Click for next page ( 436


The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement



Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 435
B Private-Sector Organizations Offering Services Related to Quality Improvement 435

OCR for page 435
436 APPENDIX B TABLE B.1 Private-Sector Organizations Offering Services Related to Quality Improvement Date Founded Board Organization Name Contact Information (Status) Information Abt Associates Inc. 55 Wheeler Street 1965 (FP) 13 members Cambridge, MA 02135 Phone: (617) 492-7100 http://www.abtassociates.com American Institutes 1000 Thomas Jefferson Street, 1946 (NFP) 13 members for Research (AIR) NW Washington, D.C. 20007 Phone: (202) 403-5000 http://www.air.org

OCR for page 435
APPENDIX B 437 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue 5 offices Apply health economics, evaluation Governments N/A across the research, survey research, and other Funding U.S. (1,000+) measurement sciences to public health organizations policy, technical assistance, and Foundations regulation assessment Nonprofit Assignments have included: institutions Measuring the impact of public health Business programs, including projects at the state and industry and federal levels worldwide Improving the health of disparate populations Assessing the cost-effectiveness of drugs and therapies Evaluating the benefits of new technology Determining the outcomes of health plan subscribers Measuring the health effects of environmental hazards 9 offices Health care research and policy analysis. Federal $182 million across the Collaborate to: and state for 2004 U.S.; Develop and test concepts for governments international prevention and public health campaigns Foundations offices in 9 and initiatives Private countries Monitor and assess subsequent changes health care (1200+) in attitudes, behavior patterns, and and research media coverage organizations Carry out specific projects to improve Universities quality data on delivery of care and performance measurement for substance- abuse and mental health services Conduct a new project on assessing quality of life for sickle cell patients continues

OCR for page 435
438 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information CareScience, Inc. 3600 Market Street, 7th Floor N/A (FP) N/A Philadelphia, PA 19104 Phone: (888) 223-8247 http://www.carescience.com Center for Health P.O. Box 3469 1995 (NFP) 8 names, with Care Strategies Princeton, NJ 08543-3469 titles and Phone: (609) 895-8101 affiliations Fax: (609) 895-9648 http://www.chcs.org

OCR for page 435
APPENDIX B 439 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Philadelphia, Provide care management tools for Hospitals and N/A PA (NA) health care data collection, data mining, health systems; quality reporting, public reporting, and alliances with clinical process redesign California Advise on performance improvement, Health Care redesign of care management Foundation, infrastructure, improvement of clinical Joint processes and resource utilization, and Commission on administrative and physician leadership Accreditation development of Healthcare Organize public educational events and Organizations, training for health care professionals and and others leaders, such as monthly forums and a national conference Offer technology to support improvements in performance and clinical outcomes through organizational and cultural change management, monitoring, and continuous quality improvement Provide training in data analysis and improve data analysis skills Offer comprehensive hands-on training Princeton, NJ Technical assistance and training to help State officials N/A (30) states, health plans, and consumer Health plan organizations use managed care leaders effectively to: Consumer Improve quality of services organizations Improve health services for low-income across the families and people with severe illnesses country and disabilities Reduce racial and ethnic health disparities Increase community options for people with disabilities continues

OCR for page 435
440 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Cerner Corporation 2800 Rockcreek Parkway 1979 (FP) 8 names, Kansas City, MO 64117 with titles, Phone: (866) 221-8877 affiliations, http://www.cerner.com/public and photos

OCR for page 435
APPENDIX B 441 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue 7 offices Outcomes Management solutions enable Health N/A across organizations to measure, predict, and organizations, the U.S.; improve outcomes at multiple levels: e.g.: international APACHE--prospective and current Hospitals offices in information at the point of care Health 9 countries Critical Outcomes--collected systems (Associates: knowledge from critical care database Physician worldwide, Health Facts--national research practices 6,255; database and industry benchmark Home health Kansas City, Surveillance Insights--use of health organizations 4,031) department reporting, surveillance, and data mining to decrease nosocomial infections Executable Knowledge for Regulatory Standards provides alerts/rules, order sets, documentation and reports from major regulatory and quality assurance groups IQHealth creates a web-based location for recording, tracking, and exchanging personal information for common chronic conditions Multum--drug knowledge for integration into a clinical information system or via Internet access Innovations include: Lighthouse--development of a data- driven, clinical optimization process to enable physician and nursing behavior changes Genomics Data Model--to store, represent, and manipulate the data representation of personal genomic information continues

OCR for page 435
442 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Eclipsys 1750 Clint Moore Road 1995 (FP) 6 names, with Boca Raton, FL 33487 titles, and Phone: (561) 322-4321 affiliations Fax: (561) 322-4320 http://www.eclipsys.com Epic Systems 5301 Tokay Blvd. 1979 (FP) N/A Corporation Madison, WI 53711-1027 Phone: (608) 271-9000 Fax: (608) 271-7237 http://www.epicsystems.com

