Medicare's Quality Improvement Organization Program Maximizing Potential (2006) / Chapter Skim
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Appendix B Private Sector Organizations Offering Services Related to Quality Improvement
Appendix B Private Sector Organizations Offering Services Related to Quality Improvement
Pages 435-465
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B Private-Sector Organizations Offering Services Related to Quality Improvement 435
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436 APPENDIX B TABLE B.1 Private-Sector Organizations Offering Services Related to Quality Improvement Date Founded Board Organization Name Contact Information (Status) Information Abt Associates Inc.
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· Federal $182 million across the Collaborate to: and state for 2004 U.S.; · Develop and test concepts for governments international prevention and public health campaigns · Foundations offices in 9 and initiatives · Private countries · Monitor and assess subsequent changes health care (1200+) in attitudes, behavior patterns, and and research media coverage organizations · Carry out specific projects to improve · Universities quality data on delivery of care and performance measurement for substance abuse and mental health services · Conduct a new project on assessing quality of life for sickle cell patients continues
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438 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information CareScience, Inc.
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health care data collection, data mining, health systems; quality reporting, public reporting, and alliances with clinical process redesign California · Advise on performance improvement, Health Care redesign of care management Foundation, infrastructure, improvement of clinical Joint processes and resource utilization, and Commission on administrative and physician leadership Accreditation development of Healthcare · Organize public educational events and Organizations, training for health care professionals and and others leaders, such as monthly forums and a national conference · Offer technology to support improvements in performance and clinical outcomes through organizational and cultural change management, monitoring, and continuous quality improvement · Provide training in data analysis and improve data analysis skills · Offer comprehensive hands-on training Princeton, NJ Technical assistance and training to help · State officials N/A (30) states, health plans, and consumer · Health plan organizations use managed care leaders effectively to: · Consumer · Improve quality of services organizations · Improve health services for low-income across the families and people with severe illnesses country and disabilities · Reduce racial and ethnic health disparities · Increase community options for people with disabilities continues
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440 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Cerner Corporation 2800 Rockcreek Parkway 1979 (FP)
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APPENDIX B 441 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue 7 offices Outcomes Management solutions enable Health N/A across organizations to measure, predict, and organizations, the U.S.; improve outcomes at multiple levels: e.g.: international · APACHE -- prospective and current · Hospitals offices in information at the point of care · Health 9 countries · Critical Outcomes -- collected systems (Associates: knowledge from critical care database · Physician worldwide, · Health Facts -- national research practices 6,255; database and industry benchmark · Home health Kansas City, · Surveillance Insights -- use of health organizations 4,031)
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442 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Eclipsys 1750 Clint Moore Road 1995 (FP)
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physicians totaled · Remote hosting · 400,000 $16 million in · Customer relationship management nurses 2004 and support · 70,000 · Software implementation administrative · Product education and training support staff · Integration and streamlining of care · 35,000 delivery with a shared electronic health ancillary staff record, single health data repository, and workflow-enhancing documentation Madison, WI Develop and install large-scale health Large N/A (2100) care software systems that: health care · Provide shared, complete, longitudinal organizations electronic health records for providers, affiliates, and patients across the care continuum · Promote patient safety and health care quality · Improve disease management by identifying at-risk patients, guiding providers through best-practice care standards, and using integrated web access to engage patients continues
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444 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Health Dialog 60 State Street, Suite 1100 1995 (FP)
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independent, third-party ratings and · Consumers advisory services, to help providers assess · Hospital and improve their quality of care: executives · Identify quality improvement · Employers opportunities · Health plans · Implement evidence-based, best- · Benefit practice process improvement strategies managers for hospital patients · Liability · Work with the nation's top-performing insurers hospitals to build and maintain a reputation for excellence continues
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446 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information HealthShare/ THA 6225 U.S.
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purchasing, and insurance. Provides the Texas quality initiatives for: Hospital · Clinical quality, operational, and Association: patient satisfaction benchmarking · Hospitals · Continuous performance monitoring · Health care · Core measures solutions organizations · Quality improvement analysis and reporting 9 offices Offers services for specialty work-flow · Hospitals $521 million across the solutions: · Group in 2004 U.S.
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448 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Institute for 20 University Road, 7th Floor 1991 (NFP)
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APPENDIX B 449 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Cambridge, Offers services to: · Health care N/A MA (70+)
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450 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Mathematica Policy P.O.
