Quality Measurement for Health Care Purchasing

1. Quality Measurement for Health Care Purchasing Wisconsin Collaborative for Healthcare Quality

3. The Collaborative was Formed... …on the principle that improving quality will result in better patient care and more rational costs

4. The Alliance Appleton Papers Badger Meter Daimler Chrysler Schneider National Sentry Insurance Serigraph, Inc. The Trane Company United Auto Workers Wisconsin Manufacturers & Commerce (WMC) Business/Labor Partners

5. The Collaborative will: • Select a set of common measures • Publish individual and comparative measures and performance data • Research and share best practices • Work with other stakeholders to improve healthcare performance

6. Safety Effectiveness Patient Centered Timeliness Efficiency Equity Measures of Quality* *Institute of Medicine

7. Measurement Selection Criteria • Easily available and accessible • Prevalence of the condition • Potential for improvement • Clinical evidence • Comparability of data • Interpretability of data

8. The Collaborative Difference • Independent verification and public reporting of data • Engagement of business and labor partners in developing useful measures

9. The Collaborative Difference • Learning from the quality improvement experiences of our business and labor partners • Open sharing of best practices • Looking at entire spectrum of care (physicians, hospitals, clinics, etc.)

10. Example Inpatient Measure

11. Example Office Care Measure

12. Example Patient Satisfaction

13. Example Leapfrog * Average across all categories

14. Why Publicly? Take control, or be controlled - • Payer pressure – Lack of evidence for high quality care • Employer Efforts – Quality Counts and Pay for Performance • Government Effort – Physician office data

15. Why Now? • We can lead, or we can follow • Provides strategic focus