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Appendix A: Better Quality Information (BQI) Pilot Site Overview

Pilot Site Characteristics

Center for Health Information and Research-
Arizona State University

California Cooperative Healthcare Reporting Initiative

Indiana Health Information Exchange

Massachusetts Health Quality Partners

Minnesota Community Measurement

Wisconsin
Collaborative
for Healthcare Quality

Founding Date

19951

1993

2004

1995

2002

2002

Aim

  • To provide all health care stakeholders information that enables quality improvement activities at the policy and the practice levels.
  • To collect and report standardized, reliable health plan, and provider performance data.
  • To promote the use of accurate and comparable quality measures within health care.
  • To create efficiency in data collection, leading to reduced burden and cost to all participants.
  • To provide a source for expert advice to consumer reporting entities.
  • To use information technology and shared clinical information.
  • To improve the quality, safety, and efficiency of health care in the State of Indiana.
  • To create unparalleled research capabilities for health researchers.
  • To exhibit a successful model of health information exchange for the rest of the country.
  • To improve the quality of health care services delivered to the residents of Massachusetts through broad-based collaboration among health care stakeholders.
  • To accelerate the improvement of health by publicly reporting health care information.
  • To improve the quality of health care in the State of Wisconsin through the development and public reporting of a comprehensive range of health care performance measures.
  • Collaborative
    Composition

    Arizona providers, employers, health plans, a State university, and a community health organization

    Health care purchasers, plans, and providers

    Institutions representing hospitals, providers, researchers, public health organizations, and economic development groups

    Physicians, hospitals, health plans, consumers, purchasers, and government agencies

    Health plans, medical groups, physicians, patients, employers, and others

    Physician groups, hospitals, health plans, integrated delivery systems, and business partners/purchasers

    Community
    Definition

    Maricopa County, Arizona, which has roughly 60% of the State's population

    The State of California

    Nine-county Indianapolis metropolitan statistical area, accounting for 26% of the State's population

    The Commonwealth of Massachusetts

    Report on over 100 primary provider groups, representing 700 clinics in Minnesota and bordering counties, covering roughly 90% of primary care delivered in the State. Beginning to report on specialty medical groups. Data sources include eight health plans and two county-based purchasing organizations.

    Individual clinics that make up the health systems in the collaborative, representing roughly 40% of the licensed physicians in Wisconsin

    Implementation of Physician Performance Improvement Efforts

    Planned

    1997

    2004

    2003

    2002

    2004

    Public Reporting
    Launch

    Currently not publicly reporting

    1994

    Pilot testing in 2006

    1995

    2004

    2003

    Public Reporting Level

    Not applicable

    Health plan level

    Physician group level for patient assessment survey results

    Not applicable

    Hospital level in 1998

    Physician network in 2005

    Medical group level for patient experience survey results in 2006

    Medical group and on two measures at clinic site level

    Physician group

    Current Reporting Frequency

    Not applicable

    Annual

    Monthly

    Annual

    Annual

    Annual

    1. Arizona HealthQuery is not synonymous with St. Luke's Health Initiatives. Arizona HealthQuery began with funding from the Flinn Foundation, St. Luke's Health Initiatives' funding began approximately 4 years later.

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