Ohio Health Quality Improvement Plan

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Appendix IV — Co m m e n t s f r o mStatewide Or g a n iz a t io n sOur efforts are also focused on the system approach toimprove care – particularly focusing on care from diseaseprevention, to early activation of the health care system,to early advanced care, to follow up care and secondaryprevention. It is critical all participants are informedthroughout the process and Health IT is a key component.Payment ReformAs we look towards impacting our goals through hospital/provider collaboration, it is critical to look at paymentreform. For instance, we are already working ontelemedicine to increase access to quality care for strokepatients. As hospitals share resources, payment reform isneeded for full implementation.Informed and Activated Patients and IndividualsAgain, to improve outcomes, strong systems are needed.This includes informed and activated patients. Theorganization is launching Heart 360 and has partneredwith others to increase patient education. Again, links areprovided. We are pleased to bring this knowledge andexpertise to the Ohio Health Quality implementation.Through our work, we have found there is no one solution.Instead, we believe a coordinated approach variousdisciplines is most impactful. While the organization willcontinue to focus on research and research translation, welook forward to utilizing our knowledge and resources toassist with the Ohio Health Improvement Plan. We arefortunate to have one of our national volunteers based inOhio, Dr. Pina.American Cancer SocietyIt was my privilege to represent the American CancerSociety, Ohio Division at the November OHQI Summit.Thanks to all who took the information discussed andpresented at the Summit to create a draft plan. Here are mycomments:1. We would be able to help with section on Informedand Activated Patients and Individuals - tactics wouldinclude serving on the Patient and Public InvolvementTask Force. Also - the tactic addressing Health CareCoverage Decisions is of interest to us. The AmericanCancer Society has produced an evidence-baseddefinition of meaningful insurance that focuses on the“Four As”: Adequacy, Availability, Affordability, andAdministrative Simplicity. This is already a priority forour organization.322.Access to health care should be a top priority for thecouncil.I look forward to further discussion of this importantdocument and work. Thank you.Council of Smaller EnterprisesFor more than 35 years, the Council of Smaller Enterprises(COSE) has been a resource for small businesses and anationally recognized advocate and innovator for providingaccess to quality, affordable health insurance for NortheastOhio’s small business community. COSE insures morethan 13,000 small businesses with more than 71,000employees accessing coverage for over 178,000 lives.Because of the importance of access to health care for smallbusiness as a pillar of enabling entrepreneurship and anenabler for the ongoing growth and success of independentsmall businesses in our community, the needs of smallbusinesses must be recognized in our discussions abouthealth care reform in Ohio.COSE commends the work of the Ohio Health QualityImprovement Team. We believe that the plan’s fourCollaborative Transformational Strategies (CTS) providean effective framework for the future efforts of the OhioHeath Care Coverage and Quality Council (the Council).COSE encourages the Council to adopt both the conceptsand the framework advanced by this report.We believe that there are two fundamental building blockson which any approach to health care reform must be built:(1) development of an effective marketplace through HealthInformation Technology and Payment Reform (HIT) and(2) a fundamental alteration of the mindset of today’s healthcare stakeholders (Patient Centered Medical Homes andInformed and Activated Patients and Individuals).COSE believes that the top priority for the Council shouldbe to pursue HIT advances for Ohio. As a foundationstrategy, HIT will support and enable every other healthcare reform effort Recent efforts in Ohio like the HospitalMeasures Advisory Council (on which COSE served)require the type of systems support that OHQI’s HITstrategy envisions. It is important that the state’s HIT effortleverage the work that has already been done on RHIO’sand patient electronic records in our state.COSE also believes strongly in creating “Informed and
