STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

More documents

Recommendations

Info

CHAPTER 2: Health careValue-Based PurchasingValue-based purchasing is the use of payment methodsand other incentives to encourage substantiveimprovement for patient-focused, high-value care.At HHS, value-based purchasing is in its early stagesof development. The Tax Relief and Health Care Actof 2006 (H.R. 6111) lays the groundwork for CMS toestablish many models for financial and nonfinancialincentives used in value-based purchasing programsor strategies. Programs such as Medicare Hospital Payfor Performance, Medicare Demonstration Project toPermit Gainsharing, and the Premier demonstrationare viewed as one component of a broader strategyof promoting health care quality. At least 12 Statesthroughout the country have already implemented awide range of value-based purchasing initiatives underMedicaid. States are using both payment differentialsand nonfinancial incentives, such as auto-enrollmentand public reporting, to reward performance. CMSwill provide technical assistance to those States thatvoluntarily elect to implement value-based programs.CMS also will encourage States to include an evaluationcomponent to provide evidence of the effectiveness ofthis methodology.Quality Improvement EffortsMedicare Quality Improvement Efforts. Improvingquality of care and reducing medical errors areimportant goals in modernizing Medicare. TheMedicare Web site will continue to display qualitydata that allow consumers to make informed choicesby comparing the performance of hospitals, nursinghomes, home health agencies, and dialysis facilities.Medicaid Quality Improvement Efforts. Statescontinue to advance efforts to improve overallquality of care as they seek new approaches toimprove and expand insurance coverage. In manyinstances, State Medicaid programs have led the wayin quality initiatives that have the potential to shapeactivities of other public and private payers acrossthe country. Several States have implemented valuebasedpurchasing programs with the objective ofredesigning the payment structures to promote andreward the provision of high-quality care. At least 13States now publicly report performance measurementdata that can be used by State agencies, beneficiaries,policymakers, and others to promote transparency andpersonal responsibility in the care provided. CMS alsohas launched a Neonatal Care Outcomes Improvementproject with an objective of decreasing infant morbidityand mortality.Nursing Home Quality Initiatives. The CMS NursingHome Quality Initiative is a broad-based effort thatincludes continuing regulatory and enforcementsystems. New and improved consumer information isavailable through the 1–800–MEDICARE (1-800-633-42273) line and at the Medicare Web site. In addition,community-based nursing home quality improvementprograms, and partnerships and collaborative effortsto promote awareness and support, are underway.The first goal of the initiative is to provide consumerswith an additional source of information about thequality of nursing home care by establishing qualitymeasures based on the Minimum Data Set and bypublishing information on Medicare’s Nursing HomeCompare Web site. The second goal is to help providersimprove the quality of care for their residents bygiving them complementary clinical resources, qualityimprovement materials, and assistance from theQuality Improvement Organizations in every State.Collaborative Quality Improvement Initiatives.Two joint planning efforts focus on quality andimprovement initiatives. With representation fromCMS, CDC, AHRQ, and a number of non-Federalorganizations, one effort experiments with approachesto create incentives for hospitals and physiciansto provide both high-quality and efficient care(e.g., Gainsharing, Hospital Compare, Surgical CareImprovement Project, and others). The second effort,the Quality Workgroup, consists of CMS, AHRQ, IHS,ONC, the Office of Personnel Management, and avariety of non-Federal organizations representing labor,insurers, hospitals, and other stakeholders. The QualityWorkgroup makes recommendations to the AmericanHealth Information Community (AHIC) so that healthinformation technology can provide the data needed42 HHS Strategic Plan FY 2007-2012
