National Healthcare Disparities Report - LDI Health Economist

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Highlights share experiences and discuss ways to leverage activities across private and Federal-level initiatives. In the coming months, the IWG will review the recommendations of the NPP and will identify a set of discrete and actionable short- and long-term goals, with common metrics where possible. These goals will set the stage for corresponding goals, strategies, and timelines created by Federal agencies and States, and thus will require applicability, feasibility, and relevance to a broad audience of diverse stakeholders. The IWG will also build upon its initial observations regarding the need to align efforts on chronic disease care management, health information technology implementation, disparities, and patient safety. Agency-Specific Plans HHS will coordinate with Federal agencies to ensure their agency-specific plans, as required by Section 3011 of the ACA, align to the overarching NQS goals. HHS created a template to guide agencies in the development of these plans, with broad, recommended categories to create consistency across the plans and ensure alignment with the NQS. Agencies will be asked to explain how their own principles, priorities, and aims correspond with those of the NQS; elaborate on their existing and future efforts to implement the NQS; and discuss the methodology for evaluating these efforts. The harmonization of these agency-specific plans that will ensure that relevant agencies’ activities support rather than conflict with the NQS. Some agencies have begun incorporating the NQS into their strategic planning and programmatic activities. The Substance Abuse and Mental Health Services Administration (SAMHSA) developed a draft National Behavioral Health Quality Framework (NBHQF), incorporating two rounds of public comments, and is in the process of identifying and finalizing a set of core measures. The NBHQF successfully aligns SAMHSA’s mission with the NQS and retains the three aims of NQS as an overarching guideline, while outlining six unique priorities that parallel those in the NQS. In this document, SAMHSA defines its role in fighting national substance abuse, explains how its efforts directly align with the aims of NQS, and illustrates how its own priorities will advance the quality of care in behavioral health. The NBHQF provides a model that HHS will leverage as an example for future agency-specific plans and demonstrates a successful approach for executing the aims of the NQS while achieving measurable improvement across all six priority areas. Harmonization and Alignment of Metrics The National Healthcare Quality and Disparities Reports provide an initial set of benchmarks on the six priorities. However, sufficient measures and data are lacking for several priority areas. Over time, new metrics will be developed and current metrics used to track progress on priorities will evolve as HHS aligns, harmonizes, and consolidates measures for evaluating major programmatic initiatives among the various agencies. Minimizing the burden of data collection while supporting an appropriate infrastructure for collecting data and for analyzing and reporting performance will require efforts among all stakeholders. 32 National Healthcare Disparities Report, 2011
Highlights Conclusion Improving quality and reducing disparities require measurement and reporting, but these are not the ultimate goals of the NHQR, NHDR, National Quality Strategy, or Disparities Action Plan. The fundamental purpose of improvement in health care is to make all patients’ and families’ lives better. The NHQR and NHDR concentrate on tracking health care quality and disparities at the national level, but the statistics reported in the reports reflect the aggregated everyday experiences of patients and their providers across the Nation. It makes a difference in people’s lives when breast cancer is diagnosed early; when a patient suffering from a heart attack is given the correct lifesaving treatment in a timely fashion; when medications are correctly administered; and when doctors listen to their patients and their families, show them respect, and answer their questions in a culturally and linguistically skilled manner. All Americans should have access to quality care that helps them achieve the best possible health. With the publication of this ninth NHQR and NHDR, AHRQ stands ready to contribute to efforts that encourage and support the development of national, State, tribal, and local solutions using national data and achievable benchmarks of care. These documents identify areas where novel strategies have made a difference in improving patients’ quality of life, as well as many areas where much more should be done. These reports begin to track the success of the National Quality Strategy and the HHS Disparities Action Plan. We need to improve access to care, reduce disparities, and accelerate the pace of quality improvement, especially in the areas of preventive care and safety. More data are needed to assess progress in care coordination and efficiency. Information needs to be shared with partners who have the skills and commitment to change health care. Building on data in the NHQR, NHDR, and State Snapshots, stakeholders can design and target strategies and clinical interventions to ensure that all patients receive the high-quality care needed to make their lives better. National Healthcare Disparities Report, 2011 33
Page 1: NATIONAL HEALTHCARE DISPARITIES REP
Page 4 and 5: Acknowledgments The NHQR and NHDR a
Page 6 and 7: National Healthcare Disparities Rep
Page 8 and 9: Highlights New this year, the Highl
Page 10 and 11: Highlights n Disparities in quality
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Page 42 and 43: Introduction and Methods With rapid
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Patient Safety To Err Is Human does
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Patient Centeredness Chapter 5 Simi
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U.S. Department of Health and Human
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