What’s Your Quality Strategy?

04AThe Agency for Healthcare Research and Quality (AHRQ) announced today that slides are available from the February 4th National Quality Strategy Webinar, entitled Using Payment to Improve Health and Health Care Quality. Payment models is one of nine strategic levers (see below) AHRQ recommends using to drive strategic quality improvement.

The National Quality Strategy is an initiative that was established pursuant to the Affordable Care Act to, “improve the delivery of health care services, patient health outcomes and population health.” The first strategy was published in 2011; this initiative represents a nationwide effort of public and private stakeholders to align quality measures with quality improvement activities.

There are six national quality strategy priorities that NQS asserts affect most Americans:

Patient Safety
Person- and Family- Centered Care
Prevention and Treatment of Leading Causes of Mortality
Affordable Care
Health and Well Being
Effective Communication and Care Coordination

The NQS offers nine Quality Strategy Levers (core business functions that organizations can use to pursue improvement across the aforementioned priorities):

Measurement and Feedback
Public Reporting
Learning and Technical Assistance
Certification, Accreditation and Regulation
Consumer Incentives and Benefit Designs
Payment
Health Information Technology
Innovation and Diffusion
Workforce Development

The webinar presentation discusses how the ability to economically benefit from value-based payment models is negatively impacted by the inability to create outcome measurement alignment. More calls for standardization and evidence-based practices.

Making the connection between payment and quality is indeed a slippery slope and the most contentious non-access aspect of the Healthcare Reform debate. Financial reward is the most expedient means available to align incentives. But because of the inherent structural weaknesses of our current delivery system those incentives can be counterintuitive to patient welfare. If you’re in the business of serving patients, it’s critically important that you understand the nature of this debate and how it continues to play out in policy and regulatory decision making.

Cheers,
  Sparky

 

 

The slides and transcript from the February 4 National Quality Strategy Webinar entitled “Using Payment to Improve Health and Health Care Quality” are now available on the Working for Quality Web site. This Webinar focused on how using payment, one of the nine National Quality Strategy levers, can help organizations align to the strategy and promote the three National Quality Strategy aims.

 

An updated National Quality Strategy toolkit is also now available.  The toolkit includes updated graphic icons, templates for social media, newsletters, and blog content that organizations can use to share their alignment to and support of the National Quality Strategy.

 

If you have a story or case study you would like to share with the NQS audience, please email NQStrategy@ahrq.hhs.gov.

NQS 2014 Annual Report

Quick hit to let Pub patrons know that the U.S. Department of Health and Human Services has released the 2014 Annual Progress Report on the National Strategy for Quality Improvement in Health Care. This is an initiative led by the Agency for Healthcare Research and Quality (AHRQ) and contains some interesting Priorities in Action – summaries of programs across the country seeking to leverage the NSQI platform.

For those seeking the snapshot . . .

Three aims

  • Better care: think patient-centeredness, reliability, accessibility and safety
  • Healthy people/healthy communities: think health & wellness, population health management and proven interventions
  • Affordable care: think value

Six priorities:

  1. Continuing to reduce unintentional harm associated with healthcare delivery
  2. Patient engagement
  3. Care coordination via “effective” communication
  4. Emphasis of prevention and treatment priorities for leading cause of mortality conditions
  5. Community-targeted best practices encouraging healthier lifestyles
  6. Encouraging new delivery and business models that can increase value (better outcomes/cost)

Cheers,
  ~ Sparky

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