This portfolio highlights organizations in our state that are collaborating to reform healthcare delivery, expand access to care and reduce costs.
North Carolina Hospital Association
Mission: NCHA promotes improved delivery of quality health care in North Carolina through leadership, advocacy, information and education in its members÷ interest and for public benefit.
Vision: NCHA's vision is of the highest possible level of quality healthcare delivery throughout North Carolina.
Values: NCHA's leadership is directed toward making North Carolina hospitals the safest in the Nation.À NCHA strives for excellence in all things and integrity in every act, conducting business ethically and honestly.
Leadership Goals:
- The highest quality and safest hospitals in the nation.
- The healthiest state in the nation by 2020.
North Carolina Center for Hospital Quality and Patient Safety
http://www.ncqualitycenter.org/
Mission: The Center exists to foster a culture of quality and safety within North Carolina hospitals and healthcare systems.
Vision: The Center will lead North Carolina hospitals and healthcare systems to become the safest and highest quality hospitals and healthcare systems in the United States.
Values: Leadership, Integrity, Innovation, Collaboration, Transparency, Good Science and Positive Focus.
Foundational Elements:
- Culture
- Teamwork
- Reliable Process Design
- Organizational Learning
Results:
The NC Hospital Quality Report
North Carolina Healthcare Quality Alliance
Mission: Dedicated to improving the quality of health care delivered to all North Carolinians.
Description: NCHQA is an initiative led by an alliance of healthcare stakeholders to ensure that North Carolinians receive the best available care. This alliance includes representatives from the Governor÷s office, providers (North Carolina Medical Society and North Carolina Hospital Association), Area Health Education Centers program (AHEC), Community Care of North Carolina, insurers and payers (Blue Cross and Blue Shield of North Carolina, the NC State Health Plan, and Medicaid), and others. Using uniform evidence-based measures, developing innovative technology, and employing community supports will help improve health outcomes, lower costs, and result in a healthier North Carolina.
Strategy aimed at improving healthcare quality:
- Align quality measures across payers to reduce the variation in quality measurement faced by providers.
- Provide feedback on performance to practices.
- Support practices throughout the quality improvement process using nationally-recognized models.
Community Care of North Carolina
http://www.communitycarenc.com
Community Care of North Carolina (CCNC) is a demonstration program that aims to work with community providers to better manage the enrolled Medicaid population. CCNC is designed to bring together providers to cooperatively plan for meeting patient needs and to strengthen the community healthcare delivery infrastructure. Providers are expected to take responsibility for managing the care of an enrolled population, to provide preventive services and to develop processes by which at-risk patients can be identified and their care managed before high cost interventions are necessary.
Community Care NC program is distinguished by the following features:
- Partnerships
- Population Health Management Approach
- Accountability
Case Study: Impact of Community-BasedÀPatient-Centered Medical Homes onÀAppropriate Health Care Utilization atÀCarolinas Medical Center
Care Share Health Alliance
http://www.caresharehealth.org
Care Share is a public/private partnership that supports communities in coordinating healthcare resources to serve low-income, uninsured North Carolinians.
Mission: Care Share Health Alliance's mission is to improve the health of low-income, uninsured North Carolinians by supporting local collaborative networks of care.
Vision: By 2015, all safety net providers can deliver services through local collaborative networks of care. These collaborative networks will improve health and expand access for low-income, uninsured North Carolinians.
Values and Guiding Principles
- Patient-Centered
- Collaborative
- Fuller continuum of integrated care
- Utilize best practices and evidence based care
- Efficient
- Accountable
- Sustainable
Safety Net Advisory Council
http://www.nciom.org/projects/SafetyNet/safetynet.html
The North Carolina Safety Net Advisory Council (SNAC) grew from a recommendation of a North Carolina Institute of Medicine task force that examined the availability and financial stability of safety net organizations across the state.À The Council was created to ensure that North Carolina safety net organizations would have a forum in which to collaborate, exchange ideas, and advance their common mission of providing free and reduced cost healthcare services to NC residents, by collecting information and data on safety net providers throughout the State, and by setting up the nchealthcarehelp.org website.
Goal: To identify unmet healthcare needs and develop strategies to address gaps in services.
Key Elements: Leadership, needs assessment, safety net options, community support, collaboration, technical assistance, and funding.
Carolinas Lean Healthcare Roundtable
Lean health care is the adaptation of the Toyota Production System to transform healthcare processes to increase efficiency, eliminate waste, reduce costs, conserve resources, improve quality and boost patient satisfaction.À These universally applicable principles focus on continuously examining processes, reducing cycle time and costs by eliminating waste, striving for defect-free quality, encouraging a "stop and fix" mentality (eliminating work-arounds), empowering staff with front-line problem solving and exercising a cross-functional, patient-focused viewpoint of healthcare instead of a health professional or departmental point of view
Mission: The Carolinas Lean Healthcare Roundtable (CLHR) is an active model to spread lean healthcare transformation across healthcare organizations in the Carolinas.
Goals:
- To achieve lean culture transformations in early adopter, leadership hospitals and healthcare organizations by 2011.
- To spread lean healthcare transformation from the early adopters to leadership hospitals and to other healthcare sectors, including medical practices, ambulatory care, community health centers, rural health clinics, multi-specialty group practices and public health departments.
NCHA's Hospital Community Benefits Report
http://www.ncha.org/communitybenefits
NCHA's community benefit effort began upon recognizing the growing need for common definitions and methodology in preparing Community Benefits Reports.
Purpose: To improve the accountability of hospitals to their communities by creating a consistent and defendable community benefit report that can be used in multiple settings:
- Hospital Community Benefits Report required by the Medical Care Commission
- Hospital IRS 990 form
- NCHA's advocacy efforts
- Hospital press releases
- Public reports and public awareness
Vision: One report, used everywhere, with all audiences.
Goals:
- Transparency
- Public benefit communicationÀto the community and legislators
- Apples-to-apples categories and measures
- Defensible guidelines with clearÀdefinitions and formulas,ÀbasedÀonÀpreviousÀworksÀ(NC Medical Care Commission, AHA, MHA, IRS, VHA/ CHA)
Public Health Hospital Collaborative
http://www.ncpublichealth.com/hd_conference/2009/thursday/qualityImprovement-spade.pdf
http://www.ncpublichealth.com/hd_conference/2008/presentations/cfrock-StratMap-Final-012508.pdf
Vision: Accomplishing the goal of North Carolina becoming the healthiest state in the nation by Year 2020.
Strategic Plan:
- Developing and supporting the NC Center for Public Health Excellence
- Obesity Reduction Initiative
- Reducing Tobacco Use
- Supporting Local Triple Aim Coalitions
North Carolina Triple Aim Project
http://www.ihi.org/ihi/programs/strategicinitiatives/tripleaim.htm
The Institute for Healthcare Improvement (IHI) created the Triple Aim to drive dramatic, unprecedented improvement of the healthcare system through improving the experience of care, improving the health of populations, and reducing per capita costs of health care.
Goals:
- Improvements in quality and the patient experience of care.
- Improving the health of the population.
- Control or reduction in the per capita cost of care.
Triple Aim Concept Design:
- Focus on individuals and families
- Redesign of primary care services and structures
- Population health management: Disease Prevention & Health Promotion
- Cost control platform
- System integration and execution