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AHRQ’s Chartered Value Exchanges: An Overview. Jan De La Mare AHRQ CVE Learning Network September 20, 2011. Underlying Philosophy of Collaboratives : “All Health Care is Local”. National goals and common standards are important, but real improvement takes place in local settings
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AHRQ’s Chartered Value Exchanges:An Overview Jan De La Mare AHRQ CVE Learning Network September 20, 2011
Underlying Philosophy of Collaboratives: “All Health Care is Local” • 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 • 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.
AHRQ CVE Program: Opportunities for Strategic Alignment within Communities • Formed in 2007, brings together 24 community quality collaboratives • Communities committed to mission of quality transparency and improvement • Represents 124 million lives, more than one-third of U.S. population • Involves more than 600 health care leaders
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 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 Providers:State hospital associations;hospital CEOs, State American College of Physicians chapters; State Medical Societies, academic medical centers; individual practicing physicians …andState Departments of Health, State data organizations, QIOs, HIEs, universities
24 Chartered Value Exchanges 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
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.
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
It takes a village. It takes a metropolis. Health Plans CVEs CMS Beacon AHRQ Hospitals NRHI QIOs The Lewin Group State Data Organizations Consumers Policymakers TechnicalExperts Purchasers Physicians Foundations NQF NBCH Medicaid