Ohio Health Quality Improvement Plan

Appendix IV — Co m m e n t s f r o mStatewide Or g a n iz a t io n sAARP1.2.30Which strategies or tactics would yourorganization be able to help implement?AARP would be able to assist the Council implementthe Health Quality Improvement Plan. We areparticularly positioned to help the Council assessthe impact that strategies and tactics within eachCollaborative Transformational Strategies (CTSs)might have among the 50 – 64 population.Which strategies or tactics are already prioritiesfor your organization?• Making information and tools related to healthpromotion and disease prevention widely available.• Supporting “academic pharmaceutical detailing”programs.◦◦ Promoting broad public access to and use ofwebCHAT Choosing Healthplans All Together.Promoting coordination and linkages with othernon-primary-care, health-related systems and longtermcare systems to meet the needs of individualsas they move across care settings.• Coordinating efforts to expand and enhance the primarycare workforce in order to support the implementationof the PCMH approach.3.4.What do you believe should be the top priority forthe Council?The top priority should be the integration of the fourCTSs.What are your specific comments to any or all ofthe decision points?PCMHHow should state government incentivize and supportthe regional PCMH and access plan collaboratives thatare currently bubbling up around the state through localinitiatives?To offer real value to patients, state government shouldserve as the entity that establishes the criteria clinicalpractices must achieve to earn the designation of“medical home.” For example, state government’ssupport could include setting the attributes of “asystem,” which each collaborative would be expectedto demonstrate such as being able to track patients,tests, and referrals, offer care management and patientself-management support, and perform registryfunctions.Should Ohio’s initial implementation of the PCMHapproach be focused on improving outcomes forindividuals with multiple chronic conditions or allpopulations?The initial focus should be on concurrently improvingoutcomes for individuals with chronic conditions andpreventive care for all populations.Payment ReformWhat are the principles, values and criteria we should useto evaluate and choose payment reform models?Payment reform models should be based on the extentto which they meet the following patient-centered andsocietal goals:• Promote and reward high quality, patient-centeredcare that is cost-effective and reduces disparities• Ensure patients receive the “right care, at the righttime, from the right provider,” incorporating thevalues and preferences of patients• Foster improvement and innovation• Effectively slow the growth of the costs of healthcareReforms to health care payment systems should reflectthe following six core payment principles:1. Payment reforms should promote health byrewarding the delivery of quality, cost-effectiveand affordable care that is patient-centered andreduces disparities.2. Health care payments should encourage andreward patient-centered care that coordinatesservices across the spectrum of health careproviders and care setting while tailoring healthcare services to the individual patients’ needs,values and preferences.3. Payment policies should encourage alignmentbetween public and private health care sectors topromote improvement, innovation and meetingnational health priorities, and to minimize theimpact of payment decisions in one sector on theother.4. Decisions about payment should be made throughindependent processes that are guided by whatserves the patient and helps society as a whole, andpayment decisions must balance the perspectivesof consumers, purchasers, payers and physiciansand other health care providers.