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In Pursuit of “Value”:The Wisconsin Collaborative for Healthcare Quality

Bipartisan Congressional Health Policy ConferenceJanuary 14, 2007

Christopher Queram

President and CEO

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• Advanced Healthcare• Affinity Health System• Agnesian Healthcare• Aspirus Wausau Hospital• Aurora Healthcare• Bellin Health• Columbia St. Mary’s• Dean Health System• Franciscan-Skemp Healthcare• Froedtert & Community Health• Gundersen Lutheran• Luther Midelfort-Mayo Health

System• Marshfield Clinic

• Medical Associates Health Center• Medical College of Wisconsin• Meriter Hospital• Prevea Health Services• ProHealth Care• Hospital Sisters Health System• St. Joseph’s Hospital• St. Mary's Hospital Medical Center,

Madison• ThedaCare• UW Hospital & Clinics• UW Medical Foundation• Wheaton Franciscan Services

MEMBER ORGANIZATIONS34% of all WI physicians; 41% of WI primary care physicians

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Public Reporting at the Physician Group LevelALL PATIENTS. ALL PAYERS. ALWAYS.

• Chronic Care– Diabetes

• A1c screening • A1c control• LDL-C screening• LDL-C control• Nephropathy monitoring

– High blood sugar• Control of uncomplicated essential hypertension

• Preventive Care– Breast cancer screening– Cervical cancer screening– Colorectal cancer screening

• Episodic Care– Postpartum follow-up

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www.wchq.org

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Heart Attack Care Hospital Charges and Quality Comparison

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WHAT’S THE VALUE?

• System view of performance with ability to drill down to provider level

• All patients within a system are included in the population.

• All payers are represented.

• Delivers a ready-made patient registry.

• Delivers roadmap for improvement.

• Foundation for pay-for-performance

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LESSONS LEARNED

• Multiple stakeholder involvement and buy-in

• Physicians and clinical leaders must be part of the measure development process.

• Physicians must have the ability to review results in context with others prior to the results being made publicly available.

• Data must be easily available and accessible from sources such as electronic medical or administrative (billing) records.

• Measures must be easily interpretable for the reader to attach practical meaning in making healthcare designs without significant explanation.

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Contact Information for the Collaborative

• On the Web – www.wchq.org

• Chris Queram, President/CEO

cqueram@wchq.org

Office: (608) 250-1505

(608) 250-1223