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Appendix K. Sample Community Quality Collaborative Work Plan

Community quality collaboratives are community-based organizations of multiple stakeholders, including health care providers, purchasers (employers, employer coalitions, Medicaid and others), health plans, and consumer advocacy organizations, that are working together to transform health care at the local level. The Agency for Healthcare Research and Quality offers these organizations many tools to assist in their efforts.

Appendix K — Sample Program & Sustainability Dashboard

 MilestonesTimelineTrendResponsible Person(s)
     
Measurement & Reporting Aim: Measure and report the quality of primary care in Oregon.
1Provide clinics and providers with actionable quality data on 11 quality measures on chronic disease and prevention reported from administrative claims data from 8 commercial and Medicaid health plans for at least 50% of PCPs in the Willamette Valley by spring 2009. To health plans blinded in round 1. Refresh and report unblinded in round 2 by December 2009.April 2007 - May 2009In ProcessLori Lambert
2Publicly report quality data, on a consumer-oriented website, at the clinic level on at least 8 quality measures on chronic disease and prevention reported from administrative claims data from 10 commercial and Medicaid health plans for at least 50% of PCPs in the Willamette Valley by the end of 2009.;April 2007 - December 2009In ProcessLori Lambert
3Collect standardized quality data on at least 5 quality measures on chronic disease and prevention from clinics' self-reported systems (EHRs) from at least 12 medical groups and clinics representing at least 20% of PCPs in Willamette Valley by the end of 2009.April 2007 - December 2009In ProcessLori Lambert
4Explore options for a coordinated approach to collecting patient experience data for standardized reporting by the end of 2009.April 2007 - December 2009In ProcessNancy Clarke
Consumer Engagement Aim: Patients/consumers understand what quality is, why it's important, and what they can do to get it.
1Teach 125 AARP Oregon leaders about what quality is, why it's important, and what they can do to get it and provide them technical assistance so they can disseminate the messages to 500,000 members by spring 2009.February 2008 - April 2009In ProcessSummer Boslaugh
2Teach 25 Oregon Action leaders about what quality is, why it's important, and what they can do to get it and provide them technical assistance so they can disseminate the messages to 150 small business owners and constituents by spring 2009.February 2008 - April 2009In ProcessSummer Boslaugh
3Reach 30 organizations through Oregonians for Health Security to familiarize leaders with consumer quality definition and its relationship to policy and access by spring 2009. At least 1 organization will disseminate messages and materials to its members.February 2008 - April 2009In ProcessSummer Boslaugh
4Provide tools and technical assistance to Oregon Coalition of Health Care Purchasers, PEBB, and Portland Public Schools to inform their employees/members about what quality is, why it's important, and what they can do to get it. Reach 6 purchasers representing at least 60,000 covered lives by spring 2009.February 2008 - April 2009In ProcessSummer Boslaugh
5Identify where and how to expand relationships with additional groups (such as Chambers of Commerce, Public Health, OEBB) by Fall 2009.July 2008 - November 2009In ProcessSummer Boslaugh
6Provide consumer messages and materials about what quality is, why it's important, and what they can do about it and recommendations for use to at least five health plans to aid them in reaching at least 150,000 members, representing 4% of Oregonians by spring 2009.February 2008 - April 2009In ProcessSummer Boslaugh
7XXXX consumers/patients will go to our plain-language, consumer-tested website for public/patients with information about what quality care is, why it's important, and how to get it by April 2010.September 2007 - April 2010In ProcessSummer Boslaugh
QI Aim: Providers provide input and leadership. Validate and use the merged claims data reports to improve care. Build capacity to produce, share and use medical record data to improve care.
1Provide tools and technical assistance in collaboration with Quality Factor and Acumentra so that X clinics representing X physicians, which represents X% of physicians in the Willamette Valley, will get their password to download and use quality data about their patients from the password protected provider website by spring 2009.September 2008 - April 2009In ProcessNancy Clarke
2Foster Oregon hospitals' participation in national collaboratives.April 2008 - April 2011 In ProcessNancy Clarke
