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QIO Synergies with AHRQ

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QIO Synergies with AHRQ

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    1. QIO Synergies with AHRQ

    2. The STEEEP Challenge in Context In 2001, IOM observed that a “quality chasm” exists IOM defined quality care as care that is safe, timely, effective, efficient, equitable and patient-centered We continue to face large variations and inequities of care Translating scientific advances into clinical practices that benefit patients $2.3 trillion in annual spending, yet 45 million are uninsured

    3. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

    4. AHRQ’s Mission

    5. AHRQ Priorities

    6. Quality and Disparities Reports BSIs up 8 percent Post-op catheter-associated UTIs up 3.6 percent Minorities less likely than Whites to receive preventive pre-surgery antibiotics in a timely manner

    7. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

    8. Why QIOs? National themes, local interventions (9th Statement of Work) Solid network of local providers and infrastructure Taking healthcare quality from performance measurement to actual performance improvement ‘Boots on the ground’ in implementing quality initiatives A vital partnership with national organizations

    9. Where Your Expertise Is Needed Medicare beneficiary protection Patient safety MRSA Pressure ulcers Reducing use of physical restraints Surgical and drug safety Heart failure treatment Prevention Disparities: diabetes Care transitions Kidney disease

    10. AHRQ and QIOs: QIO Learning Network AHRQ Knowledge Transfer/Implementation program Technical assistance to QIOs and associated hospitals Initial project: VTE Prevention Project January to July 2010 Multi-state, accelerated learning collaborative Employs AHRQ’s VTE toolkit

    11. EDCAP Trial: Pneumonia Treatment Problem: Implementing evidence-based pneumonia guidelines into practice In 32 hospitals (Pennsylvania and Connecticut), treatment based on Pneumonia Severity Index was implemented Collaboration with QIOs High-intensity guideline practice was most effective

    12. Case Study: Iowa Patient Registry Collaborative effort of Iowa Medicaid Enterprise and Iowa Foundation for Medical Care In 2007, developed patient registry Used EHC Program’s Registries for Evaluating Patient Outcomes: A User’s Guide for guidance Registry compatible with EMRs, features physician and lab test tracking systems Will help rural providers achieve medical home status

    13. Case Study: Tennessee Report Card Tennessee released State Healthcare Report Card in 2009 Incorporates AHRQ’s Preventable Hospitalization Costs and Mapping Tool, Prevention Quality Indicators Analyzes preventable hospitalizations associated with diabetes, hypertension Part of successful push for all-State payer database QSource worked with state departments to develop report card

    14. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

    15. Health Reform Law Patient Protections and Affordable Care Act – H.R. 3950 Now Public Law 111-148 Provides exciting opportunities for AHRQ New opportunities for QIOs?

    16. Important Provisions National Strategy to Improve Health Care Quality Interagency Working Group on Health Care Quality Quality Measure Development Data, Collection, Analysis and Public Reporting Health Care Quality Improvement (CQuIPS) Patient-Centered Outcomes Research Institute

    17. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

    18. The Only Questions That Matter

    19. What is Comparative Effectiveness Research?

    20. An Unprecedented Investment AHRQ’s Effective Health Care Program created by Medicare Modernization Act of 2003 From 2005-2009, received $129 million from Congress for CER Program has published more than 45 products, including guides for clinicians and consumers The American Recovery and Reinvestment Act of 2009 includes $1.1 billion for comparative effectiveness research, including $300 million to AHRQ

    21. Plain Language Guides in English and Spanish

    22. The Cycle of Evidence

    23. Reconciling Research and Care

    24. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

    25. Where Do We Go From Here? Implementing P.L. 111-148 Anticipating downstream effects of policy applications Eliminating uncertainty about best practices involving treatments and technologies Making sure that comparative effectiveness is “descriptive, not prescriptive” Emulating the motto: National themes, local interventions An eye toward quality improvement, always Consistent and effective use of the same evidence to make care decisions based on the characteristics, needs and wishes of the individual

    26. We Can’t Do It Without You! Not about us without us Participate in CER: input on priorities, topics, comment on draft reports; www.effectivehealthcare.ahrq.gov Participate on expert panels Funding opportunities: www.ahrq.gov/fund

    27. QIO Synergies with AHRQ AHRQ Roles and Resources QIOs Today Patient Protection and Affordable Care Act of 2010 Comparative Effectiveness Research A View to the Future, with Your Help Q&A

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