Community Quality Collaboratives

Community quality collaboratives are community-based organizations of multiple stakeholders, including health care providers, purchasers (employers, employer coalitions, Medicaid and others), health plans, and consumer advocacy organizations, that are working together to transform health care at the local level. The Agency for Healthcare Research and Quality offers these organizations many tools to assist in their efforts.

Community quality collaboratives are community-based organizations of multiple stakeholders, including health care providers, purchasers (employers, employer coalitions, Medicaid and others), health plans, and consumer advocacy organizations, that are working together to transform health care at the local level. The Agency for Healthcare Research and Quality offers these organizations many tools to assist in their efforts.


Background

Community quality collaboratives are key drivers of health care reform at the local level. These collaboratives, including 24 Chartered Value Exchanges (CVEs), are implementing a bold vision for health care reform built on four cornerstones. These cornerstones are:

  • Measuring and publishing quality information to enable consumers to make better decisions about their care.
  • Measuring and publishing price information to give consumers information they need to make decisions on purchasing health care.
  • Promoting quality and efficiency of care.
  • Adopting interoperable health information technology.

AHRQ offers a compendium of tools and resources for other community quality collaboratives who want to follow paths similar to Community Leaders and Chartered Value Exchanges.

Tools for Collaborative Leadership and Sustainability

Sustainability Toolkit for Community Quality Collaboratives: An Overview of the Art & Science of Building Staying Power
Tools to help collaboratives build, maintain, and refine an infrastructure that supports and advances the mission of the organization as market and stakeholder expectations change

Go to: http://www.ahrq.gov/qual/value/suscqcollab.htm PDF file (PDF File, 150 KB; Plugin Software Help)

Multi-stakeholder Community Inventory Modules
Tools to assess strengths and goals of Community Quality Collaboratives along 8 areas: collaborative leadership, public at-large engagement, quality and efficiency measurement, public reporting, provider incentives, consumer incentives, strategy for improving quality, health information technology/health information exchange.

Go to: http://www.ahrq.gov/qual/value/cimodules.htm PDF file (PDF File, 407 KB; Plugin Software Help)

Regional Coalition Collaboration Guide
Assists community leaders in creating and sustaining a regional coalition based on lessons and tips from six pilot quality initiatives

Go to: http://www.ahrq.gov/qual/value/collabguide.htm

Tools to Engage Consumers

The Community Quality Collaborative Leader's Guide to Engaging Consumer Advocates
Guide for including consumer advocates in Community Quality Collaboratives

Go to: PDF file (PDF File, 175 KB; Plugin Software Help)

AHRQ Publications for Consumers
Easy-to-understand publications for health care consumers

Go to: http://www.ahrq.gov/consumer/

Tools on Measures, Data, and Reports on Quality and Efficiency

Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives
Tool to help community-based organizations striving to improve the quality of health care in their communities select quality of care and resource use measures.

Go to: http://www.ahrq.gov/qual/perfmeasguide/index.html PDF file (PDF File, 777 KB; Plugin Software Help)

Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
Public-private initiative to develop standardized surveys of patients' experiences with ambulatory and facility-level care

Go to: https://cahps.ahrq.gov

HCUPnet
Online query system that provides access to health statistics and information on hospital inpatient utilization and quality—at the national and State levels—and thereby can inform local quality agenda...

Go to: http://hcupnet.ahrq.gov/

National Healthcare Quality Report and National Healthcare Disparities Report
Annual, comprehensive overviews of the state of quality and disparities in health care in the United States

Go to: http://www.ahrq.gov/qual/qrdr09.htm

AHRQ Preventable Hospitalization Costs, a County-Level Mapping Tool
Downloadable software that can be used with administrative data on hospital admissions to assess the number and cost of "preventable admissions" in State or communities.

This tool been incorporated into the MONAHRQ site (My Own Network, Powered by AHRQ). Go to: http://monahrq.ahrq.gov.

Identifying, Categorizing, and Evaluating Health Care Efficiency Measures
Rand report that identifies, analyzes, and classifies current definitions of efficiency, lays out a roadmap to help illuminate discussions, and identifies next steps.

Go to: http://www.ahrq.gov/qual/efficiency/index.html

AHRQ Quality Indicators
Downloadable software that can be used with hospital administrative data to assess quality of care. Software includes four modules: inpatient quality indicators; patient safety quality indicators; prevention quality indicators; and pediatric quality indicators.

Go to: http://www.qualityindicators.ahrq.gov/

Tools for Public and Private Reporting

AHRQ CVE: Public Reporting Web Sites
This page has links to public reporting Web sites sponsored by Chartered Value Exchanges or stakeholders affiliated with a CVE.

