2005-06 Indiana Leapfrog Roll-Out

1. 2005-06 Indiana Leapfrog Roll-Out Collaboration First

2. PrinciplesImproving health care safety, quality & affordability • Build Transparency to help consumers and employers make informed decisions about health care. • Expand Leapfrog’s voluntary, self-reported hospital survey. • Educate and inform employees/patients. • Collaboration First: Engage major stakeholders. • Support and encourage hospital efforts to improve safety and quality. • Encourage national & local dialogues to build consensus standards and reporting efficiencies. • Assume the best of purchasers, hospitals & health plans. • Recognition: Promote high-value health care through incentives & rewards. • Recognize hospitals for current initiatives and improvements in safety, quality and efficiency. • Promote formal reward programs like the Leapfrog Hospital Rewards Program (LHRP).

3. Stars Aligning • Quality improvement initiatives are embraced by an increasing number of Indiana hospitals. • Public reporting is widely accepted and compliments hospital quality initiatives. • The dialogue has shifted from “whether to report publicly” to “what to report”. • Indiana Executive Order--Directive to establish medical error reporting & quality system • Centers for Medicare & Medicaid Services (CMS) Hospital Quality Initiative • National Quality Forum (NQF) endorsement of consensus quality standards. • 154 employers covering 550,000 Hoosier lives support Leapfrog. • Consumer-driven health plans with quality & efficiency standards are emerging. • Consumer is responsible for making informed decisions based on quality • Medical provider incentives & rewards

4. Challenges & Actions • ImprovingPurchaser/Employer knowledge of health care quality initiatives and their importance to health plan management. • Increasinghospital participation in the Leapfrog survey. • 2004: <10% of hospitals participated • Good considering Indiana only recently became an official Leapfrog Regional Roll-Out. • Creating price & quality sensitiveconsumers. • Reducing reporting burdens on hospitals. • Next Steps: • October 2005: Preliminary Roll-Out inviting 48 Indiana hospitals to complete the Leapfrog survey. • March 2006: Full Roll-Out of 2006 survey targeting central Indiana urban hospitals; inviting others. • Publicly recognize hospitals for their quality improvement efforts and survey completion. • Expand purchaser understanding and role to improve health care quality.

5. Information Packet • The Leapfrog Group national fact sheet • History • 4 leaps defined • NQF Call to Responsibility--12/5/05 • Leapfrog-Indiana Roll-Out update & fact sheet