AHRQ Learning Network for Chartered Value Exchanges (CVEs)

AHRQ Learning Network for AHRQ Learning Network for Chartered Value Exchanges (CVEs)Chartered Value Exchanges (CVEs)

September 2008September 2008

CVEs may wish to tailor this slide deck for use CVEs may wish to tailor this slide deck for use with stakeholders in your community.with stakeholders in your community.

AHRQ’s Learning Network Builds on AHRQ’s Learning Network Builds on Value-Driven Health Care PrinciplesValue-Driven Health Care Principles

1.1. All health care is “local”All health care is “local”

2.2. Transparency – accurate meaningful information on Transparency – accurate meaningful information on quality and cost – is key to provider improvement and quality and cost – is key to provider improvement and consumer engagementconsumer engagement

3.3. Collaboratives involving key stakeholder groups – public Collaboratives involving key stakeholder groups – public and private payers, providers, plans and consumers* – and private payers, providers, plans and consumers* – hold promise to foster requisite reformshold promise to foster requisite reforms

*and in some cases State data organizations, Quality Improvement *and in some cases State data organizations, Quality Improvement Organizations, and health information exchangesOrganizations, and health information exchanges

Transformational Goal of CVEs: Transformational Goal of CVEs: Improved Quality and EfficiencyImproved Quality and Efficiency

Low

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Hig

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LowLow HighHigh

QualityQuality

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What Will This Take?What Will This Take?

Good measures and dataGood measures and data

Strong local coalitionsStrong local coalitions

Evidence-based reporting, payment Evidence-based reporting, payment strategiesstrategies

Evidence, tools, strategies for improvementEvidence, tools, strategies for improvement

Collaboration across sitesCollaboration across sites

AHRQ Goals for AHRQ Goals for Learning NetworkLearning Network

Identify and share Identify and share promising practices promising practices that improve health that improve health care valuecare value

Translate Translate interventions into interventions into adaptable change adaptable change strategiesstrategies

Identify gaps where Identify gaps where innovation is neededinnovation is needed

Provide face-to-face Provide face-to-face and virtual and virtual opportunities for opportunities for peer-to-peer sharing peer-to-peer sharing of experienceof experience

Create a user-Create a user-friendly, Web-based friendly, Web-based knowledge knowledge repository repository

Measurement Incentives Data aggregation Report Cards Provider Incentives Consumer Measurement Incentives Data aggregation Report Cards Provider Incentives Consumer

User-driven PhilosophyUser-driven Philosophy

Users identify questions that need to be addressed when considering or Users identify questions that need to be addressed when considering or designing value-driven health care strategies, which are used to form the designing value-driven health care strategies, which are used to form the outline for Learning Network technical assistance content.outline for Learning Network technical assistance content.

Needs assessment takes a number of forms -- Needs assessment takes a number of forms -- – Initial needs assessment, both formal and informal (June 07, September Initial needs assessment, both formal and informal (June 07, September

07), to prioritize 07), to prioritize (Phase I) technical assistance(Phase I) technical assistance

– One-on-one interviews after CVE sites are selected (to prioritize Phase II One-on-one interviews after CVE sites are selected (to prioritize Phase II technical assistance)technical assistance)

– Periodic needs assessment updatePeriodic needs assessment update– Each technical assistance product includes at least one review (draft Each technical assistance product includes at least one review (draft

stage) by subset of community stakeholdersstage) by subset of community stakeholders

Three Levels of Technical Three Levels of Technical Assistance for CVEsAssistance for CVEs

Network-widefor topics relevant to all CVEs (e.g., evidence-based

public reporting)

Clusterfor topics involving only a subset of CVEs (e.g., consumer incentives for

diabetes)

One-on-onefor topics specific to

a CVE requiring targeted assistance

(e.g., building a business model for a specific community)

CVE Learning Network VenuesCVE Learning Network Venues

Audio-conferencesAudio-conferences Webinars (2-3 per month)Webinars (2-3 per month) Web site resources and Web site resources and

Internet chat forumsInternet chat forums In-person meetingsIn-person meetings One-on-one consultations, e.g., experts One-on-one consultations, e.g., experts

online, telephone online, telephone

Learning Network Web SiteLearning Network Web Site

Private site for CVE communities:Private site for CVE communities:

Home page with calendarHome page with calendar

About the Learning Network About the Learning Network

MembersMembers

CommunitiesCommunities

Forum Forum

Technical AssistanceTechnical Assistance

Library & Links Library & Links

SearchSearch

Learning Network Web Site: CalendarLearning Network Web Site: Calendar

Focus of AHRQ Learning Network for CVEsFocus of AHRQ Learning Network for CVEs

Technical assistance content spans contemplation, Technical assistance content spans contemplation, design and implementation decisions across the design and implementation decisions across the following activities identified by user/stakeholders as following activities identified by user/stakeholders as high priority: high priority:

1.1. Collaborative leadership & sustainabilityCollaborative leadership & sustainability

2.2. Public at-large engagementPublic at-large engagement

3.3. Quality & efficiency measurementQuality & efficiency measurement

4.4. Public reportingPublic reporting

5.5. Provider incentivesProvider incentives

6.6. Consumer incentivesConsumer incentives

7.7. Capacity for improving qualityCapacity for improving quality

8.8. HIT/HIEHIT/HIE

Collaborative LeadershipCollaborative Leadership

Technical assistance product:Technical assistance product:

Sustainability Models for Multi-stakeholder Sustainability Models for Multi-stakeholder Quality Collaboratives, includes three case Quality Collaboratives, includes three case studies, two pilot sites, and a sustainability studies, two pilot sites, and a sustainability model toolbox model toolbox

Collaborative Leadership (cont.)Collaborative Leadership (cont.)

Community Community Inventory Tool to Inventory Tool to gather detailed gather detailed information on information on seven focus areasseven focus areas

Public ReportingPublic Reporting

Best Practices in Best Practices in Public ReportingPublic Reporting


Provider IncentivesProvider Incentives

AHRQ Decision AHRQ Decision Guide on Pay for Guide on Pay for PerformancePerformance


Consumer IncentivesConsumer Incentives

AHRQ Decision Guide on AHRQ Decision Guide on Consumer Financial Consumer Financial Incentives, with zoom-in Incentives, with zoom-in section on provider tieringsection on provider tiering


Documents

AHRQ Learning Network for Chartered Value Exchanges (CVEs)