Health care leaders in Washington State have been working for a decade to rein in rising health care costs, led by the Aligning Forces Alliance in Washington.
Although it includes members from all sectors of the health care economy, the Washington Health Alliance is at its root a purchaser-led organization, and has focused on identifying value in terms of patient experience, quality, and price. The Alliance has published several comprehensive reports, called “Community Checkups,” that give comparative data on health plans and provider organizations. They show how each medical practice stacks up on a variety of measures, such as diabetes care, prevention, avoidance of unnecessary imaging and use of antibiotics, and patient experience. Hospitals are evaluated on how they perform on care, for conditions including pneumonia and heart failure. Health plans are evaluated on how well they help members stay healthy, manage chronic disease and become good health care consumers, as well as how plans use provider contracting and payment to drive improved quality and value.
If the Alliance reaches its goals, by 2017 doctors, hospitals, and ancillary providers in Western Washington will land in the top 10 percent in national comparisons of quality, evidence-based care, with a reduction in unwarranted variation in cost, quality, and utilization.
“[The Washington Health Alliance] has been the nursery that has allowed quality improvement and process improvement to grow.”
Peter McGough, MD
Chief Medical Officer, UW Neighborhood Clinics