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· Evaluated specific demonstrations of pay-for-performance programs · Evaluates Medicare demonstration projects for disease management and care coordination · Developed clinical quality, outcomes, utilization, and program management measures · Evaluated implementation of Hospital Quality Alliance measures and Hospital Compare · Evaluated impact of public reporting of quality measures on hospitals through a national survey of hospital executives · Conducted case studies of hospital transformational change with respect to quality of care · Provides technical assistance and training to the Centers for Medicare and Medicaid Services (CMS) and all states in developing a Medicaid Statistical Information System continues
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452 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information McKesson McKesson Corporation 1833 (FP)
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(650) multiple databases health programs Corp., which · Evaluation of health care patterns, · Health plans had revenues trends, and clinical performance issues · Hospitals of $8.10 · Data mining and modeling capabilities · Health systems billion in 2004 · Strategies resulting from targeted · Pharmaceutical analyses and benchmarking companies · Credentialed research to study · Researchers outcomes and economic impact · Creation of clinical and financial comparison data for benchmarking · Training and education · Privacy and security advice on the Health Insurance Portability and Accountability Act (HIPAA)
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454 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information My InnerView Inc.
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training modules with the Quality and leadership ProfileTM and Risk MonitorTM web teams within tracking systems to collect, benchmark, long-term care and use quality data and satisfaction organizations surveys; ready-to-use resources such as · Partnership competencies, presentation visuals, with the trainer's scripts, staff handouts, and American evaluation tools; and a web-based Health Care "Culture Change Staging Tool" Association Provides guidelines and best practices to: · Interpret report findings · Take planned actions · Set performance targets · Monitor risks and performance over time · Address customer service and the resolution of customer concerns Albany, NY EQUIP software and client support helps 400+ primarily N/A (N/A) long-term care facilities: NFP long-term · View individual resident, unit, or care facilities facilitywide and benchmarking data nationwide · Create visual reports and graphs of quality issues · Gain access to current and comprehensive information on long-term care, including new research and updates on clinical practice guidelines · Improve quality of care, manage risk, and control costs continues
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281-8660 (1993) and committee http://www.cchri.org now manages consisting California equally of Cooperative purchasers, Healthcare health plans, Reporting and health care Initiative providers (CCHRI)
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· Collect and report standardized, health care reliable health plan and provider purchasers, performance data plans, and · Promote the use of accurate and providers: comparable quality measures within · 10 health health care plans, · Create efficiency in data collection representing leading to reduced burden and cost to all over 85 percent participants of the · Maintain a forum for multiple plan commercial provider and providerprovider health collaboration on quality improvement maintenance initiatives organization · Provide a source for expert advice to (HMO) consumer reporting entities population in California · PBGH participating employers representing nearly 3 million employees, retirees, and relatives · Provider organizations, including 159 medical groups (participants in the 2005 Consumer Assessment Survey)
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under from California PBGH health plans corporate and physician umbrella groups, public (NFP) health officials, and medical educators Permedion 350 Worthington Road, Suite H 1974 (NFP)
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infrastructure of physician groups · Coordinates disease management programs between health plans and physician groups Westerville, · Statistical and clinical expertise · Federal $4.2 million OH (55) · Quality review and improvement and state services government · Health care claims analysis agencies · Utilization management · Hospitals and · Quality-of-care case review other health · Medical record review care providers · Validation of performance measures, · Health plans performance improvement projects, and · Other payers data quality · Licensing · Customized services to meet the needs boards of individual groups 4 offices · Participates in CMS pay-for- An alliance of N/A across the performance demonstration project NFPs: U.S.
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460 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information The RAND 1776 Main Street 1948; 1960s: Board of Corporation P.O.
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-- tool to survey RAND consumers about their health care Europe: experiences Berlin, · Assessing Care of Vulnerable Elders-Cambridge, including development of paper-based Leiden tools for medical record abstraction; interventions to improve care for the RAND-Qatar elderly with dementia, urinary Policy incontinence, and falls Institute · Partners in Care -- an integrated approach to improving care for (170+ depression in primary care employees in · Use of large claims datasets for RAND modeling the impact of changes in Health) reimbursement, benefit design, availability of health information technology, and effectiveness of treating various conditions on future Medicare expenditures continues
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462 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Resolution Health, 1625 The Alameda, Suite 400 October 2003 6 members Inc.
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Provides a variety of insurers MD (40) services that: · Large · Describe the quality of care provided self-insured to a population at a particular time and employers over time · Unions · Identify patient-specific opportunities · Third-party to improve the quality, safety, and administrators coordination of care · Disease · Provide actionable patient-specific management information to physicians, other care companies managers and patients to enable them to · Pharmacy improve quality, safety and coordination benefit of care management · Profile the quality of care delivered by companies individual physicians and physician · Benefit groups consultants · Help individuals make better health care purchasing decisions · Reduce medical costs while maintaining or improving quality of care 4 offices · Provide information products serving 3,100+, N/A across the the health care industry including: U.S.
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464 APPENDIX B TABLE B.1 Continued Date Founded Board Organization Name Contact Information (Status) Information Wellspring Innovative 2149 Velp Avenue, Suite 500 1994 (NFP)
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APPENDIX B 465 Office Sites (Number of Main Activities Related to Performance Primary Employees) Measurement and Quality Improvement Customers Revenue Green Bay, Consulting services on: · Core WI (N/A)
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