Community Collaboratives
Regence makes quality measures available on a community
basis by partnering with community collaboratives.
Community collaboratives are organizations that bring
data from broad sources together to create quality
performance measures that can be used by all in the
community.
By providing useful quality and cost information to
our members, we are creating a culture where patients
learn to access and experience value in health care.
Regence decided to pursue this strategy for many different
reasons, including:
- Learning is shared
- Duplication is minimized
- The combined results are greater
- Access to national support/external resources may
be more readily available
Regence actively supports and participates in the
following Washington community efforts:
The Washington Puget Sound Health Alliance
The Washington Puget
Sound Health Alliance (PSHA) is
made up of community members (employers, physicians,
hospitals, consumers and health plans) working toward
a shared goal of improving the quality and costs of
health care in their area. While the organization is
focused on the Puget Sound area - King, Kitsap, Pierce,
Snohomish and Thurston counties in Washington- this
collaborative group is viewed as a regional model.
Community Checkup Report
Medical and technical experts throughout the region
worked together with the Alliance to develop the
Community
Checkup Report, providing a foundation
for improving health care quality and affordability.
Compare health care at clinics or hospitals, and
activities of health plans in the Puget Sound area.
Washington State Hospital Association
Today, there are 98 community hospitals in Washington
State. The Washington
State Hospital Association takes
a major leadership role in issues that affect delivery,
quality, accessibility, affordability and continuity
of health care.
The Washington State Hospital Association and its member hospitals publish information
which is available to consumers. This information allows consumers to make
informed decisions about where they choose to seek care.
In addition, WSHA assists policy makers and the public
measure the cost and quality of hospital care. Information
on hospital pricing and quality and answers to commonly
asked questions about hospital bills can be found on
the WSHA Web site under Hospital Transparency.
In support of Never Events
“Never Events” is a term used generically
to refer to Hospital Acquired Condition (HACs), Iatrogenic
Complications and Serious Reportable Events. Never
Events are events that should never happen in a hospital
setting. According to the National Quality Forum (NQF),
Never Events are errors in medical care that are clearly
identifiable, preventable, and serious in their consequences
for patients. These events indicate a significant problem
in the safety and credibility of a health care facility.
The Washington Hospital Association and Washington
Medical Association, under a voluntary agreement with
medical facilities, physicians and other health care
professionals, have pledged their commitment to stop
billing patients for egregious medical errors. This
initial step acknowledges and works to eliminate never
events in the medical community.
Regence BlueShield supports this agreement through
our Reimbursement
Policy to reduce and ultimately eliminate
unnecessary medical errors.
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