Appendix IV — Co m m e n t s f r o mStatewide Or g a n iz a t io n sActivated Patients.” COSE’s work over the last few yearswith implementing Health Risk Assessments, employersponsored wellness programs and wellness mini-grantsto reward progress is encouraging. While wellness isbeginning to see acceptance within larger companies, moreneeds to be done to increase the participation in theseefforts within the small business community.In addition, COSE’s experience of offering over twentyplan designs for health insurance has shown that a diversityof choice provides for the best fit for a small businesses’needs. We are supportive of the ideas that seek to providean opportunity for educated decision-making by consumersand small businesses among competing alternatives. Assuch, we believe that a well constructed “exchange” or“clearinghouse,” to effectively interact with the state’ssmall businesses and individuals, could be an importantasset in our efforts.Finally, approaches to subsidize and enable access tobasic benefits for the poorest Ohioans are important. Overtime, however, our longer-term health care reform effortscan only succeed if we change the consumer mindset byhelping the consumer make the connections among value,cost and responsibility in their day-to-day health andwellness activity.COSE is optimistic that the Council can attack the workahead with an open, collaborative conversation of keyhealth care reform stakeholders that have a shared focus onimproving access for Ohioans and the health status of ourstate. We look forward to participating in that work andin advancing these ideas in any way that we can with ourconstituents.Employers HealthEmployers Health believes that the OHQI Draft Plan is agood start to transforming the health care delivery systemin Ohio. It is intuitive that the successful implementationof any of the Collaborative Transformational Strategies willhave a profound impact on the quality and cost of healthcare delivery.As the Governor’s Health Care Coverage and QualityCouncil begins its evaluation of the Plan, Employers Healthencourages it to augment the Plan with a comprehensivedata collection and analysis effort designed to pin-pointthe causes of the underperformance of Ohio’s health caredelivery system. The OHQI Draft Plan was created withoutthe benefit of such data or analysis. Thus, the attainmentand analysis of such data will be critical to developing areform plan with the highest possible level of efficiency.Employers Health lends its full support to the efforts of theOhio Health Quality Improvement Implementation Teamand the Governor’s Health Care Coverage and QualityCouncil. If the Council desires assistance of any kind,please convey my availability and willingness to help.Employers Health Coalition of Ohio, Inc.I appreciate the opportunity to participate in theOhio Health Quality Improvement project with theImplementation Team. The following paragraphs containthe activities of the Employers Health coalition in eachof the Collaborative Transformational Strategies andcomments regarding the Ohio Health Quality ImprovementDraft Plan.The mission of the Employers Health Coalition of Ohio,Inc. is to help its member organizations improve thequality, accessibility and cost of health care for their healthbenefit plan enrollees and the communities in which theyreside. As such, Employers Health engages in activities ineach of the Collaborative Transformational Strategies.Below is an abbreviated list of the projects and servicesEmployers Health is involved with and the affectedCollaborative Transformational Strategy:Patient Centered Medical Home• Employer Education• Data Warehouse and AnalysisHealth Information Technology• Electronic PrescribingPayment Reform• Bridges to Excellence• Evalue8• Employer Education• Data Warehouse and Data AnalysisInformed and Activated Patients and Individuals• Consumer Guide to Hospital Quality (www.ohiohospitalquality.com)• Leapfrog33
Page 1 and 2: Ohio Health QualityImprovement Plan
Page 3 and 4: Introduc tionIn November 2008, more
Page 5 and 6: In t r o d u c t io nimplementation
Page 7 and 8: Oh io He a l t h Qu a l it y Im p r
Page 9 and 10: Pa t ie n t Centered Me d ic a l Ho
Page 11 and 12: Pa t ie n t Centered Me d ic a l Ho
Page 13 and 14: He a l t h In f o r m a t io n Te c
Page 15 and 16: Pa y m e n t Re f o r m◦◦◦◦
Page 17 and 18: In f o r m e d a n d ActivatedPa t
Page 23 and 24: Me a s u r in g Su c c e s sPropose
Page 25 and 26: Ne x t StepsOhio Health Care Covera
Page 27 and 28: Appendix II — Response to Questio
Page 29 and 30: Appendix III — Su r v e y Results
Page 31: Appendix IV — Co m m e n t s f r
Page 35 and 36: Appendix IV — Co m m e n t s f r
Page 45: CORE PLANNING TEAMAmy Rohling McGee

Ohio Health Quality Improvement Plan

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