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