Wednesday’s Quality and Cost Council meeting (see materials here) included committee updates, the proposed FY12 budget, a few details about payment reform and a patient engagement presentation by the Institute for Healthcare Improvement.
Both the Cost Containment Committee and the Quality & Safety Committee provided updates on their work. The Cost Containment Committee is taking a hard look at the Roadmap to Cost Control (ppt) measures and how they can best use these measures to attain the Roadmap’s goals. The Quality & Safety Committee reported on the state’s efforts to reduce Hospital Acquired Infections, which is launching an information sharing initiative that will lead to cultural changes and better patient safety.
The FY 12 budget, as discussed, is for level funding in FY12 from the FY11 amount. The staffing is staying the same and many of the specific allocations are also staying the same.
In a quick update on the Committee on the Status of Payment Reform (arguably the most avidly watched QCC committee), Secretary Bigby announced that due to snow, the Committee did not meet last week and the expectation is that they will meet next week and their proposal will come before the full QCC at the Council’s February meeting. Jessica Moschella also updated the full QCC on the response to the public forum on payment reform that took place on Dec. 2, 2010. There was a bit of discussion over the various comments made at the public hearing including a highlight that the majority of the comments came from the provider community. The conversation mirrored that held many times before with some participants wanted to proceed with extreme caution and others requesting that we not protect the status quo. GIC Director Dolores Mitchell wins for the best quote of the day by saying that “too much protection of the status quo is a narcotic of gradualism.”
The bulk of the meeting was a presentation made by IHI, and Jim Conway, on the Partnership for Healthcare Excellence’s recent work in patient engagement. The work has focused on created a common framework in which many models of engagement could fit. The theory is that the nature of the engagement would be to do some set of activities that would incent the patient to act. During the discussion, several people brought up the need to engage providers too, so that there can be a partnership in the treatment decisions that are made.
Julia Feldman, who has been working with the Committee on the Status of Payment Reform, presented the QCC with the goals that the subcommittee worked on at their last meeting. There was a lot of discussion around the goals (available here), and the QCC will continue this at the next meeting.