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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
3
Quality Corp Mission
• To improve the quality and affordability of health care in Oregon by leading community collaborations and producing unbiased information.
4
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!
5
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.
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
7
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
8
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
9
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
10
OHA and Quality Corp Partnership
• Payment Reform collaboration and programming
• Health Information Exchange and quality measurement partners through the federal HIT Trailblazers project
11
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
12
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