AHRQ’s Chartered Value Exchanges:An Overview

Jan De La MareAHRQ CVE Learning Network

September 20, 2011

Underlying Philosophy of Collaboratives: “All Health Care is Local”

National goals and common standards are important, but real improvement takes place in local settings

Growing number of National programs and organizations supporting local collaboratives– HHS AHRQ Chartered Value Exchange (CVE) Program – 24 regional or

community collaboratives

– HHS ONC Beacon Community Program – 15 regional collaboratives

– RWJ Aligning Forces Program – 16 regional collaboratives

– National Business Coalition on Health (NBCH) business-led coalitions – 60 regional collaboratives

– Network for Regional Healthcare Improvement (NRHI) – 31 regional collaboratives

To promote federal-level coordination, AHRQ staff liaises with leadership of these community-based quality improvement initiatives, as well as the Quality Alliance Steering Committee (QASC), National Quality Forum (NQF), etc.

AHRQ CVE Program: Opportunities for Strategic Alignment

within Communities

Formed in 2007, brings together 24 community quality collaboratives

Communities committed to mission of quality transparency and improvement

Represents 124 million lives, more than one-third of U.S. population

Involves more than 600 health care leaders

600 Leaders with a Stake in Quality Provide Opportunity for Strategy Alignment

Within the Community

Purchasers: Regional employer coalitions; State Medicaid Agencies; employers such as Ford, Dow, Procter and Gamble, FedEx

Consumer Organizations: State American Heart Association chapters; State American Cancer Society chapters; State American Red Cross chapters; unions; consumer health coalitions; State AARP chapters; Aging Commissions

Health Plans: State health plan associations; regional and national commercial plans; Medicaid health plans

Providers: State hospital associations; hospital CEOs, State American College of Physicians chapters; State Medical Societies, academic medical centers; individual practicing physicians

…and State Departments of Health, State data organizations, QIOs, HIEs, universities

24 Chartered Value Exchanges

24 Chartered Value Exchanges

1. California Chartered Value Exchange2. Colorado Value Exchange3. Connecticut – eHealthConnecticut, Inc.4. Indiana – Quality Health First Program5. Kansas – Kansas City Quality

Improvement Consortium6. Kentucky – Greater Louisville Value

Exchange Partnership7. Louisiana Health Care Quality Forum8. Maine Chartered Value Exchange

Alliance9. Massachusetts Chartered Value

Exchange10. Michigan -- Alliance for Health 11. Michigan -- Greater Detroit Area

Health Council12. Michigan Health Information Alliance

13. Minnesota Healthcare Value Exchange

14. Nevada Partnership for Value-driven Health Care

15. New York Quality Alliance

16. Ohio – Health Improvement Collaborative of Greater Cincinnati and HealthBridge

17. Oregon Health Care Quality Corporation

18. Pennsylvania -- Pittsburgh Regional Health Initiative

19. Pennsylvania – Aligning Forces for Quality–South Central PA

20. Tennessee -- Healthy Memphis Common Table

21. Utah Partnership for Value-driven Health Care

22. Virginia Health Care Alliance

23. Washington -- Puget Sound Health Alliance

24. Wisconsin Healthcare Value Exchange

CVEs and Public Reporting

9 CVEs sponsor a hospital or physician public report, An additional 5 are preparing to do so, and 10 CVEs not directly involved in public reporting include one or

more affiliate organizations that already produce a public report.

Focus of AHRQ Learning Network Activities

Content is user-driven.

Through AHRQ’s Learning Network, CVE members learn from each other and from experts, sharing experiences and best practices in the following areas:

Collaborative Leadership & Sustainability Consumer Engagement Quality and Efficiency Measurement Public Reporting for Consumers Provider Incentives for Quality Consumer Incentives for Quality Collaborative Strategies to Improve Quality and Efficiency Health Information Technology/Health Information Exchange

AHRQ

Consumers

CMS

FoundationsPurchasers

CVEs

PhysiciansTechnicalExperts

NRHI

State Data OrganizationsQIOsThe Lewin

Group

Hospitals

Health Plans

NQF

Policymakers

It takes a village.

It takes a metropolis.

NBCH

Medicaid

Beacon