Health Datapalooza IV: June 3rd-4th, 2013 Employer Use of Health Care Data and Evidence to Improve Quality and Value: What Is Working and How Do We Facilitate It Moderator: E.J. “Ned” Holland, Jr., Assistant Secretary for Administration, US Department of Health and Human Services (HHS) Panelists: Cristie Upshaw Travis, Chief Executive Officer, Memphis Business Group on Health Lisa Wear-Ellington, President & Chief Executive Officer, South Carolina Business Coalition on Health William Freeman, Staff Service Fellow, Center for Delivery, Organization, and Markets, Agency for Healthcare Research & Quality (AHRQ) Keith T. Kanel, Chief Medical Officer (CMO), Pittsburgh Regional Health Initiative Discussants: Deborah Greene, Center for Consumer Information and Insurance Oversight, Centers for Medicare and Medicaid Services, Centers for Medicare and Medicaid Services (CMS) Niall Brennan, Director, Office of Information Products and Data Analytics, Centers for Medicare & Medicaid Services (CMS) Irene Fraser, Director, Center for Delivery, Organization, & Markets, Agency for Healthcare Research & Quality (AHRQ) New variations in health care quality and value are a huge priority for employers. Poor quality and unnecessary cost negatively affect the health of employees and their families, the firms’ bottom line, and firm productivity and competitiveness. The panel will review four strategies with existing examples that employers, employer coalitions, and multi-stakeholder groups are using to improve health care quality and value. Discussion will focus on several questions: How can data and tools for each strategy be strengthened? How can the power and utility of data and supporting evidence be increased? How can the alignment and combined power of public and private efforts be maximized?

1. REGIONAL HEALTH IMPROVEMENT COLLABORATIVES:
Leveraging Use of Healthcare Data to Improve Quality and Value
Keith T. Kanel, MD, MHCM, FACP
Chief Medical Officer
Pittsburgh Regional Health Initiative
Datapalooza IV – Washington, DC
June 4, 2013
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2. Regional Healthcare Improvement Collaboratives
Organizations of RHICs:
• Network for Regional Health Improvement (NHRI)
• Charter Value Exchange Network (AHRQ)
• Aligning Forces for Quality
2013 © Pittsburgh Regional Health Initiative 2
• Non-profit organizations
• Neutral, “trusted conveners” for
key healthcare stakeholders to
plan, facilitate, and coordinate
activities
• Virtual forum for exchanging
ideas in real-time

3. Selected Regional Health Improvement Collaboratives
• Institute for Clinical Systems Improvement (Minnesota)
• Healthy Memphis Common Table
• Wisconsin Collaborative for Healthcare Quality
• Maine Health Management Coalition
• Integrated Healthcare Association (California)
• Health Improvement Collaborative of Greater Cincinnati
• Puget Sound Health Alliance
• Louisiana Health Care Quality Forum
• Iowa Healthcare Collaborative
• Utah Partnership for Value-Driven Healthcare (HealthInsight)
• Massachusetts Health Quality Partners
• Pittsburgh Regional Healthcare Initiative
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4. Community Roles Played by Regional Health
Improvement Collaboratives
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5. Pittsburgh Regional Health Initiative
• Not-for-profit health improvement collaborative
• Founded 1997 by Pittsburgh hospitals, insurance
plans, and corporate community
• Who we are:
– Trained 5000 healthcare workers worldwide in Lean
– Magnet for federal and private funding for regional
healthcare demonstration projects
– Breakthrough work in sharply reducing hospital-acquired
infections and improving patient safety
– National expertise in QI training, care
transitions, information technology, long term care, EOL
planning
– CMS Qualified Entity for Pennsylvania
© 2013 Pittsburgh Regional Health Initiative

6. How PRHI Seeks to Bridge the Gap Between Data and
Quality
PUBLIC REPORTING INITIATIVES
• Cardiac Registry
• Readmission Briefs, using data
from Pennsylvania All-Payer
Claims Database (PHC4)
• QIT Training Center and
Fellowship
• CMS Qualified Entity for
Pennsylvania and West Virginia
QUALITY IMPROVEMENT INITIATIVES
• Primary Care Resource Centers to
lower preventable readmissions
(CMS Innovation Center)
• Regional Extension Center to assist
practices attain EHR “meaningful
use” (CMS/ONCHIT)
• Payment Reform for High-Value Care
(Robert Wood Johnson)
• Long-Term Care Champions
• Integrating Behavioral Health in
Primary Care (AHRQ)
© 2013 Pittsburgh Regional Health Initiative

7. • AHRQ-funded initiative to disseminate evidence-based methods to embed
depression and substance-abuse screening and intervention in primary care
• Goal: Full activation in 90+ practices across 4 states in 3 years
• Rapidly move quantitative results to business community and other
stakeholders to drive payment reform.
© 2013 Pittsburgh Regional Health Initiative

8. RHICs Promoting Integrated Care:
Using Data to Make the Business Case for Quality
Marketing materials from WIPHL:
Courtesy of Richard Brown, MD
© 2013 Pittsburgh Regional Health Initiative