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Medicare's Quality Improvement Organization Program: Maximizing Potential (2006)

Chapter: Appendix B Private Sector Organizations Offering Services Related to Quality Improvement

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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 441
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 442
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 443
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 444
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 445
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 446
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 447
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 448
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 449
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 450
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Page 451
Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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Suggested Citation:"Appendix B Private Sector Organizations Offering Services Related to Quality Improvement." Institute of Medicine. 2006. Medicare's Quality Improvement Organization Program: Maximizing Potential. Washington, DC: The National Academies Press. doi: 10.17226/11604.
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B Private-Sector Organizations Offering Services Related to Quality Improvement 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

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

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

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

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

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

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

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

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

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

446 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information HealthShare/ THA 6225 U.S. Highway 290 1969 (FP) 15 members East Austin TX 78723 Phone: (512) 465-1070 http://www.healthshare-tha.com IDX 40 IDX Drive 1969 (FP) 10 names, Burlington, VT 05402-1070 with titles and Phone: (802) 862-1022 affiliations Fax: (802) 862-6848 http://www.idx.com Ingenix 12125 Technology Drive N/A (FP) 9 names, with Eden Prairie, MN 55344 titles and Toll-free: (800)-INGENIX affiliations; Phone: (952) 833-7100 UnitedHealth Fax: (952) 833-7201 Group board: Email: info@ingenix.com 12 names http://www.ingenix.com Institute for Clinical 8009 34th Ave South 1993 (NFP) 16 names, with Systems Improvement Suite 1200 titles and Bloomington, MN 55425 affiliations Phone: (952) 814-7060 Fax: (952) 858-9675 http://www.icsi.org

APPENDIX B 447 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue 4 offices in Offers services for patient data, group Subsidiary of N/A Texas (13) purchasing, and insurance. Provides the Texas quality initiatives for: Hospital · Clinical quality, operational, and Association: patient satisfaction benchmarking · Hospitals · Continuous performance monitoring · Health care · Core measures solutions organizations · Quality improvement analysis and reporting 9 offices Offers services for specialty work-flow · Hospitals $521 million across the solutions: · Group in 2004 U.S. and 1 · Patient management practices office in · Support of patient care through a · Academic London, UK comprehensive lifetime patient record medical centers (N/A) · An encompassing image and · Integrated information management solution for delivery cardiology and radiology networks 20 offices in Offers database tools, data management · 3,000+ Expected fiscal the U.S. in services, and consultation to improve hospitals and year 2005 addition to business processes that depend on 250,000 revenues of international complete, timely, and accurate provider physicians $800 million locations data: · 2,000 payers (N/A) · Data assessment report and other · Data enhancement intermediaries · Deceased provider analysis · 100 Fortune · National health care databases 500 companies · 183 pharma- ceutical and biotechnology companies Bloomington, Offers services for: 55 hospitals $3.5 million MN (25) · Evidence-based health care and medical per year · Support for clinical and service groups (ranging improvement from 5 to 1,000 · Patient education resources physicians), · Outreach to the health care community representing and the general community 8,300 hospital beds and 7,600 physicians continues

448 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Institute for 20 University Road, 7th Floor 1991 (NFP) 16 names, Healthcare Cambridge, MA 02138 with titles, Improvement Phone: (617) 301-4800 affiliations, Toll-Free: (866) 787-0831 and photos Fax: (617) 301-4848 http://www.ihi.org/ihi Learn, Empower, 911 N. Elm Street, Suite 228 1999 (FP) N/A Achieve, Produce-- Hinsdale, IL 60521 LEAP (Life Services Phone: (630) 325-6170 Network) or 2 Lawrence Square Springfield, IL 62704 Phone: (217) 789-1677 http://www.lsni.org/ LEAPbrochure.pdf

APPENDIX B 449 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Cambridge, Offers services to: · Health care N/A MA (70+) · Provide solutions ready for action providers and · Provide knowledge about quality organizations improvement · Hospitals · Create communities of users with common interests and the opportunity to interact with experts Offers materials such as books, white papers, audio, video, and moderated discussion communities Offers additional programs: · IMPACT Network · 100K Lives Campaign · Conferences and training · Collaborative learning · Pursuing Perfection · Transforming Care at the Bedside Hinsdale, IL; A long-term care workforce development · NFP long- N/A Springfield, and retention program for staff, term care IL (N/A) including train-the-trainer modules and communities workshops to: and nursing · Build positive relationships with home staff residents and families (nurse · Foster capable work teams managers, · Develop effective communication physicians, techniques nurses, · Make participants feel valued and administrators, effective social workers) · Release "hidden" talents · Developed in partnership with Life Services Network of Illinois and Mather Lifeways continues