OCR for page 435
APPENDIX B 443 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue 16 offices Offers services for: 1500+ Within U.S. across the Clinical transformation health care totaled U.S. and 3 Clinical knowledge management organizations, $293.1 million in Canada Outsourcing (information technology, including: in 2004; (2000) information management, revenue cycle 60,000 outside U.S. management) physicians totaled Remote hosting 400,000 $16 million in Customer relationship management nurses 2004 and support 70,000 Software implementation administrative Product education and training support staff Integration and streamlining of care 35,000 delivery with a shared electronic health ancillary staff record, single health data repository, and workflow-enhancing documentation Madison, WI Develop and install large-scale health Large N/A (2100) care software systems that: health care Provide shared, complete, longitudinal organizations electronic health records for providers, affiliates, and patients across the care continuum Promote patient safety and health care quality Improve disease management by identifying at-risk patients, guiding providers through best-practice care standards, and using integrated web access to engage patients continues

OCR for page 435
444 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Health Dialog 60 State Street, Suite 1100 1995 (FP) 9 members Services Corporation Boston, MA 02109 Phone: (617) 406-5200 http://www.healthdialog.com HealthGrades 500 Golden Ridge Road 1999 (FP) 5 names, with Suite 100 titles and Golden, CO 80401 affiliations (in Phone: (303) 716-0041 biography) http://www.healthgrades.com

OCR for page 435
APPENDIX B 445 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Corporate Care management services to help Approximately N/A office in individuals become more engaged in 16 million Boston, MA, their care and have more effective individuals with 5 call relationships with their physicians, e.g.: with access to centers across Predictive modeling to identify services through the U.S. individuals for coaching relationships (900+) Health coaching for individuals and with more than families 30 health plan Physician support and employer Program measurement and reporting clients, including: Blue Analytic solutions: Cross and Blue Examination of unwarranted variations Shield (BCBS) in care of Michigan Provider measurement services and other Patient profiles states, Health Opportunity analyses for each plan Care Services Corporation, American Standard, Fidelity, Excellus BCBS, Noridian (BCBS of North Dakota), Definity Health, and others Golden, CO Business solutions, including Physicians N/A (105) independent, third-party ratings and Consumers advisory services, to help providers assess Hospital and improve their quality of care: executives Identify quality improvement Employers opportunities Health plans Implement evidence-based, best- Benefit practice process improvement strategies managers for hospital patients Liability Work with the nation's top-performing insurers hospitals to build and maintain a reputation for excellence continues

OCR for page 435
APPENDIX B 455 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Wausau, WI Offers LearnTM, a series of self-directed Managers N/A (N/A) training modules with the Quality and leadership ProfileTM and Risk MonitorTM web teams within tracking systems to collect, benchmark, long-term care and use quality data and satisfaction organizations surveys; ready-to-use resources such as Partnership competencies, presentation visuals, with the trainer's scripts, staff handouts, and American evaluation tools; and a web-based Health Care "Culture Change Staging Tool" Association Provides guidelines and best practices to: Interpret report findings Take planned actions Set performance targets Monitor risks and performance over time Address customer service and the resolution of customer concerns Albany, NY EQUIP software and client support helps 400+ primarily N/A (N/A) long-term care facilities: NFP long-term View individual resident, unit, or care facilities facilitywide and benchmarking data nationwide Create visual reports and graphs of quality issues Gain access to current and comprehensive information on long-term care, including new research and updates on clinical practice guidelines Improve quality of care, manage risk, and control costs continues

OCR for page 435
456 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Pacific Business 221 Main Street, Suite 1500 Initially Governed by Group on Health San Francisco, CA 94105 convened an executive (PBGH) Phone: (415) 281-8660 (1993) and committee http://www.cchri.org now manages consisting California equally of Cooperative purchasers, Healthcare health plans, Reporting and health care Initiative providers (CCHRI) (NFP)

OCR for page 435
APPENDIX B 457 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue San Members of the collaborative work CCHRI is a N/A Francisco, together to: collaborative of CA (N/A) Collect and report standardized, health care reliable health plan and provider purchasers, performance data plans, and Promote the use of accurate and providers: comparable quality measures within 10 health health care plans, Create efficiency in data collection representing leading to reduced burden and cost to all over 85 percent participants of the Maintain a forum for multiple plan commercial provider and providerprovider health collaboration on quality improvement maintenance initiatives organization Provide a source for expert advice to (HMO) consumer reporting entities population in California PBGH participating employers representing nearly 3 million employees, retirees, and relatives Provider organizations, including 159 medical groups (participants in the 2005 Consumer Assessment Survey) and state associations continues

OCR for page 435
458 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Breakthroughs Steering in Chronic committee of Care Program representatives (2004) under from California PBGH health plans corporate and physician umbrella groups, public (NFP) health officials, and medical educators Permedion 350 Worthington Road, Suite H 1974 (NFP) 58 physicians Westerville, Ohio 43082 plus Phone: (800) 473-0802 1 Medicare Fax: (614) 895-6784 beneficiary http://www.permedion.com Premier 12225 Camino Real 1996 (FP) 15 names, with San Diego, CA 92130 affiliations and Phone: (858) 481-2727 photos http://www.premierinc.com

