aligning forces for quality national meeting the state of partnering with states may 9, 2013

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Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Page 1: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

Aligning Forces for Quality National Meeting The State of Partnering with States

May 9, 2013

Page 2: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

Oregon Health Authority and Quality Corp

• Brief Background • Examples of Partnership • What catalyzed the partnership ? • Key outcomes and benefits • Lessons Learned • Quality Corp positioning • Surprises and Key take aways

Page 3: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Quality Corp Mission

• To improve the quality and affordability of health care in Oregon by leading community collaborations and producing unbiased information.

Page 4: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Health Plans

Consumers

Purchasers &

Employers

Vendor PartnersGovernment

Physicians & Professional

Groups

Hospitals and

Health Systems

Quality Corp Partnership

• Started in 2000• Non-profit• Multi-stakeholder

collaboration• Stewardship of the

collaboration – 12 years and growing!

Page 5: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Quality Corp Vision

1. Quality Corp is a leader of results-oriented collaboratives where Oregon stakeholders come together to improve the quality and reduce the costs of health care in our state.

2. Quality Corp collaborates with Oregon stakeholders to produce transparent data and analytics that are highly valued and actionable to improve the health outcomes of Oregonians.

3. Quality Corp is a trusted source of information that is routinely used in health care planning, programming, delivery and evaluation.

Page 6: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

Streamlined State Health Functions in Oregon

Oregon Health Authority• Consolidates state health purchasing and aligns

programs to maximize efficiencies• Public Employers Benefits/Oregon Educators• Medicaid• High Risk Pool and Premium subsidy (FHIAP)• Public Health• Mental Health and Addictions

Oregon Health Policy Board• Guides the Health Authority as it implements

reforms to gain value and reduce costs

Page 7: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Health Transformation in Oregon

• Patient Centered Model of Care • Coordinated Care Organizations• Transformation Center • Cover Oregon – Health Insurance Exchange• State Innovation Model(SIM) grantee• CMS CPCI

Page 8: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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OHA and Quality Corp Partnership

• OHA was original partner and contributor to Quality Reporting

• OHA Administrators serve on Board of Directors and participate in a variety of committees

• OHA has contributed Medicaid FFS data to Quality Corp database

• Share goals of Triple AIM

Page 9: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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OHA and Quality Corp Partnership

Multiple State Contracts with Quality Corp : • CCO measure validation and production • Cover Oregon Health Insurance Exchange new

measure consulting and development • Spreading Oregon Patient Centered Care Home

via clinic recognition process • PCPCH Institute - establish and facilitate public

private collaborative to provide technical assistance to providers

Page 10: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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OHA and Quality Corp Partnership

• Payment Reform collaboration and programming

• Health Information Exchange and quality measurement partners through the federal HIT Trailblazers project

Page 11: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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OHA and Quality Corp Partnership

• Jointly sponsored exploration of the CMS Comprehensive Primary Care Initiative RFP

• Public health projects • Leverage – Public Employees Benefit Board

and Cover Oregon contracts included expectations that organizations participate in the Quality Corp Collaborative

Page 12: Aligning Forces for Quality National Meeting The State of Partnering with States May 9, 2013

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Thank You

Feedback? Suggestions?Corporate website

www.Q-Corp.org

• Consumer website– www.PartnerForQualityCare.org

• Email– Mylia Christensen

Executive Director [email protected]

— Jeanene Smith MD. MPH Chief Medical Officer , Oregon Health Authority

[email protected]