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Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count
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Colorado Department of Health Care Policy and Financing NASHP: Making Quality Count

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  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing At the individual level this translates to good or better health , good experience and good value
  • Department of Health Care Policy and FinancingOutreach and Education Department of Health Care Policy and Financing
  • Transcript

    • 1.
      • Colorado Department of Health Care Policy and Financing
      • NASHP: Making Quality Count
      • Joan Henneberry
      • October 5, 2010
                                                                                                                                                                         
    • 2. Department of Health Care Policy and Financing
      • Federally designated agency to receive federal funds for Medicaid and CHP+
      • Administers the following programs:
      • - Medicaid
      • - Child Health Plan Plus (CHP+)
      • - Colorado Indigent Care Program
      • - Old Age Pension State Medical Program
      • - Comprehensive Primary and Preventive Care Grant Program
      • - Primary Care Fund
      • - Home and Community Based Services Medicaid Waivers
      Henneberry
    • 3. Initiatives on Quality
      • Meaningful use/CORHIO (Colorado Regional Health Information Organization)
      • Accountable Care Collaborative/SDAC
      • HQIP
      • Nursing Home Quality
      • Readmissions/Never Events
      • CIVHC (Center for Improving Value in Health Care)
      Henneberry
    • 4. Evolution of CIVHC
      • From the Blue Ribbon Commission for Healthcare Reform (208): “…creation of an inter-agency, multi-disciplinary group to facilitate and implement strategies to improve quality and contain costs.”
      • From Governor Ritter’s Executive Order 005-08: “…develop a structured, well-coordinated approach to improving quality, containing costs, and protecting consumers in health care…”
      Henneberry
    • 5. Evolution of CIVHC (cont.)
      • Areas of research and responsibility:
      • Payment reform/ACA pilots
      • All Payer Claims Database
      • Consumer engagement and activation
      • Health care delivery system improvements
      • End of life care
      Henneberry
    • 6. The Result - CIVHC
      • The Center for Improving Value in Health Care (CIVHC) is a public/private coalition created to develop and implement statewide strategic initiatives that will improve the health of Coloradans, contain costs, and ensure better value for health care received.
      Henneberry
    • 7. Vision of CIVHC: Triple Aim Population Health Experience of Care Per Capita Cost Henneberry
    • 8. CIVHC Advisory /Task Forces Created
      • Consumer Engagement
      • Aligning Benefits and Financing
      • Data Sharing for Performance Measurement
      • Task Forces :
        • Improving Access to Palliative Care Services
        • Decreasing Unnecessary Acute Care Utilization (Emergency Department/Hospital Admissions)
        • Reducing Avoidable Hospital Readmissions
      Henneberry
    • 9. Role of CIVHC
      • Set structure and actions to maximize multiple stakeholder involvement.
        • Develop capacity to do big system change
        • Bring key leaders to the table
        • Engage multiple stakeholders at one time on key goals
        • Mobilize resources across state and country
        • Pilot across multiple payers, providers and populations
      Henneberry
    • 10. CIVHC Long Term Goals (Draft) Increased Transparency Improved Population Health Consumer-Centered Experience Bending the Cost Curve By 2014, cost, quality, and safety data for all providers is publicly available statewide.
      • By 2015,: premium increases track at same rate as CPI (without shifting costs).
      • Additionally:
      • Reduce variability of cost across Colorado
      • Improve statewide ranking on cost
      • By 2015, Colorado is in nation’s top quartile in measures related to patient-centeredness including:
      • Timely access
      • Communication
      • Participation in health decisions
      • Customer service
      • By 2015, Colorado is in nation’s top quartile of measures related to:
      • Access
      • Quality of services
      • Healthy behaviors and personal accountability
      Example of Measures: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Example of Measures: Commonwealth Fund, Colorado Health Report Card, HEDIS
      • Example of Measures:
      • Measures of regional cost variability
      • Rankings nationally (e.g. Dartmouth Atlas)
      • Example of Measures:
      • Regional cost variability
      • National rankings (e.g. Dartmouth Atlas)
      Henneberry
    • 11. For more information please visit our Web site: colorado.gov/hcpf