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Future Directions for the National Quality and Disparities Reports. J. James Rohack MD FACC FACP Chair, National Advisory Council to AHRQ Senior staff cardiologist, Scott & White Clinic Director, Center for Healthcare Policy, S&W Medical Director for System Improvement, SWHP - PowerPoint PPT Presentation
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Future Directions for the National Future Directions for the National Quality and Disparities ReportsQuality and Disparities Reports
J. James Rohack MD FACC FACPJ. James Rohack MD FACC FACP
Chair, National Advisory Council to AHRQChair, National Advisory Council to AHRQSenior staff cardiologist, Scott & White ClinicSenior staff cardiologist, Scott & White Clinic
Director, Center for Healthcare Policy, S&WDirector, Center for Healthcare Policy, S&W
Medical Director for System Improvement, SWHPMedical Director for System Improvement, SWHP
Professor of Medicine and Humanities in Medicine, TAMHSCProfessor of Medicine and Humanities in Medicine, TAMHSC
Future Directions of the Future Directions of the NQR/NDR-Next 5 yearsNQR/NDR-Next 5 years
Policy makers: where to eliminate Policy makers: where to eliminate barriersbarriers
Practitioners: where to focus practice Practitioners: where to focus practice changechange
Payer: where to put resourcesPayer: where to put resources Patient: where to participate in changePatient: where to participate in change
Future Directions- Future Directions- Operational IssuesOperational Issues
Timing of Release: Same time eg week Timing of Release: Same time eg week after New Year’s or week before Super after New Year’s or week before Super BowlBowl
Frequency of Release: Annually versus Frequency of Release: Annually versus quarterlyquarterly
Mechanisms: Paper vs WebMechanisms: Paper vs Web Media Face: 60 Minutes vs OprahMedia Face: 60 Minutes vs Oprah
Future Directions - ImpactFuture Directions - Impact
Passive Reports- react to environment Passive Reports- react to environment and document changeand document change
Active Reports- focus on where change Active Reports- focus on where change needs to occur to increase Valueneeds to occur to increase Value
Future Directions- Increasing Future Directions- Increasing Value in HealthcareValue in Healthcare
Practical measurement: what can be Practical measurement: what can be measured with current systemsmeasured with current systems
Ideal measurement: what change in Ideal measurement: what change in current systems needed to have current systems needed to have measures that will drive improvement of measures that will drive improvement of care and decrease in disparities care and decrease in disparities
Future Directions- Other UsesFuture Directions- Other Uses
Accreditation of SystemsAccreditation of Systems Individual LicensureIndividual Licensure Assessment of CompetencyAssessment of Competency Differentiation impacting choice and Differentiation impacting choice and
reward reward
Current NQR/NDR and IOM Current NQR/NDR and IOM Goals: Should the Future be 4+?Goals: Should the Future be 4+?
National Quality ReportNational Quality Report
Safe: ++Safe: ++ Patient Centered: +Patient Centered: + Timely: +Timely: + Effective: ++++Effective: ++++ Efficient: Efficient: Equitable:Equitable:
National Disparities ReportNational Disparities Report
Safe: + ½Safe: + ½ Patient Centered: ½Patient Centered: ½ Timely: ½Timely: ½ Effective: +++ ½Effective: +++ ½ Efficient:Efficient: Equitable: ++++Equitable: ++++
Future Directions- Drive Future Directions- Drive ChangeChange
System Care AccountabilitySystem Care Accountability Individual Accountability (patient, Individual Accountability (patient,
practitioner and provider)practitioner and provider) Comparative Effectiveness: adoption of Comparative Effectiveness: adoption of
changechange
Future Directions – Future Directions – Actionable LevelsActionable Levels
NationalNational StateState SystemSystem IndividualIndividual
Future Directions SummaryFuture Directions Summary
Should AHRQ drive change through the Should AHRQ drive change through the NQR/NDR by prioritizing where focus of NQR/NDR by prioritizing where focus of change should be?change should be?
Should the NQR/NDR be used for Should the NQR/NDR be used for payment? For accountability? At System payment? For accountability? At System or Individual level?or Individual level?
Should the NQR/NDR only focus on Should the NQR/NDR only focus on what measures are meaningful for what measures are meaningful for Value? Continue trending less Value? Continue trending less meaningful measures?meaningful measures?
Questions?Questions?
