & affordability • Build Transparency to help consumers and employers make informed decisions about health care. • Expand Leapfrog’s voluntary, self-reported hospital survey. • Educate and inform employees/patients. • Collaboration First: Engage major stakeholders. • Support and encourage hospital efforts to improve safety and quality. • Encourage national & local dialogues to build consensus standards and reporting efficiencies. • Assume the best of purchasers, hospitals & health plans. • Recognition: Promote high-value health care through incentives & rewards. • Recognize hospitals for current initiatives and improvements in safety, quality and efficiency. • Promote formal reward programs like the Leapfrog Hospital Rewards Program (LHRP).
Stars Aligning • Quality improvement initiatives are embraced by an increasing number of Indiana hospitals. • Public reporting is widely accepted and compliments hospital quality initiatives. • The dialogue has shifted from “whether to report publicly” to “what to report”. • Indiana Executive Order--Directive to establish medical error reporting & quality system • Centers for Medicare & Medicaid Services (CMS) Hospital Quality Initiative • National Quality Forum (NQF) endorsement of consensus quality standards. • 154 employers covering 550,000 Hoosier lives support Leapfrog. • Consumer-driven health plans with quality & efficiency standards are emerging. • Consumer is responsible for making informed decisions based on quality • Medical provider incentives & rewards
Challenges & Actions • ImprovingPurchaser/Employer knowledge of health care quality initiatives and their importance to health plan management. • Increasinghospital participation in the Leapfrog survey. • 2004: <10% of hospitals participated • Good considering Indiana only recently became an official Leapfrog Regional Roll-Out. • Creating price & quality sensitiveconsumers. • Reducing reporting burdens on hospitals. • Next Steps: • October 2005: Preliminary Roll-Out inviting 48 Indiana hospitals to complete the Leapfrog survey. • March 2006: Full Roll-Out of 2006 survey targeting central Indiana urban hospitals; inviting others. • Publicly recognize hospitals for their quality improvement efforts and survey completion. • Expand purchaser understanding and role to improve health care quality.
Information Packet • The Leapfrog Group national fact sheet • History • 4 leaps defined • NQF Call to Responsibility--12/5/05 • Leapfrog-Indiana Roll-Out update & fact sheet
