The Center is focused on three core concepts; developing payment systems that reward value,making healthcare performance transparent to patients, and redesigning care delivery to remove waste.
The CMMI officials visited Appleton to develop a better understanding of the work that has been done in Wisconsin to deliver on these important aspects of health reform.
We discussed the importance of publicly reporting data both on quality and cost. The Wisconsin Health Information Organization and the Wisconsin Collaborative for Healthcare Quality are now capable of reporting both cost and quality data.
We also discussed the Partnership for Healthcare Payment Reform (PHPR) pilot using bundled payment for knee joint replacement and a shared savings program for chronic disease care. CMMI is also creating the rules for how Medicare might agree to participate in bundled payment pilots. We at PHPR are sharing all of the details of our payment reform initiative and look forward to working with CMMI in addition to CMS on payment that rewards value not volume.
Finally, these officials including Dr. Gilfillan were able see first hand the ThedaCare Improvement System in action when they visited one of the inpatient Collaborative Care Units and Encircle Health, a large integrated ambulatory care center. They were able to examine defect huddles, daily improvement boards, see a Collaborative Care team interact together,really see the difference between traditional medical care delivery and what the future holds.
The issue facing CMMI now is what to do to support ThedaCare and many of the Healthcare Value Network members to continue to innovate resulting in improving quality while at the same time reducing cost. We recently published on the home page of this website a compendium of spectacular results achieved by network members implementing lean go to www.createvalue.com to review. We need a lot more double wins as this article suggests and CMMI officials know that is possible now.
You can review our slide presentation to CMMI last week below.
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