Patient Safety: Key Aspects of the Policy Agenda
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Transcript of Patient Safety: Key Aspects of the Policy Agenda
www.qualityforum.orgwww.qualityforum.orgwww.qualityforum.org
Patient Safety:Key Aspects of the Policy Agenda
Janet M. Corrigan, PhDPresident and CEONational Quality ForumMarch 2010
www.qualityforum.orgwww.qualityforum.orgwww.qualityforum.org
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Looking Back: What have we accomplished?
• Safety as a National Priority
• Public Reporting
• Payment Alignment
• Health Information Technology
• Education and Technical Assistance
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Looking Back: What have we accomplished?
• Safety as a National Priority– National Priorities – National Priorities Partnership and IHI – HAI Campaigns -- DHHS and Consumers Union
• Public Reporting
• Payment Alignment
• Health Information Technology
• Education and Technical Assistance
www.qualityforum.orgwww.qualityforum.orgwww.qualityforum.org
4
Looking Back: What have we accomplished?
• Safety as a National Priority
• Public Reporting– AHRQ National Health Care Quality Report– Hospital Compare– State Initiatives
• Payment Alignment
• Health Information Technology
• Education and Technical Assistance
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5
Looking Back: What have we accomplished?
• Safety as a National Priority
• Public Reporting
• Payment Alignment– Pay-for Performance – Non-payment for HACs
• Health Information Technology
• Education and Technical Assistance
www.qualityforum.orgwww.qualityforum.orgwww.qualityforum.org
6
Looking Back: What have we accomplished?
• Safety as a National Priority
• Public Reporting
• Payment Alignment
• Health Information Technology– American Reinvestment and Recovery Act
• Education and Technical Assistance
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Looking Back: What have we accomplished?
• Safety as a National Priority
• Public Reporting
• Payment Alignment
• Health Information Technology
• Education and Technical Assistance– AHRQ Programs – Patient Safety Organizations
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Looking Forward: What might come from health reform?
• Provisions Related to the Quality Enterprise
• Healthcare Acquired Conditions
• Readmissions
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Looking Forward: What might come from health reform?
• Provisions Related to the Quality Enterprise– Set national priorities and goals and align federal programs– Support for measure development and endorsement– Extensive public reporting requirements– Value-based purchasing including consultative processes– QI, systems redesign, and health professions education
• Healthcare Acquired Conditions
• Readmissions
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Looking Forward: What might come from health reform?
• Provisions Related to the Quality Enterprise
• Healthcare Acquired Conditions– Public reporting– Payment adjustments for hospitals
• Readmissions
www.qualityforum.orgwww.qualityforum.orgwww.qualityforum.org
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Looking Forward: What might come from health reform?
Senate Bill
• Provisions Related to the Quality Enterprise
• Healthcare Acquired Conditions
• Readmissions– Reporting requirements for health plans and provider
organizations – Reduced payments for preventable readmissions– Hospitals required to implement safety evaluation
systems and comprehensive discharge planning – Mandatory QI program for poor performing hospitals
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Conclusion
• Safety is a priority at the national and state levels
• Health care environment more aligned with achieving safety goals –strong and growing commitment to transparency and payment alignment
• Strong federal investment in HIT
• Growing portfolio of best practices, education, and technical assistance programs
• Policymakers have attempted to strike a balance between “carrots and sticks”
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