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SHOER Talk on Public Reporting

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by

Brad Smith

on 5 August 2013

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Transcript of SHOER Talk on Public Reporting

Top 10 Reasons Public
Reporting of Quality
is a Good Idea for Hospice

10. Transparency is a
Societal Megatrend

9. Transparency is the not the next, but the current wave in health care
8. It's the Decade of the Patient
7. It might be just disruptive enough to be good business
for the industry
& for individual hospices
6. A public reporting mandate is (almost) inevitable. Why wait and play catch-up? Get ahead of the game
FEHC
5. There's compelling evidence public reporting can drive significant quality improvement
"Quality measures that are publicly reported improve over time. Although the potential for harms is frequently cited by commentators and critics of public reporting, the amount of research on harms is limited and most studies do not confirm the potential harm."
4. Public reporting *might * drive overall quality through differential selection by consumers.
Consumers don't use reports when
Could hospice be different?
they are not aware that the quality information is available
the information provided in public reports was not what is needed or valued
the information is not always available when needed to make a decision, or
the information is not presented in a comprehensible way.
Brokered decision model (family doctor, hospital social worker, ALF/SNF staff)
Agency for Healthcare Research and Quality 2012. "Closing the Quality Gap: Revisiting the State of the Science Series: Public Reporting as a Quality Improvement Strategy"
We know a lot more now about good practices in public reporting
3. It’s an opportunity to educate
It's (2) cheap and (1) easy
Well......maybe not so much....
there is not meaningful variation (is it realistic that every kid is an honor student)?
Maybe not EASY but it is DOABLE.
Start small
Get stakeholder (state associations) and expert support
Incorporate family perspectives
Maybe not CHEAP but it is MANAGEABLE
Grant funding can help with development
Role for state associations?
Can be an investment in marketing
Brad Smith, PhD
Co-Director, Center for Consumer Choice in Health Care
Altarum Institute
The research aim of the Center is to identify and understand the myriad factors that promote or impede the incorporation of consumer preferences regarding benefits, risks, and price into the health care decisionmaking process.
The demonstration aim of the Center is to seek out and secure real-world opportunities to test key principles, strategies, and Altarum-developed tools for putting the individual consumer at the center of health care decisions.
The dissemination aim is to position the Center as an active adviser and provider of technical assistance to communities, agencies, and employers that are exploring opportunities to better promote consumer choice in the health care decisionmaking process. The Center will also issue regular peer-reviewed research reports, articles, and presentations of interest and utility to the broader community.
RESEARCH
DEMONSTRATION
DISSEMINATION
What does the CCCHC do?
Preliminary Results from our Agency for Healthcare Research and Quality (AHRQ) funded work with hospice consumers, conducted with the American Hospice Foundation
Key Questions:
Do consumers with and without hospice experience understand the NQF-endorsed FEHC (and a select few other) measures?
What measures/concepts are more and less important to consumers with and without hospice experience?
Methods:
8 focus groups
4 cities
half and half
17 FEHC measures+
There were differences between consumers with and without hospice experience in the conceptualization of hospice services and the needs of hospice patients and caregivers/families.
No consumers reported any measures as being difficult to understand.
Consumers without hospice experience tended to consider hospice services for the needs of the patient before the needs of the caregivers and family members.
Consumers with hospice experience were more likely to support the idea that hospice is just as important for meeting the needs of caregivers and families as those of the patient.
Hospice reporting systems will need to be both
1) Responsive to consumer priorities and preferences, and
2) Proactive in educating consumers about the
things they don't know they don't know.
And now, for some updates on what's happening at the local level related to reporting...
Full transcript