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Public Reporting of Hospital Quality Information George Lynn

Public Reporting of Hospital Quality Information George Lynn Chair-elect, American Hospital Association. Update on the Quality Initiative. A little history Where are we Personal stories of triumph and challenge Predictions. Why public reporting?. A Little History. Building trust

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Public Reporting of Hospital Quality Information George Lynn

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  1. Public Reporting of Hospital Quality Information George Lynn Chair-elect, American Hospital Association

  2. Update on the Quality Initiative • A little history • Where are we • Personal stories of triumph and challenge • Predictions

  3. Why public reporting? A Little History • Building trust • Demonstrate commitment to the best patient care • Inform decision-making

  4. Shaking the Public Trust • IOM Reports • To Err is Human • Crossing the Quality Chasm • Headlines about errors

  5. Wish List for Public Reporting • Fair measurement • A voice in what is measured • Predictability • Consistency

  6. Hospitals’ Perception • Assessments not all fair • Measures of varying quality • Analytic methods vary, too • Have little voice • Constantly changing

  7. Data Requests: Payors Insurers Employer coalitions State agencies Accrediting bodies Quality Improvement Orgs Federal agencies CMS CDC AHRQ OPM FTC Publications Consistency is Lacking

  8. The Quality Initiative • AFL-CIO • American Hospital Association • Agency for Healthcare Research and Quality • American Medical Association • AARP • Association of American Medical Colleges • Consumer/Purchaser Disclosure Project • Federation of American Hospitals • Joint Commission on Accreditation of Healthcare Organizations • National Quality Forum

  9. Quality Initiative – Where are we? Initial Components • 10 measures in 3 conditions • Heart attack • Heart failure • Pneumonia • Build the mechanisms

  10. Quality Initiative – Where Are We? Participation Trend

  11. The Quality Initiative Where are we now? www.cms.hhs.gov/qualityinitiatives October 2003: Data available to clinicians and media on 400+ hospitalsFebruary 2004:Updated with data for 1400+ hospitals May 2004: Update of data – 1952 hospitals Nov/Dec 2004:Planned update of data with all submitting for full update – est 4000 Jan/Feb 2005: Consumer friendlier version on Medicare.gov

  12. The Quality Initiative On deck … • More measures in 3 conditions • Heart attack • Heart failure • Pneumonia • Surgical Infection Prevention • Work on relevant measures for rural hospitals • Patient perceptions of care (HCAHPS)

  13. 2nd Qtr ’04 Heart Attack PCI in 120 minutes Thrombolytics in 30 minutes Advice to quit smoking Heart Failure Advice to quit smoking Discharge instructions Pneumonia Smoking cessation Culture before antibiotic 3rd Qtr ’04 Pneumonia Initial antibiotic selection Influenza vaccination Surgical Infection Timing of antibiotic Choice of antibiotic Cessation of antibiotic in a timely manner New Measures

  14. The Quality Initiative On deck … • More measures in 3 conditions • Heart attack • Heart failure • Pneumonia • Surgical Infection Prevention (right time, right antibiotic, stopped as appropriate) • Patient perceptions of care (HCAHPS) • Work on measure relevant to rural hopsitals

  15. Lessons Learned Thus Far • Having a single, credible data collection starts with using common measures • A lot more is needed beyond common measures • Turning clinical data into useful consumer information is difficult • Consumers value different information than clinicians

  16. The Quality Initiative On the horizon … • To Err is Human – redux – November, 2004 • National Disparities Report

  17. Public Reporting of Hospital Quality Information George Lynn

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