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 1. All health care is “local” 2. Transparency – accurate meaningful information on quality and cost – is key to provider improvement and consumer engagement 3. 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 Low High LowHigh Quality Efficiency

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

5. AHRQ Goals for Learning Network Identify and share promising practices that improve health care value Identify and share promising practices that improve health care value Translate interventions into adaptable change strategies Translate interventions into adaptable change strategies Identify gaps where innovation is needed Identify gaps where innovation is needed Provide face-to-face and virtual opportunities for peer-to-peer sharing of experience Provide face-to-face and virtual opportunities for peer-to-peer sharing of experience Create a user- friendly, Web-based knowledge repository Create a user- friendly, Web-based knowledge repository 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. 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 -- 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 Network-wide for topics relevant to all CVEs (e.g., evidence-based public reporting) Cluster for topics involving only a subset of CVEs (e.g., consumer incentives for diabetes) One-on-one for topics specific to a CVE requiring targeted assistance (e.g., building a business model for a specific community)

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

10. Learning Network Web Site: Calendar

12. Focus of AHRQ Learning Network for CVEs 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: 1.Collaborative leadership & sustainability 2.Public at-large engagement 3.Quality & efficiency measurement 4.Public reporting 5.Provider incentives 6.Consumer incentives 7.Capacity for improving quality 8.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 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 Community Inventory Tool to gather detailed information on seven focus areas

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

16. Provider Incentives AHRQ Decision Guide on Pay for Performance 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 AHRQ Decision Guide on Consumer Financial Incentives, with zoom-in section on provider tiering Technical assistance product: