““WE CAN DO BETTER”WE CAN DO BETTER”

Debra Nixon, MSHA, BSNDebra Nixon, MSHA, BSNYour Partners in Quality, LLCYour Partners in Quality, LLC

AHRQ Annual ConferenceAHRQ Annual ConferenceSeptember 28, 2007September 28, 2007

We Must Do BetterWe Must Do Better9090thth Arizona Town Hall Arizona Town Hall

April 2007April 2007

Expand Health Care Expand Health Care CoverageCoverage

Reduce Shortages of Health Reduce Shortages of Health Care ProfessionalsCare Professionals

Make Behavioral Health Care Make Behavioral Health Care a Prioritya Priority

Expand the Use of HITExpand the Use of HIT Plan for the FuturePlan for the Future

Practice Evidence-Based Practice Evidence-Based MedicineMedicine

Encourage Personal Knowledge Encourage Personal Knowledge and Accountabilityand Accountability

Measure and Report on QualityMeasure and Report on Quality Restructure Public Health Restructure Public Health

fundingfunding Provide Primary Care to Provide Primary Care to

Undocumented ImmigrantsUndocumented Immigrants

We Must Do BetterWe Must Do Better9090thth Arizona Town Hall Arizona Town Hall

April 2007April 2007

Expand Health Care Expand Health Care CoverageCoverage

Reduce Shortages of Health Reduce Shortages of Health Care ProfessionalsCare Professionals

Make Behavioral Health Care Make Behavioral Health Care a Prioritya Priority

Expand the Use of HITExpand the Use of HIT Plan for the FuturePlan for the Future

Practice Evidence-Based Practice Evidence-Based MedicineMedicine

Encourage Personal Knowledge and Accountability

Measure and Report on Quality

Restructure Public Health Restructure Public Health fundingfunding

Provide Primary Care to Provide Primary Care to Undocumented ImmigrantsUndocumented Immigrants

Arizona Initiatives and Arizona Initiatives and the Need for Consumersthe Need for Consumers

• Arizona Partnership Implementing Patient Safety (APIPS)Arizona Partnership Implementing Patient Safety (APIPS)

• Arizona Hospital and Healthcare Association (AzHHA) Safe Arizona Hospital and Healthcare Association (AzHHA) Safe

and Soundand Sound

• Phoenix Healthcare Value Measurement Initiative (PHVMI)Phoenix Healthcare Value Measurement Initiative (PHVMI)

• Arizona Health Information Exchange and Electronic Arizona Health Information Exchange and Electronic

Health Record (HIeHR) Utility ProjectHealth Record (HIeHR) Utility Project

• Arizona Health-e ConnectionArizona Health-e Connection

Arizona Partnership Implementing Arizona Partnership Implementing Patient Safety (APIPS)Patient Safety (APIPS)

Started in 2002, incorporated in 2006Started in 2002, incorporated in 2006

Interested in statewide Patient Safety InitiativesInterested in statewide Patient Safety Initiatives

Fifty health care organizations Fifty health care organizations

Activities include:Activities include: Healthcare SummitHealthcare Summit Health Care Decisions WeekHealth Care Decisions Week E-PrescribingE-Prescribing

Consumers - represented on BoardConsumers - represented on Board

AzHHA Safe and SoundAzHHA Safe and Sound

Goal - Arizona will be Safest State in the nationGoal - Arizona will be Safest State in the nation““Alert” Wrist BandsAlert” Wrist Bands

Statewide and RegionalStatewide and RegionalThe Med FormThe Med Form

Prevention of medication errorsPrevention of medication errors Available Spanish/English and www.themedform.comAvailable Spanish/English and www.themedform.com

Take FiveTake Five Five easy steps to remember when going to hospitalFive easy steps to remember when going to hospital

Forget Me NotForget Me Not September, 2007 - Focus on role of patient/family in September, 2007 - Focus on role of patient/family in

safetysafety Addresses cultural issues within the organizationAddresses cultural issues within the organization

Consumers - On hospitals boards, focus groups, education.Consumers - On hospitals boards, focus groups, education.

Phoenix Healthcare Value Phoenix Healthcare Value Measurement Initiative (PHVMI)Measurement Initiative (PHVMI)

Collaborative venture of Arizona employers, providers, and Collaborative venture of Arizona employers, providers, and

health planshealth plans

Data Repository - Arizona HealthQuery at the Center for Data Repository - Arizona HealthQuery at the Center for

Health Information & Research at ASUHealth Information & Research at ASU

Agreed on Consensus based goals:Agreed on Consensus based goals: Improve community healthImprove community health Collaborate to assure access to dataCollaborate to assure access to data Publicly report valuePublicly report value Support the building of HIT InfrastructureSupport the building of HIT Infrastructure Promote beneficiary involvementPromote beneficiary involvement

