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


2

Looking Back: What have we accomplished?

• Safety as a National Priority

• Public Reporting

• Payment Alignment

• Health Information Technology

• Education and Technical Assistance


3


• Safety as a National Priority– National Priorities – National Priorities Partnership and IHI – HAI Campaigns -- DHHS and Consumers Union






4



• Public Reporting– AHRQ National Health Care Quality Report– Hospital Compare– State Initiatives





5




• Payment Alignment– Pay-for Performance – Non-payment for HACs




6





• Health Information Technology– American Reinvestment and Recovery Act



7






• Education and Technical Assistance– AHRQ Programs – Patient Safety Organizations


8

Looking Forward: What might come from health reform?

• Provisions Related to the Quality Enterprise

• Healthcare Acquired Conditions

• Readmissions


9


• 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


• Readmissions


10



• Healthcare Acquired Conditions– Public reporting– Payment adjustments for hospitals

• Readmissions


11


Senate Bill



• 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


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”

12

Patient Safety: Key Aspects of the Policy Agenda

Documents

Transcript of Patient Safety: Key Aspects of the Policy Agenda