Core Measurement Needs for Better Care, Better Health, and Lower Costs Counting What Counts: Workshop Summary (2013) / Chapter Skim
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6 Implementation
6 Implementation
Pages 55-64
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From page 55... ...
Gildemeister • Metrics have played a key role in informing state health care reform efforts, with Minnesota serving as an example. • It is important to establish clearly the purpose for creating metrics and to not have one measure that tries to accomplish everything.
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From page 56... ...
Carole Romm, who led, in a consulting capacity, the accountability and quality efforts for the Oregon Health Authority's Medicaid program, described a measurement framework for coordinated care in another state effort. ANALYZING HEALTH STATUS ACROSS ALL COUNTIES To begin his presentation, Patrick Remington described the simple logic model that informs his work on measuring health status.
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From page 57... ...
The first is that it is possible to collect the data needed for the model and to use the model to summarize health outcomes and health factors. Second, generating rankings gets the attention of the media, local health officers, the general public, and even physicians and others in the health care system within a community.
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From page 58... ...
More recently, in 2008, the state passed groundbreaking bipartisan health care reform legislation that aimed to improve population health through efforts targeting obesity and tobacco use, to enhance the patient experience by investing in health care homes and stressing patient-centered care, and to improve cost trends through transparency in cost and quality and through payment reform. To further the momentum generated by this legislation, the state is finalizing a roadmap for implementing reform efforts over the next few years as part of the governor's health care reform task force.
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From page 59... ...
Gildemeister noted that Minnesota's health insurance exchange, established under the provisions of the ACA, will provide a wealth of data on a dramatically larger scale than is available today, creating new areas for measurements of affordability, provider innovation, and population health. He highlighted the potential this will create for better understanding of health care system performance, which will allow for better tracking of progress and for fine-tuned, regular adjustments to policies and programs
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Some 85 percent of Oregon's health care providers participate in the state's Medicaid program. She noted that, as in Minnesota, Oregon's governor has been a strong proponent of health care reform efforts.
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In addition, Oregon believes that nontraditional or community health care workers are an essential part of the health care team. The state is supporting the growth of these workers by setting out criteria for certification and by working with the state's community colleges to establish training programs.
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Gildemeister added that involving consumers in these community advisory councils can engage the broader community to take action beyond what a health care organization can do regarding the external factors that influence health. During the discussion, Remington noted that his group's county health rankings capture disparities across a state or between neighboring regions in different states.
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From page 63... ...
2012. Minnesota Health Care Spending and Projections, 2010.
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