Organizational Tasks

Assemble existing studies in Quality, Safety and Reimbursement. Analyze and prioritize recommendations already made.

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Assess existing programs statewide.  Identify barriers and need for resources and public health infrastructure to support the committee’s goals.

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Assess connections between this Committee and other state agencies.  Develop procedures to communicate and collaborate.

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Develop procedures to communicate with other Committees and Task Forces in order to identify information needed by each to develop mutually reinforcing recommendations.

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Develop stakeholder engagement plan for planning and implementation.

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Identify areas needed further study. Invite presenters as needed to fill information gaps. Bring in additional people to the committee to complement/expand knowledge base.

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Determine core elements of Quality Committee’s comprehensive plan (i.e. current status: priority issues, major barriers, costs and financing) Identify who will draft the final report.

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Identify ARRA and other federal funding sources for quality and safety that could assist with funding quality and safety initiatives or pilot programs under SustiNet.

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Data Analysis and Development of Recommendations

Assess how federal reform affects Quality, Safety and Reimbursement and incorporate into plan.

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Choose from nationally and internationally recognized guidelines for the provision of care and forward recommended clinical care and safety guidelines to the board of directors. 

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Recommend policies and procedures that encourage participating providers to furnish and SustiNet Plan members to obtain appropriate evidenced-based health care.

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Provide recommendations on providing feedback to providers about how their practice patterns and outcomes compare to their peers.

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Recommend how information on the cost-effectiveness of prescription drugs and medical devices can be made available to participating providers.

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Investigate requiring pharmaceutical and medical device companies to report on consulting and other payments/gifts to providers.

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Recommend an approach concerning the provision of free samples of generic or other prescription drugs to participating providers.

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Develop plans for doing quality reviews to result in plans for quality improvement.

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Develop a program for monitoring and encouraging compliance by hospitals to safety standards, including performance incentives and sanctions.

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Recommend recognition programs for exemplary providers.

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Create a plan to pilot Quality, Safety and Reimbursement recommendations.

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Finalizing of Recommendations and Report Preparation

Present preliminary findings and conclusions to key stakeholder groups.

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Refine preliminary recommendations and present to SustiNet board and co-chairs of committees of cognizance.

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Determine a “review & comment” process by which committee members can provide feedback to drafts of the comprehensive plan.

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Schedule a target date by which a near-final draft will be ready to share with the SustiNet board co-chairs and co-chairs of the committees of cognizance over public health, human services and appropriations.

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