Vision 2007:

1. Vision 2007: Setting criteria for future service providers to PEBB membersPEBB Board of Directors May 18, 2004

2. Agenda for session • FACCT background • FACCT approach to project • Proposed process and timeline • Vendor categories

3. FACCT background • Created in 1995 by national purchasers and consumers to drive quality • Goal to drive health system improvement through greater public transparency, understanding, and engagement • Since 1999 focus on consumers’ health care decisionmaking • Helped General Electric, HCFA, FEHB, Leapfrog group, General Motors, AT&T, AFL-CIO with educating members/employees

4. FACCT approach to project • Focus on practical implementation towards Vision 2007 • Focus on purchasing process • Develop sets of criteria for 2006 RFP • Close collaboration with technical experts, communications experts, PEBB members, PEBB Board, and larger community

5. Vision 2007 Principles PEBB envisions a new state of health for its members statewide. Key components of the PEBB program will include: • An innovative delivery system in communities statewide that provides evidence-based medicine to maximize health and utilize dollars wisely. • A focus on improving quality and outcomes not just providing healthcare. • The promotion of consumer education and informed choices. • Appropriate market and consumer incentives that encourage the right care at the right time. • System-wide transparency through explicit, available and understandable reports about costs, outcomes and other useful data. • Benefits that are affordable to the state and employees.

6. Proposed process and timeline • Board: • Identify vendor categories • Identify high-level criteria (outcomes) • Appoint advisory committees (member, technical, communications, strategic) • Monthly review of interim products • Review draft products: technical 9/30, communications 10/31

7. Proposed process and timeline • Technical: • Review vendor categories • Review high-level criteria (outcomes) • Assemble best-practice examples and materials • Identify “domain categories” such as financial incentives, quality standards, access etc. • Develop specific criteria in each category for each type of vendor • Review with members, stakeholders and Board

8. Proposed process and timeline • Communications: • Develop draft communications goals • Review current member outreach channels • Review past research, surveys, informal feedback • Assemble best-practice examples and materials • Develop three-year communications plan, including intermediate metrics • Identify first-phase activities (awareness building) • Conduct messaging summit and qualitative research with members • Draft and test first-phase materials

9. Sharpening our expectations • Restate Board’s primary goal • Identify outcomes of interest • Identify assumptions about delivery of care • Identify credible types of service offerings • Identify criteria to evaluate service offerings

10. Vision 2007 Principles PEBB envisions a new state of health for its members statewide. Key components of the PEBB program will include: • An innovative delivery system in communities statewide that provides evidence-based medicine to maximize health and utilize dollars wisely. • A focus on improving quality and outcomes not just providing healthcare. • The promotion of consumer education and informed choices. • Appropriate market and consumer incentives that encourage the right care at the right time. • System-wide transparency through explicit, available and understandable reports about costs, outcomes and other useful data. • Benefits that are affordable to the state and employees.

11. Schematic of process Goal: healthier members using resources efficiently Strategy: arrange system for delivering safe, effective, high-quality services Wellness Screening Primary Care* Specialty medical care Mental & behavioral health Prescription drugs Hospital care Chronic care/ disease mgmt. Information & coaching