Partner for Quality Care builds on the Quality Corp’s experience with the Chronic Disease Clearinghouse (CDDC). This groundbreaking pilot brought together data from 11 health plans and four test clinics to provide better tools to help clinicians manage diabetes and asthma care. Although the CDDC was a one-time-only effort, it laid the groundwork for the development of measures for evaluating the quality of health care. What follows is an explanation of the pilot program.
Unlike most acute conditions, chronic care must be managed as an on-going partnership between the patients and their providers. Building and using tracking systems to manage care at the point of service is a fundamental part of practice redesign that is required to manage this partnership. High quality chronic care requires that appropriate delivery systems use registries to:
Manage a list of people who have diseases such as asthma and diabetes,
Track the care they receive from a multitude of providers through data sharing,
Prompt action based on evidence-based decision support
Monitor individual management and outcomes
Report aggregate quality results
The Pilot Solution
Oregon’s visionary partnership tackled the task of creating and sustaining such tracking systems in the existing fragmented delivery system where data reside in silos. Partners took a two-pronged approach to build the capacity and connectivity for tracking systems through a series of pilot projects:
Six organizations developed registries for either asthma or diabetes and integrated them into delivery systems.
A Chronic Disease Data Clearinghouse merged claims data from eleven health plans to provide better tools to help clinicians manage diabetes and asthma care.
Results
The pilots have clearly demonstrated that no single entity has all the data that are needed to manage patients’ care. Building capacity for electronic management of patient information across delivery system silos is essential to quality care. People with chronic diseases are cared for by multiple clinicians, all of whom need a full picture of the care that is provided. Pilots have also shown that assistance, convening, facilitation, and small grants can leverage significant change at the practice level.
Pilot Project: Chronic Disease Data Clearinghouse
Background
Partner for Quality Care builds on the Quality Corp’s experience with the Chronic Disease Clearinghouse (CDDC). This groundbreaking pilot brought together data from 11 health plans and four test clinics to provide better tools to help clinicians manage diabetes and asthma care. Although the CDDC was a one-time-only effort, it laid the groundwork for the development of measures for evaluating the quality of health care. What follows is an explanation of the pilot program.
Under the leadership of the Oregon Health Care Quality Corporation, Oregon Asthma Network and Oregon Diabetes Coalition, partners have worked together on pilot efforts to build the capacity and connectivity in Oregon that is needed to support high-quality, cost-effective care for people with chronic conditions.
The Need
Unlike most acute conditions, chronic care must be managed as an on-going partnership between the patients and their providers. Building and using tracking systems to manage care at the point of service is a fundamental part of practice redesign that is required to manage this partnership. High quality chronic care requires that appropriate delivery systems use registries to:
The Pilot Solution
Oregon’s visionary partnership tackled the task of creating and sustaining such tracking systems in the existing fragmented delivery system where data reside in silos. Partners took a two-pronged approach to build the capacity and connectivity for tracking systems through a series of pilot projects:
Results
The pilots have clearly demonstrated that no single entity has all the data that are needed to manage patients’ care. Building capacity for electronic management of patient information across delivery system silos is essential to quality care. People with chronic diseases are cared for by multiple clinicians, all of whom need a full picture of the care that is provided. Pilots have also shown that assistance, convening, facilitation, and small grants can leverage significant change at the practice level.