OCR for page 435
APPENDIX B 459 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue San Improves service and care for patients 4 health plans $1 million per Francisco, with chronic conditions: 100 physician year CA Focuses on ambulatory practice groups (3 employees redesign by leveraging the improvement within PBGH) infrastructure of physician groups Coordinates disease management programs between health plans and physician groups Westerville, Statistical and clinical expertise Federal $4.2 million OH (55) Quality review and improvement and state services government Health care claims analysis agencies Utilization management Hospitals and Quality-of-care case review other health Medical record review care providers Validation of performance measures, Health plans performance improvement projects, and Other payers data quality Licensing Customized services to meet the needs boards of individual groups 4 offices Participates in CMS pay-for- An alliance of N/A across the performance demonstration project NFPs: U.S. (N/A) Offers rapid improvement programs, 1,500 webinars, meetings, conferences, hospitals continuing education credits, and tools Health care Provides group purchasing, insurance, related facilities and advisory services Health Provides advocacy on policy issues systems continues

OCR for page 435
460 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information The RAND 1776 Main Street 1948; 1960s: Board of Corporation P.O. Box 2138 RAND Health trustees: Santa Monica, CA 90401 (NFP) 24 members; Phone: (310) 393-0411 RAND Health http://www.rand.org board of http://www.rand.org/health advisors: 30 members

OCR for page 435
APPENDIX B 461 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Corporate Research to measure, assess, and improve Research $251 million office in the quality of health care and to provide sponsors-- for year ending Santa reliable decision-support information on governmental 9/26/2004 Monica, CA, quality to patients, providers, and agencies, (RAND total); with purchasers, e.g.: foundations, $52 million additional Central data repository for several private-sector (RAND offices in large surveys organizations Health total) Pittsburgh, Tools for assessing quality of care for PA, and children and adults and facilitating Washington, medical record review DC Consumer Assessment of Health Plans Study (CAHPS)--tool to survey RAND consumers about their health care Europe: experiences Berlin, Assessing Care of Vulnerable Elders-- Cambridge, including development of paper-based Leiden tools for medical record abstraction; interventions to improve care for the RAND-Qatar elderly with dementia, urinary Policy incontinence, and falls Institute Partners in Care--an integrated approach to improving care for (170+ depression in primary care employees in Use of large claims datasets for RAND modeling the impact of changes in Health) reimbursement, benefit design, availability of health information technology, and effectiveness of treating various conditions on future Medicare expenditures continues

OCR for page 435
462 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Resolution Health, 1625 The Alameda, Suite 400 October 2003 6 members Inc. San Jose, CA 95126 (FP) Phone: (408) 882-0678 http://www.resolutionhealth.com Solucient, LLC 1007 Church Street, Suite 700 2001 (FP) N/A Evanston, IL 60201 Toll-Free: (800) 366-PLAN Phone: (847) 424-4200 http://www.solucient.com http://100tophospitals.com

OCR for page 435
APPENDIX B 463 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue San Jose, CA; Health care data analysis and Health plans/ N/A Columbia, intervention. Provides a variety of insurers MD (40) services that: Large Describe the quality of care provided self-insured to a population at a particular time and employers over time Unions Identify patient-specific opportunities Third-party to improve the quality, safety, and administrators coordination of care Disease Provide actionable patient-specific management information to physicians, other care companies managers and patients to enable them to Pharmacy improve quality, safety and coordination benefit of care management Profile the quality of care delivered by companies individual physicians and physician Benefit groups consultants Help individuals make better health care purchasing decisions Reduce medical costs while maintaining or improving quality of care 4 offices Provide information products serving 3,100+, N/A across the the health care industry including: U.S. (500+) Maintain a large health care database 2,000 Provide tools and assistance for hospitals health care managers to improve the 12 state performance of their organizations hospital associations 16 of the 20 largest pharmaceutical manufacturers in the U.S. 100 major payors, including 15 Blue plans Biomedical and biotechnol- ogy companies Consultants continues

OCR for page 435
464 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Wellspring Innovative 2149 Velp Avenue, Suite 500 1994 (NFP) 7 members Solutions, Inc. Green Bay, WI 54303 Phone: (920) 434-0123 http://www.wellspringis.org NOTE: NFP = not-for-profit organization; FP = for-profit organization; N/A = not available.

OCR for page 435
APPENDIX B 465 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Green Bay, Consulting services on: Core WI (N/A) Clinical care processes charter group Embedding continuous quality comprising improvement into daily practice 11 independent Recruitment and retention strategies NFP skilled Data-based decision making nursing Presurvey planning and preparation facilities A model in which educational modules, throughout workshops, and follow-up for delivery of eastern improved quality of care are used to Wisconsin create a multidisciplinary approach to Alliances of resident-centered care nursing homes Consulting on culture change and around the U.S. improvement in quality measures to QIO provide educational modules for clinical community, changes and empowerment of front-line including caregivers HealthInsight (Utah and Nevada QIOs)