In Pursuit of “Value”: The Wisconsin Collaborative for Healthcare Quality Bipartisan Congressional Health Policy Conference January 14, 2007 Christopher.

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Presentation transcript:

In Pursuit of “Value”: The Wisconsin Collaborative for Healthcare Quality Bipartisan Congressional Health Policy Conference January 14, 2007 Christopher Queram President and CEO

34% of all WI physicians; 41% of WI primary care physicians MEMBER ORGANIZATIONS 34% of all WI physicians; 41% of WI primary care physicians Advanced Healthcare Affinity Health System Agnesian Healthcare Aspirus Wausau Hospital Aurora Healthcare Bellin Health Columbia St. Mary’s Dean Health System Franciscan-Skemp Healthcare Froedtert & Community Health Gundersen Lutheran Luther Midelfort-Mayo Health System Marshfield Clinic Medical Associates Health Center Medical College of Wisconsin Meriter Hospital Prevea Health Services ProHealth Care Hospital Sisters Health System St. Joseph’s Hospital St. Mary's Hospital Medical Center, Madison ThedaCare UW Hospital & Clinics UW Medical Foundation Wheaton Franciscan Services

Public Reporting at the Physician Group Level ALL PATIENTS. ALL PAYERS. ALWAYS. Chronic Care Diabetes A1c screening A1c control LDL-C screening LDL-C control Nephropathy monitoring High blood sugar Control of uncomplicated essential hypertension Preventive Care Breast cancer screening Cervical cancer screening Colorectal cancer screening Episodic Care Postpartum follow-up

www.wchq.org

Describe purpose of accomplishment/activity Describe purpose of accomplishment/activity. Describe opportunity and/or implications activity will have for WCHQ. Describe what’s next in particular area.

Describe purpose of accomplishment/activity Describe purpose of accomplishment/activity. Describe opportunity and/or implications activity will have for WCHQ. Describe what’s next in particular area.

Heart Attack Care Hospital Charges and Quality Comparison

WHAT’S THE VALUE? System view of performance with ability to drill down to provider level All patients within a system are included in the population. All payers are represented. Delivers a ready-made patient registry. Delivers roadmap for improvement. Foundation for pay-for-performance Registry “Starter Kit” 10,000 Foot View Not just the patients I am seeing (make sure to check LDL tomorrow when they come), but also Eloise who has not been in to see me since her bunion surgery prep visit (I didn’t check her A1c that visit, and I haven’t done so for the past 18 months!)

LESSONS LEARNED Multiple stakeholder involvement and buy-in Physicians and clinical leaders must be part of the measure development process. Physicians must have the ability to review results in context with others prior to the results being made publicly available. Data must be easily available and accessible from sources such as electronic medical or administrative (billing) records. Measures must be easily interpretable for the reader to attach practical meaning in making healthcare designs without significant explanation.

Contact Information for the Collaborative On the Web – www.wchq.org Chris Queram, President/CEO cqueram@wchq.org Office: (608) 250-1505 (608) 250-1223