Kentucky lags well behind other states in achieving a high value delivery system.
A high value healthcare system leads to healthier communities. It eliminates unnecessary services and administrative waste and charges reasonable prices. This benefits everyone.
We all want to receive healthcare where the costs are reasonable, the outcomes are exceptional and equitable, the medical errors are minimal and we feel respected by providers that are energized and engaged in mission-driven work.
Healthcare quality and cost measurement is a strategy for providing better, more affordable care for individuals and the community. Getting health plans and providers aligned on the same measurement priorities and incentives is critical to reducing waste and driving optimal prevention, treatment and management on the conditions that are most important to our community, such as diabetes, depression and cancer.
The KHC has been engaged in driving local healthcare value for over 15 years in Greater Louisville and Kentucky. Part of that work requires leveraging employers’ purchasing power and fostering multi-stakeholder collaboration to ensure patients receive high value care.
The KHC has several key initiatives
included in this strategy. These include:
Kentucky Core Healthcare Measures Set
We can driving health improvements through measurement alignment.
Healthcare quality and cost measurement aims to provide better, more affordable care for individuals and the community. Measuring and incenting the right things is important but doing so requires experts to agree on what those things should be.
Creating a core set of healthcare measures to focus and align priorities is the first step toward aligning incentives around the things that matter. Experts from across the Commonwealth of Kentucky have created the Kentucky Core Healthcare Measures Set (KCHMS), which brings together the priorities of consumers, providers, payers, and purchasers. By focusing on everything, we focus on nothing. But by focusing on the right things, we can drive improvements.
For the last 15 years, the KHC has led the way in healthcare quality measurement and transparency through Consolidated Measurement Reports.
These reports allow for comparison to local and state averages and benchmark scores on the quality of care patients receive on a variety of ambulatory care indicators. The KHC is the only organization that combines Commercial, Medicaid, and Medicare Advantage data for quality reporting. The data also allows us to see where we have improved – or not – as a community in these key indicators of quality healthcare.
In the United States, disparities in health outcomes are prominent and growing.
Historical and contemporary social, structural, and political factors have created these disparities by limiting access to resources and opportunities for certain groups in our society. Achieving health equity involves breaking down these barriers and making sure that all people have access to the resources they need to achieve their full health potential.
The KHC is working to close health disparities and ensure that all people – regardless of race, ethnicity, income, identity, and geography – have access to high value healthcare and exceptional health outcomes.
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