1. AHRQ’s Chartered Value Exchanges: An Overview Jan De La Mare AHRQ CVE Learning Network September 20, 2011

2. Underlying Philosophy of Collaboratives: “All Health Care is Local” National goals and common standards are important, but real improvement takes place in local settings National goals and common standards are important, but real improvement takes place in local settings Growing number of National programs and organizations supporting local collaboratives Growing number of National programs and organizations supporting local collaboratives – HHS AHRQ Chartered Value Exchange (CVE) Program – 24 regional or community collaboratives – HHS ONC Beacon Community Program – 15 regional collaboratives – RWJ Aligning Forces Program – 16 regional collaboratives – National Business Coalition on Health (NBCH) business-led coalitions – 60 regional collaboratives – Network for Regional Healthcare Improvement (NRHI) – 31 regional collaboratives To promote federal-level coordination, AHRQ staff liaises with leadership of these community-based quality improvement initiatives, as well as the Quality Alliance Steering Committee (QASC), National Quality Forum (NQF), etc. To promote federal-level coordination, AHRQ staff liaises with leadership of these community-based quality improvement initiatives, as well as the Quality Alliance Steering Committee (QASC), National Quality Forum (NQF), etc.

3. AHRQ CVE Program: Opportunities for Strategic Alignment within Communities Formed in 2007, brings together 24 community quality collaboratives Formed in 2007, brings together 24 community quality collaboratives Communities committed to mission of quality transparency and improvement Communities committed to mission of quality transparency and improvement Represents 124 million lives, more than one- third of U.S. population Represents 124 million lives, more than one- third of U.S. population Involves more than 600 health care leaders Involves more than 600 health care leaders

4. 600 Leaders with a Stake in Quality Provide Opportunity for Strategy Alignment Within the Community Purchasers: Regional employer coalitions; State Medicaid Agencies; employers such as Ford, Dow, Procter and Gamble, FedEx Purchasers: Regional employer coalitions; State Medicaid Agencies; employers such as Ford, Dow, Procter and Gamble, FedEx Consumer Organizations: State American Heart Association chapters; State American Cancer Society chapters; State American Red Cross chapters; unions; consumer health coalitions; State AARP chapters; Aging Commissions Consumer Organizations: State American Heart Association chapters; State American Cancer Society chapters; State American Red Cross chapters; unions; consumer health coalitions; State AARP chapters; Aging Commissions Health Plans: State health plan associations; regional and national commercial plans; Medicaid health plans Health Plans: State health plan associations; regional and national commercial plans; Medicaid health plans Providers: State hospital associations; hospital CEOs, State American College of Physicians chapters; State Medical Societies, academic medical centers; individual practicing physicians Providers: State hospital associations; hospital CEOs, State American College of Physicians chapters; State Medical Societies, academic medical centers; individual practicing physicians …and State Departments of Health, State data organizations, QIOs, HIEs, universities …and State Departments of Health, State data organizations, QIOs, HIEs, universities

5. 24 Chartered Value Exchanges

6. 1. California Chartered Value Exchange 2. Colorado Value Exchange 3. Connecticut – eHealthConnecticut, Inc. 4. Indiana – Quality Health First Program 5. Kansas – Kansas City Quality Improvement Consortium 6. Kentucky – Greater Louisville Value Exchange Partnership 7. Louisiana Health Care Quality Forum 8. Maine Chartered Value Exchange Alliance 9. Massachusetts Chartered Value Exchange 10. Michigan -- Alliance for Health 11. Michigan -- Greater Detroit Area Health Council 12. Michigan Health Information Alliance 13. Minnesota Healthcare Value Exchange 14. Nevada Partnership for Value-driven Health Care 15. New York Quality Alliance 16. Ohio – Health Improvement Collaborative of Greater Cincinnati and HealthBridge 17. Oregon Health Care Quality Corporation 18. Pennsylvania -- Pittsburgh Regional Health Initiative 19. Pennsylvania – Aligning Forces for Quality– South Central PA 20. Tennessee -- Healthy Memphis Common Table 21. Utah Partnership for Value-driven Health Care 22. Virginia Health Care Alliance 23. Washington -- Puget Sound Health Alliance 24. Wisconsin Healthcare Value Exchange

7. CVEs and Public Reporting 9 CVEs sponsor a hospital or physician public report, An additional 5 are preparing to do so, and 10 CVEs not directly involved in public reporting include one or more affiliate organizations that already produce a public report.

8. Focus of AHRQ Learning Network Activities Content is user-driven. Through AHRQ’s Learning Network, CVE members learn from each other and from experts, sharing experiences and best practices in the following areas: Collaborative Leadership & Sustainability Consumer Engagement Quality and Efficiency Measurement Public Reporting for Consumers Provider Incentives for Quality Consumer Incentives for Quality Collaborative Strategies to Improve Quality and Efficiency Health Information Technology/Health Information Exchange

9. AHRQ Consumers CMS Foundations Purchasers CVEs Physicians Technical Experts NRHI State Data Organizations QIOs The Lewin Group Hospitals Health Plans NQF Policymakers It takes a village. It takes a metropolis. NBCH Medicaid Beacon