Go to: http://www.ahrq.gov/qual/value/cvepubrptsites.htm

AHRQ's Public Report Surveys
AHRQ's Public Report Surveys are designed to provide developers of Web-based public reports with information on how well their reports are meeting consumers' needs, and thereby inform redesign considerations.

Go to: http://www.ahrq.gov/qual/value/publicsurveys.htm

Best Practices in Public Reporting
The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performance information clear, meaningful, and usable by consumers.

Go to:

  1. How To Effectively Present Health Care Performance Data To Consumers
    http://www.ahrq.gov/qual/pubrptguide1.htm
  2. Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information
    http://www.ahrq.gov/qual/pubrptguide2.htm
  3. How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies
    http://www.ahrq.gov/qual/pubrptguide3.htm

Health Care Report Card Compendium
Searchable directory of over 200 sample report cards that show formats and approaches for providing comparative information on the quality of health plans, hospitals, medical groups, individual physicians, nursing homes, and other providers of care.

Methodological Considerations in Generating Provider Performance Scores for Use in Public Reporting: A Guide for Community Quality Collaboratives
White paper intended for use by CVEs, community collaboratives, and other organizations interested in creating public reports on the performance of health care providers in their communities. It addresses the issue of inconsistent reports based on the same data and identifies the key methodological decision points that precede publication of a performance report.

Go to: http://www.ahrq.gov/qual/value/perfscoresmethods/.

Model Public Report Elements: A Sampler
An illustrative menu of public report elements from health care provider performance reports from around the country.

Go to: http://www.ahrq.gov/qual/value/pubrptsampler.htm

Multistakeholder Regional Collaboratives Have Been Key Drivers of Public Reporting, But Now Face Challenges. Young G. Health Affairs 2012;31(3):578-84.
Gary J. Young, director of the Center for Health Policy and Healthcare Research at Northeastern University in Boston, found that multistakeholder regional collaboratives have led the way in producing public reports about health care provider' performance. Young conducted a study of eight Chartered Value Exchanges and stakeholders in Massachusetts, Oregon, California, Washington, Ohio, Minnesota, Wisconsin, and Indiana. He found that they have built trust and cooperation among stakeholders, improving provider performance and enabling consumers to choose providers that best meet their needs. One example: in Minnesota, where a program has been reporting on appropriate use of asthma medications, physician' compliance with guidelines has risen from 74 percent to more than 90 percent.

Private Performance Feedback Reporting for Physicians: Guidance for Community Quality Collaboratives—New!
Community quality collaboratives face a range of considerations as they develop or redesign private performance feedback reports for physicians. This guide offers 13 specific recommendations intended primarily for CVEs and other collaboratives engaged in private feedback reporting.

Go to: http://www.ahrq.gov/qual/privfeedbackgdrpt/

Promoting Your Public Report: A Hands-on Guide
Toolkit designed to help communities increase awareness and use of their public reports by consumers and other audiences, includes suggested approaches and template materials.

Go to: http://www.ahrq.gov/qual/value/pubrpthandson/

Talking to Consumers about Health Care Quality
Site designed for people and organizations trying to educate consumers about health care quality

Go to: https://talkingquality.ahrq.gov

Users of Public Reports of Hospital Quality: Who, What, Why, and How?
An aggregate analysis of 16 online public reporting Web sites and users' and experts' suggestions for improvement.

Go to: http://www.ahrq.gov/qual/value/pubreportusers/

Tools on Incentives for Quality

Pay for Performance: A Decision Guide for Purchasers
An evidence summary organized around 20 questions that span four phases of purchaser decisionmaking: contemplation, design, implementation, and evaluation.

Go to: http://www.ahrq.gov/qual/p4pguide.htm

Decision Guide on Consumer Financial Incentives
An evidence summary organized around 21 questions that span incentive design and implementation decisions identified by user-stakeholders. It reviews the application of incentives to five types of consumer decisions: selecting a high value provider, selecting a high value health plan, deciding among treatment options, reducing health risks by seeking preventive care, and reducing health risks by decreasing or eliminating high-risk behavior.

Go to:

Tools to Improve Preventive Services

U.S. Preventive Services Task Force
Expert recommendations for clinical preventive services

Go to: http://www.ahrq.gov/clinic/uspstfix.htm

A Purchaser's Guide to Clinical Preventive Services: Moving Science into Coverage
Information source for employers on clinical preventive service benefit design

http://www.businessgrouphealth.org/benefitstopics/topics/purchasers/index.cfm Exit Disclaimer

Current as of December 2011
Internet Citation: Community Quality Collaboratives. December 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/localnetworks/index.html