The California Quality Collaborative
The California Quality Collaborative (CQC) is a health care improvement organization comprising approximately 300 purchasers, providers, health plans, and patient advocacy organizations dedicated to improving health care delivery for 7 million Californians. CQC offers a host of health care improvement programs, ranging from quality improvement training for physicians and hospitals to topical collaboratives centered on disseminating best practices in chronic care and readmissions.
Summary of Activities:
CQC is improving transitions of care through two separate collaboratives. Through the Avoid Readmissions through Collaboration (ARC) program, hospitals implement processes known to reduce readmissions, such as providing patients with self-management skills post-charge and deploying a discharge advocate to coordinate discharge with the care team and the patient. Hospitals participating in ARC have realized an 8 percent reduction in 30-day all-cause readmission rate across 18 hospitals, preventing more than 6,300 readmissions and resulting in over $60 million in estimated savings. The Take Accountability through Ambulatory Care Transitions (TAACT) program enables medical groups, independent practice associations, hospitals, and health plans to develop team-based post-discharge care strategies to address the outpatient medical and social issues which lead to readmissions, including poor care coordination and noncompliant patient behavior. The TAACT Collaborative spreads best practices in managing the handoff from inpatient to ambulatory systems through virtual care teams and learning networks. Communication between providers is facilitated through information exchanges between the hospital, clinics, and care transition teams, who follow patients from the hospital to the home.
In addition, a Centers for Medicare & Medicaid Services Innovation Award led to the launch of the Intensive Outpatient Care Program, which engages 27,000 high-risk Medicare patients throughout California and Arizona in a new care delivery model focused on intensive care management in partnership with the patients' delivery systems, health plans, and purchasers. This program embeds care managers in primary care settings to develop close relationships with patients and helps tailor care to each patient's needs while reducing costs by reducing emergency room visits, avoidable hospitalizations, and complications through intensive care management. By 2015, the Collaborative anticipates improving patient experience by 2 to 4 percent; improving patient clinical outcomes, blood pressure, cholesterol, and blood sugar control by 2 percent; and reducing cost by 5 percent through lower hospital utilization rates and fewer emergency department visits.
Alignment to the National Quality Strategy (NQS):
Efforts such as these promote:
- Effective communication and coordination of care.
- Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models.
CQC is a subsidiary of the Pacific Business Group on Health. The CQC Steering Committee comprises leaders from physician groups, health plans, purchasers, and public health entities and their partners. Learn more about The California Quality Collaborative.