CAHPSandQualityImprovement：CAHPS和质量改进.ppt

CAHPS and Quality Improvement Susan Edgman-Levitan, PA Executive Director John D. Stoeckle Center for Primary Care Innovation Massachusetts General Hospital Boston, MA Co-PI, YALE CAHPS Team CAHPS III Quality Improvement Demonstrations Purpose of evaluations: To improve the patient’s experience of care To develop and test an improvement framework and set of interventions that will effectively improve CAHPS scores for various CAHPS survey instruments RAND QI Demonstrations University of California- LA(UCLA) HealthPlus of Michigan HealthPlus of Michigan HealthPlus Background: commercial, Medicaid, and Medicare Advantage HMO, commercial PPO, and Third Party Administrator (TPA) services to over 200,000 members contracts with over 900 PCPs in the state of Michigan All three HMO products have been recognized by NCQA as Excellent in each of the last 10 years. HealthPlus of Michigan Use of CAHPS Clinician/Group survey: fielded the CAHPS C-G survey to evaluate care provided by primary care providers (PCPs) to its commercial HMO members annually since 2005. Results are reported to physicians and to consumers at the individual physician level annually. HealthPlus of Michigan Demonstration focus: Physician-Patient and Office Staff-Patient Communication HealthPlus of Michigan Target audience: adult PCPs and their office staff. Participation in all interventions is voluntary. Incentives: increased reimbursement (pay-for-performance), public reporting of CAHPS C-G performance, and free software and technical assistance to assist with communication (Medfusion). HealthPlus of Michigan Interventions: Medfusion: A computer software intervention that supports communication with patients through a secure web portal. (First pilot launch Spring 2008) Physician-Level Pay-for-Performance: launched in February 2006. 2008 is the first year that payment will be made based on CAHPS scores. P4P program: a) clinical, b) patient experience (CAHPS), c) access, d) IT (electronic pr