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Value Driven Health Care, an Opportunity for Change

Value Driven Health Care, an Opportunity for Change. Presented by, Jeff Flick CMS Regional Administrator, Region IX January 22 th , 2007. The Healthcare Challenge. What do we know today? We spend more per capita on healthcare than any other country in the world

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Value Driven Health Care, an Opportunity for Change

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  1. Value Driven Health Care, an Opportunity for Change Presented by, Jeff Flick CMS Regional Administrator, Region IX January 22th, 2007

  2. The Healthcare Challenge What do we know today? • We spend more per capita on healthcare than any other country in the world • In spite of those expenditures, quality is often inferior to other nations • Often doesn’t meet expected evidence-based guidelines • There are significant variations in quality and costs across the nation

  3. Public Perceptions Has the quality of health care in this country… Percent who say they are dissatisfied with the quality of health care in this country… 2004 2000* Gotten worse Stayed about the same Don’t Know Gotten better * Gallup Poll conducted September 11-13, 2000 with 1,008 U.S. adults. Source: Kaiser Family Foundation / Agency for Healthcare Research and Quality / Harvard School of Public Health National Survey on Consumers’ Experiences with Patient Safety and Quality Information, November 2004 (Conducted July 7 – September 5, 2005).

  4. A Variation Problem DartmouthAtlas of Healthcare

  5. President Bush Signs Executive Order on Value-Driven Health Care August 22, 2006

  6. Four Cornerstones of Value-Driven Health Care • Quality Standards: Systems need to be designed to collect quality-of-care information, and help define what constitutes quality care. • Price Standards: Agreement is needed on how to aggregate claims information so “episode of care” costs for specific doctors and hospitals can be measured and compared.

  7. Four Cornerstones of Value-Driven Health Care • Interoperable Health System: Standards must be set so different health systems can quickly and securely communicate and exchange data. • Properly Placed Incentives: All parties – providers, patients, insurance plans, and payers - must be subject to contractual arrangements that reward both those who offer and those who purchase high-quality, competitively – price heath care.

  8. 6 AQA Pilot Sites Wisconsin Collaborative for Healthcare Quality Minnesota Community Measurement Indiana Health Information Exchange Massachusetts Health Quality Partners California Cooperative Healthcare Reporting Initiative Phoenix Regional Healthcare Value Measurement Initiative

  9. Stay Informed ThroughRegion IX Stakeholder Call • Every 3rd Thursday of the Month, 2-3pm PST • Next call March 15th, 2007 • Toll Free: 888-452-0273 Pass Code: Stakeholder Call Leader: Jeff Flick • Register for “CMS Region IX Stakeholder” ListServ for notification and details about calls through: • http://www.cms.hhs.gov/apps/mailinglists/

  10. Thank You! Jeff Flick, Regional Administrator 415-744-3501 Jeff.flick@cms.hhs.gov

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