450 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Mathematica Policy P.O. Box 2393 1968 (FP) 13 members Research, Inc. Princeton, NJ 08543-2393 Phone: (609) 799-3535 http://www.mathematica- mpr.com

APPENDIX B 451 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Princeton, Collects data through surveys, · Federal and Approximately NJ; administrative databases, and other state agencies $90 million in Cambridge, methods; analyzes data; evaluates · Health care 2005 MA; programs; summarizes policy industry Washington, implications; and identifies solutions: · Foundations DC (~500) · Evaluated specific demonstrations of pay-for-performance programs · Evaluates Medicare demonstration projects for disease management and care coordination · Developed clinical quality, outcomes, utilization, and program management measures · Evaluated implementation of Hospital Quality Alliance measures and Hospital Compare · Evaluated impact of public reporting of quality measures on hospitals through a national survey of hospital executives · Conducted case studies of hospital transformational change with respect to quality of care · Provides technical assistance and training to the Centers for Medicare and Medicaid Services (CMS) and all states in developing a Medicaid Statistical Information System continues

452 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information McKesson McKesson Corporation 1833 (FP) 10 names, Corporation Headquarters with titles, One Post Street affiliations, San Francisco, CA 94104-5296 and photos Phone: (415) 983-8300 http:/www.mckesson.com Medstat 777 E. Eisenhower Parkway 1981 (FP) N/A Ann Arbor, MI 48108 Phone: (734) 913-3000 http://www.medstat.com

APPENDIX B 453 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Corporate · Integration of pharmacy information · 200,000 $80 billion in office in San management with computerized physicians 2005 Francisco, physician order entry applications and · 25,000 retail CA; 300+ clinical data entry pharmacies facilities · Disease management services · 10,000 long- nationwide · Performance management and clinical term care sites (24,000+: information solutions · 5,000 21,000 in the hospitals U.S., 3,000 Process improvement: · 2,000 international) · Identify opportunities using data medical­surgical collected through current hospital manufacturers reporting initiatives · 750 home care · Aggregate measures agencies · Include evidence-based guidelines and · 600 health real-time alerts into clinical work flow care payors · Use daily management tools to measure · 450 performance against targets pharmaceutical · Measure the impact of care manufacturers improvement processes on quality Improve financial performance through: · Medical necessity compliance checks · Submission of a "clean claim" 8 offices Offer services: · Employers Part of the across the · Integration and organization of · Government Thomson U.S. (650) multiple databases health programs Corp., which · Evaluation of health care patterns, · Health plans had revenues trends, and clinical performance issues · Hospitals of $8.10 · Data mining and modeling capabilities · Health systems billion in 2004 · Strategies resulting from targeted · Pharmaceutical analyses and benchmarking companies · Credentialed research to study · Researchers outcomes and economic impact · Creation of clinical and financial comparison data for benchmarking · Training and education · Privacy and security advice on the Health Insurance Portability and Accountability Act (HIPAA) continues

454 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information My InnerView Inc. 2620 Stewart Avenue N/A (FP) N/A Wausau, WI 54401 Phone: (715) 848-2713 http://www.myinnerview.com New York 150 State Street, Suite 301 N/A (NFP) 5 members Association of Homes Albany, New York 12207-1698 (Subsidiary: and Services for the Phone: (518) 449-2707 FP) Aging (NYAHSA) http://www.equipforquality.com Subsidiary: NYAHSA Services, Inc., which manages product development and marketing of EQUIP

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

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)

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

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

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

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

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

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

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

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.

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)

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Medicare’s Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement Organization (QIO) program and its potential to promote quality improvement within a changing health care delivery environment that includes standardized performance measures and new data collection and reporting requirements. This book carefully examines the QIOs that serve every state as well as the national program that guides and supports them. In addition, it highlights the important roles that a national program with private organizations in each state can play in promoting higher quality care. Medicare’s Quality Improvement Organization Program looks closely at the technical assistance role of the QIO program and the need to encourage and support providers to improve their performance. By providing an in-depth assessment of the federal experience with quality improvement and recommendations for program improvement, this book helps point the way for those who strive to create higher quality and better value in health care. Intended for multiple audiences, Medicare’s Quality Improvement Organization Program is essential reading for members of Congress, the federal executive branch, the QIOs, health care providers and clinicians, and stakeholder groups.

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