Consumers - Educate and partnerConsumers - Educate and partner

Arizona Health Information Exchange Arizona Health Information Exchange and Electronic Health Record (HIeHR) and Electronic Health Record (HIeHR) Utility ProjectUtility Project

Federal Medicaid Transformation Grant - $12 million to Arizona Federal Medicaid Transformation Grant - $12 million to Arizona

Health Care Cost Containment system (AHCCCS)Health Care Cost Containment system (AHCCCS)

Develop an on-line HIE and EHR system through secure web Develop an on-line HIE and EHR system through secure web

portalportal

Goal - 2009Goal - 2009

Aligned with Arizona Health-e Connection, non-profit to Aligned with Arizona Health-e Connection, non-profit to

coordinate HIT in Arizona; Arizona Health Privacy Project coordinate HIT in Arizona; Arizona Health Privacy Project

focused on HIE privacy and security issues; and Southern focused on HIE privacy and security issues; and Southern

Arizona Health Information Exchange (SAHIE)Arizona Health Information Exchange (SAHIE)

Consumers - Focus Groups, January 2008Consumers - Focus Groups, January 2008

Arizona Health-e ConnectionArizona Health-e Connection

Mission StatementMission Statement

““To facilitate the design and implementation of integrated statewide To facilitate the design and implementation of integrated statewide health data information systems that support the information needs of health data information systems that support the information needs of consumers, health plans, policymakers, providers, purchasers, and consumers, health plans, policymakers, providers, purchasers, and researchers and that reduce healthcare costs, improve patient safety, researchers and that reduce healthcare costs, improve patient safety, and improve the quality and efficiency of healthcare and public health and improve the quality and efficiency of healthcare and public health services in Arizona”.services in Arizona”.

Executive Order in 2005 - Establish Roadmap to achieve a plan for Executive Order in 2005 - Establish Roadmap to achieve a plan for Arizona to achieve statewide HIT and explore the implementation of Arizona to achieve statewide HIT and explore the implementation of EHR by 2010EHR by 2010

Funding - St. Luke’s Health Initiatives and BHHS Legacy Funding - St. Luke’s Health Initiatives and BHHS Legacy FoundationFoundation

Involved Steering Committee, 5 task groups, 250 members, five Involved Steering Committee, 5 task groups, 250 members, five months. months.

Executive Director Hired - July, 2007Executive Director Hired - July, 2007

Consumers - Represented on Board and CommitteesConsumers - Represented on Board and Committees

What is being done to include What is being done to include consumers? consumers?

• Recognition of consumer involvementRecognition of consumer involvement• Strategic PartnershipsStrategic Partnerships• Board Involvement, Committee Board Involvement, Committee

Representation, and Focus Groups Representation, and Focus Groups • Health Guide AmericaHealth Guide America

Health Guide AmericaHealth Guide America

HGA established in 2006HGA established in 2006

Non profit 501C3Non profit 501C3

Grassroots effort Grassroots effort

Mission: To help individuals and communities make Mission: To help individuals and communities make

informed decisions about healthcare through education, informed decisions about healthcare through education,

dialogue , and access to information.dialogue , and access to information.

Services include:Services include: Consumer Advocacy NetworkConsumer Advocacy Network Communication StrategiesCommunication Strategies Web-based Resources for consumersWeb-based Resources for consumers

Health Guide America (cont’d)Health Guide America (cont’d)

Held first Planning Meeting, representing eight Held first Planning Meeting, representing eight local consumer organizations local consumer organizations

Establish network to:Establish network to: Select important initiatives and inform Select important initiatives and inform

consumersconsumers Support state initiativesSupport state initiatives Identify issues and topics for consumer Identify issues and topics for consumer

educationeducation Apply for grants and seek other funding Apply for grants and seek other funding

opportunitiesopportunities

Why it works in Arizona?Why it works in Arizona?

Quote from Robert Kolodner, head of HHS Quote from Robert Kolodner, head of HHS

Office of the National Coordinator for HITOffice of the National Coordinator for HIT

““Arizona gets it. You have in fact Arizona gets it. You have in fact

embodied that idea of fostering embodied that idea of fostering

collaborations and bringing to the table collaborations and bringing to the table

a wide spectrum of stakeholders, all of a wide spectrum of stakeholders, all of

whom have to be involved”whom have to be involved” Modern Healthcare, September Modern Healthcare, September

7, 20077, 2007

““It is the It is the Tipping PointTipping Point – that magic – that magic moment when an idea, trend, or moment when an idea, trend, or

social behavior crosses a social behavior crosses a threshold, tips, and spreads threshold, tips, and spreads

like wildfire”.like wildfire”. Gladwell, M. 2002Gladwell, M. 2002

We can, must and will do We can, must and will do better.better.

Debra NixonDebra Nixon

602-625-2758602-625-2758

dnixon@yourpiq.comdnixon@yourpiq.com