Equity
1Develop voluntary standard categories and methodology for race, ethnicity, and primary data collection across settings of care by Spring 2009October 2008 - April 2009In ProcessLori Lambert
2Hold 3 webinars to educate stakeholders about the voluntary standard and coordinate access to national resources available through the Robert Wood Johnson Foundation's Aligning Forces for Quality initiative.October 2008 - April 2009In ProcessSummer Boslaugh
Population Data
1Analyze and use Dartmouth Atlas data provided by RWJF to do XXXX.April 2008 - April 2011In ProcessNancy Clarke
Leadership
1Expand Program Committee to include representation from 5 senior individuals (50% increase) to assure nursing, hospital leadership, consumers, publicly funded health care organizations, and racial/ethnic minorities are instrumental in directing the work.January - March 2008DoneNancy Clarke
2Develop a sustainability plan for this work by the end of 2008.February - December 2008In ProcessNancy Clarke
3Solidify # and depth of organizations joining the Partner initiative efforts by spring 2009.April 2008 - April 2009In ProcessNancy Clarke
Development & Sustainability: Track 1: Measurement & Public Reporting
1.1Define checkpoints to obtain objective feedback from stakeholders on the value created (to confirm that the effort is on target)June 2009; December 2009; June 2010In ProcessNancy Clarke
1.2Evolve toward reporting on specialty care and efficiency/value: Assign program leader; define workplan, and engage staff/contractors.February 2009 - July 2009In ProcessTBD
1.3Evaluate overlap in data aggregation activities with Health Fund Board recommendations. Report to Board; discuss and document strategies. May - July 2009In ProcessNancy Clarke
1.4Confirm what is needed to ensure funding by health plans will continue. Document each supporting plan's expectations by Q2 2009. Evaluate progress at each checkpoint (Ongoing: see 1.1 above and 2.4 below).April 2009 - June 2009In ProcessTBD
1.5Identify opportunities to expand and diversify funding beyond 2010. Report to Board at 6-month checkpoints.January - December 2009In ProcessNancy Clarke / Executive Committee
Development & Sustainability: Track 2: Foundation Commitments
2.1Actively maintain relationship with the Robert Wood Johnson Foundation. Define workplan with scheduled deliverables, events, and contact points.January - December 2009In ProcessNancy Clarke / Staff TBD
2.2Scan other foundations for interest in funding specific work. Report to Board at 6-month checkpoints.January - December 2009In ProcessNancy Clarke / Executive Committee
2.3Track Oregon Health Fund Board recommendations for program/funding opportunities.January - December 2009In ProcessNancy Clarke
2.4Further explore health plan interest. In conjunction with 1.4 above, evaluate health plan interest in additional program work.April 2009 - June 2009In ProcessTBD
2.5Further explore purchaser interest in funding additional work. Provide updates to Board at 6-month checkpoints.April 2009 - June 2009In ProcessTBD
2.6Assign Patient/Provider Experience subject to Program Committee for further evaluation.April 2009 - June 2009In ProcessStaff Lead TBD
Development & Sustainability: Track 3: Organizational Development
3.1Delegate ongoing oversight responsibility and active role in supporting Executive Director to Executive Committee.DoneIn ProcessBoard
3.8Define opportunities to expand provider funding in Oregon, such as selling provider-clinic crosswalk lists.June - October 2009In ProcessStaff Lead TBD
NANote: Additional activities to expand sources of funding covered above.NAIn ProcessNA
Development & Sustainability: Track 4: New Program Development
4.1Create working group to further explore aligning and enhancing quality improvement initiatives; learn from the Minnesota ICSI model, define options, and make recommendations to the Board.February - July 2009In ProcessTBD
4.2Identify potential quality improvement “demonstration project” to progress toward a more robust quality improvement support model.July - September 2009In ProcessTBD
4.3Assign “Payment Reform that supports the quality improvement initiatives” to Executive Committee for further evaluation.April to June 2009In ProcessExecutive Committee / Staff Support TBD

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Page last reviewed January 2009
Internet Citation: K. Sample Community Quality Collaborative Work Plan: Appendix K - Sample Program & Sustainability Dashboard. January 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/professionals/quality-patient-safety/quality-resources/value/suscqcollab/suscqcollappk.html

 

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