CHAPTER 2: Health carefor the development of quality measures that are usefulto patients and others in the health care industry. TheQuality Workgroup seeks to automate the measurementand reporting of a comprehensive current and futureset of quality measures and to accelerate the use ofclinical decision support that can improve performanceon those quality measures. In addition, this workgroupmakes recommendations on how performanceindicators should align with the capabilities andlimitations of health information technology. Moreinformation about the AHIC’s work is included in theMeeting External Challenges section of this chapter.Medical Home Quality Improvement Initiative.A medical home is primary care that is accessible,continuous, comprehensive, family centered, coordinated,compassionate, and culturally effective. In a medicalhome, a pediatric clinician works in partnership withthe patient and his or her family to assure that all themedical and nonmedical needs of the patient are met.Through this partnership, the pediatric clinician canhelp the patient and family access and coordinatespecialty care, educational services, out-of-home care,family support, and other public and private communityservices that are important to the overall health of thechild or youth and family. A HRSA initiative will identifyeffective strategies currently being used in collaborationwith Title V Children with Special Needs programs in theStates and will implement quality improvement activitieswithin their medical home activities. The purpose is toenhance infrastructure development, provide qualitycare, and foster exchange of strategies among families,communities, and State and Federal leaders.Medical Product SafetyFDA is responsible for addressing concerns regardingthe safety of medical products, in particular, drugs.As the science of drug development continues toevolve, FDA will continually improve the approachto drug regulation to ensure that care providersand patients can make optimal decisions aboutthe medicines they use to improve their health.FDA’s reform effort will include developing newtools for communicating information to patientsand improving the management of the process forHHS Strategic Plan FY 2007-201243
Page 1: U.S. DEPARTMENT OF HEALTH & HUMAN S
Page 4 and 5: “I appreciate the hard work and d
Page 6 and 7: “The economic and social well-bei
Page 8 and 9: Workforce Support Efforts..........
Page 10 and 11: 108 Performance Indicators109 Meeti
Page 12: The Strategic Plan encompasses the
Page 15 and 16: CHAPTER 1: INTRODUCTION AND OVERVIE
Page 25 and 26: CHAPTER 2: Health careThe system ne
Page 27 and 28: CHAPTER 2: Health careHealth and Sc
Page 29 and 30: CHAPTER 2: Health careHealth Insura
Page 31 and 32: CHAPTER 2: Health carewith the U.S.
Page 33 and 34: CHAPTER 2: Health careand SCHIP. Th
Page 35 and 36: CHAPTER 2: Health careTo enhance th
Page 37 and 38: CHAPTER 2: Health careagencies on a
Page 39 and 40: CHAPTER 2: Health careRyan White HI
Page 41 and 42: CHAPTER 2: Health careStrategic Obj
Page 43: CHAPTER 2: Health careFDA has initi
Page 47 and 48: CHAPTER 2: Health careStrategic Obj
Page 49 and 50: CHAPTER 2: Health careWorkforce Sup
Page 51 and 52: CHAPTER 2: Health careMost RecentRe
Page 53 and 54: CHAPTER 2: Health carecountries. Th
Page 55 and 56: CHAPTER 2: Health carepartments, ho
Page 57 and 58: CHAPTER 2: Health caresolutions; th
Page 59 and 60: CHAPTER 2: Health careto identified
Page 61 and 62: CHAPTER 3: Public Health Promotion
Page 93 and 94: CHAPTER 4: human servicesWelfare re
Page 95 and 96:
CHAPTER 4: human servicesStrategic
Page 97 and 98:
CHAPTER 4: human servicesWell-Being
Page 99 and 100:
CHAPTER 4: human servicesStrategic
Page 101 and 102:
CHAPTER 4: human servicesinclude co
Page 103 and 104:
CHAPTER 4: human servicesCollaborat
Page 105 and 106:
CHAPTER 4: human servicesCapacity-B
Page 107 and 108:
CHAPTER 4: human servicesAmerican I
Page 109 and 110:
CHAPTER 4: human servicescommunity
Page 111 and 112:
CHAPTER 4: human servicesMeeting Ex
Page 113 and 114:
CHAPTER 4: human servicesRacial/Eth
Page 115 and 116:
CHAPTER 5: Scientific Research and
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
CHAPTER 6: Responsible Stewardship
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Appendix a: program evaluation effo
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Appendix b: performance indicatorsP
Page 161 and 162:
Appendix b: performance indicators2
Page 163 and 164:
Appendix b: performance indicatorsM
Page 165 and 166:
Appendix b: performance indicatorsS
Page 167 and 168:
Appendix c: performance plan linkag
Page 169 and 170:
Appendix c: performance plan linkag
Page 171 and 172:
Appendix d: information technologyT
Page 173 and 174:
Appendix d: information technologya
Page 175 and 176:
Appendix d: information technologyH
Page 177 and 178:
Appendix e: hhs organizational char
Page 179 and 180:
Appendix f: hhs operating and staff
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Appendix g: acronymsAcronymsACFAdmi
Page 187 and 188:
Appendix g: acronymsOGCOffice of th
Page 189 and 190:
Appendix h: endnotesEndnotesI.The S
Page 191:
Appendix h: endnotesXXX.CDC. (2005)
show all

STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?