About the Accountable Care Project Pillar

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Learning Webinar Presentations, March 8, 2013

Call for Participation: New Hampshire Accountable Care Project: Transforming Systems through Shared Data and Learning.

The Initiative's Accountable Care Project has issued a Call for Participation for small and large hospitals, independent provider organizations or integrated delivery systems who are interested in joining this group of active, committed participants in health system transformation through shared data and learning. The Accountable Care Project is funded by the Robert Wood Johnson Foundation.

New Hampshire Accountable Care Project:
Transforming Systems through Shared Data and Learning

BACKGROUND AND UPDATE  

In July 2010, the NH Citizen’s Health Initiative (The Initiative), which is staffed through the NH Institute for Health Policy and Practice (IHPP), launched a value-based health care initiative in the form of a statewide, five‐year Accountable Care Organization (ACO) pilot project. The Initiative is a multi‐stakeholder collaborative effort working for a health and health care system with better health, better care, and lower costs for all New Hampshire residents

The ACO pilot project builds on a long‐term relationship between The Initiative and several organizations, including provider organizations, commercial payers), population of greater than 400,000 individuals of the total 1.3 million NH citizens, and 700 of the 3,900 practicing clinicians in the state. The systems involved were selected through a competitive application process.

During 2011, the provider, payer and government participants evaluated through research, data analysis and actuarial consultation the feasibility of implementing an ACO financial and reporting framework to be implemented across payers and pilot sites.  The landscape of payment and system reform has evolved significantly over the last 18 months and many of the participants have moved forward with individual payment reform initiatives that no longer make the common New Hampshire ACO framework feasible at this time. 

The Initiative has received strong feedback from participants, however, to continue and expand components of the work established during Year 1 of the project.  Specifically, the next phase of the project will focus on the identification of measures, creation of a suite of reports and expansion of the learning community to support NH health systems in their individual transformation and payment reform efforts.

THE PATH FORWARD: HEALTHCARE ANALYTICS FOR NEW HAMPSHIRE

The expanded NH Accountable Care Project will implement a set of cost, utilization and quality reports to support the many system transformation and payment reform initiatives of participating organizations utilizing data available in NH’s All-Payer Claims Data (APCD) system, known as the NH Comprehensive Healthcare Information System (NHCHIS), and through self-reporting of EMR data.

The pilot participants have seen great value in the convening of team members for thoughtful discussion around the most relevant analyses to support system transformation in New Hampshire, joint reflection on results and best practices and the ability to compare themselves to the rest of New Hampshire.  The Citizens Health Initiative and the NH Institute for Health Policy and Practice endeavor to expand the availability of health data, analytics and reporting to support the health of New Hampshire’s population to providers undertaking the significant effort to transform their organizations for the delivery of better health, better healthcare at moderated costs. 

The goals for this project include:

• Create and implement quality, cost and utilization reports across all payers  to support health system transformation efforts in New Hampshire
• Provide systems undergoing transformation a capacity to compare performance on measures of quality, utilization and cost across systems and regions
• Maintain an environment of open sharing and discussion of results amongst project participants
• Create and sustain a payment reform/clinical/quality improvement learning network
• Define requirements and business model for ongoing operations of an independent data entity for reporting and system/regional benchmarking with the potential for expanded, aggregated data sets.