KHA Guide to Hospital Healthcare Quality/Patient Safety Initiatives 

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NATIONAL HOSPITAL REPORTING INITIATIVE
(a.k.a. RHQDAPU, Hospital Data Collection, AHA Quality Initiative) 
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This initiative targets reporting on the ‘10 Measurements’ covering patients with pneumonia, heart failure, and acute myocardial infarction.

The American Hospital Association (AHA), the Association of American Medical Colleges (AAMC) and the Federation of American Hospitals along with support from the Centers for Medicare and Medicaid Services (CMS), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Quality Forum (NQF), and other national organizations are the key proponents behind this initiative.

Physician Quality Reporting Initiative

From July 1, 2007 through December 31, 2007; physicians can participate in a voluntary initiative on reporting quality measurements to Medicare with some financial reward for participation.  This initiative has some aspects that are similar to Medicare’s approach to the hospital measurement approach but also has many distinguishing components that all providers need to be aware of and be tracking.

 

Kentucky Quality Improvement Organization (QIO) - Healthcare EXCEL - The CMS administers the Medicare QIO Program, which is designed to monitor and improve the quality of health care for Medicare beneficiaries.  The Medicare QIO will provide assistance to your organization in meeting requirements for both CMS and Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Agency for Healthcare Research and Quality (AHRQ) - provides evidence-based information on health care outcomes; quality; and cost, use, and access. Information from AHRQ’s research helps people make more informed decisions and improve the quality of health care services. AHRQ was formerly known as the Agency for Health Care Policy and Research.  AHRQ recently released two reports that are legislated to be released annually to Congress. These reports are quite large and for some tables include information at a state or regional level in addition to national aggregate information. The press release can be found at: http://www.ahrq.gov/news/press/pr2003/nhqrdrpr.htm and the actual reports can be found through connecting to this site: http://www.qualitytools.ahrq.gov
 

  • HCUP - AHRQ also sponsors the Healthcare Cost and Utilization Project ).

  • H-CAHPS - The HCAHPS survey is intended to be part of the National Voluntary Hospital Reporting Initiative launched by AHA, FAH, and AAMC. It is expected that HCAHPS will comprise an additional and differently focused phase of quality of care measurement

  • Quality Indicators - The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) are measures of health care quality that make use of readily available hospital inpatient administrative data. The AHRQ QIs consist of three modules measuring various aspects of quality.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

National Quality Forum - The National Quality Forum is a private, not-for-profit membership organization created to develop and implement a national strategy for healthcare quality measurement and reporting. The mission of the NQF is to improve American healthcare through endorsement of consensus-based national standards for measurement and public reporting of healthcare performance data that provide meaningful information about whether care is safe, timely, beneficial, patient-centered, equitable and efficient.

Leapfrog - Composed of more than 150 public and private organizations that provide health care benefits, The Leapfrog Group works with medical experts throughout the U.S. to identify problems and propose solutions that it believes will improve hospital systems that could break down and harm patients


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By Paige Franklin