Augusta Civic Center
                    November/December 2009

 
Best Wishes for a Wonderful Holiday Season!

 
~ Quality Counts

Featured Topics
Director's Message
Maine's Patient Centered Medical Home Pilot - Update
Aligning Forces for Quality Initiative
Quality Counts, Part 7 - Annual Conference
Director's Message


As we near the year end, I wanted to thank all of our Board, Members, and collaborators for your many contributions over the past year, and give a brief update on both our ongoing work and new directions.  


First, many thanks to all of you who were able to make a commitment to the work of Quality Counts by participating in our annual Membership campaign.  We recognize the challenges of providing this support in these difficult financial times, and are extremely grateful to the more than 60 individuals and organizations who contributed to this year's appeal, including our 16 new Members, who make our work possible. 

Because of your support, we are able to continue several important initiatives that we are helping to align and lead, including Aligning Forces for Quality, the Maine Patient Centered Medical Home Pilot, and - thanks to new funding support from MeHAF - the Behavioral Health Metrics System initiative.  Membership support also helps with planning for our annual QC7 conference on April 16, an important opportunity to convene stakeholders and identify collaborative approaches to improving health and healthcare in Maine's communities. 

As we look forward, we are also preparing for a new round of strategic planning to establish our direction for the next several years.  In preparation, our Board felt it was time to update our mission and vision statements to better reflect our work, and recently approved the following:

Mission: Quality Counts is transforming health and healthcare in Maine by leading, collaborating, and aligning improvement efforts.

Vision: Through the active engagement and alignment of people, communities and healthcare partners, every person in Maine will enjoy the best of health and have access to patient centered care that is uniformly high quality, equitable, and efficient.

We are eager to continue working with our Members and all stakeholders around the state as we look forward to the opportunities of the new year.
 
My best for a peaceful and joyous holiday season!

Lisa M. Letourneau MD, MPH

Executive Director

 
Maine's Patient Centered Medical Home Pilot - Update

Maine's Patient Centered Medical Home Pilot Launches with First Learning Session on October 30, 2009 at Maple Hill Farm
 
Physician practice teams from around Maine who were selected to participate in Maine's Patient Centered Medical Home (PCMH) Pilot launched the initiative by holding their first learning session at the Maple Hill Farm Inn and Conference Center in Hallowell, Maine on Friday, October 30th.  There will be three sessions per year over the course of the three year pilot.  Drs, Christine and Tom Sinsky, practicing physicians from Iowa and expert presenters on the topic of Medical Homes, worked with the over 125 people in attendance to support their work and share best practices on transforming to this new model of care. 
 
The Maine PCMH Pilot includes 22 adult and 4 pediatric practices from communities across the state who will be working together over a 3-year period.  PCMH is a new model for delivering primary care services to consumers.  Participating practices commit to achieving national recognition standards and work to meet established core expectations.  The PCMH model offers an exciting and promising approach to transforming healthcare as it supports both the practice transformation and the payment reform required to improve primary care.
 
The Dirigo Health Agency's Maine Quality Forum, Quality Counts, and the Maine Health Management Coalition are the conveners of this multi-stakeholder effort. The ultimate goal of this effort is to sustain and revitalize primary care both to improve health outcomes for all Maine people and to reduce overall healthcare costs.

Aligning Forces for Quality Initiative

What exactly is Aligning Forces for Quality (AF4Q)?

"Aligning Forces for Quality" (AF4Q) is the name of a set of statewide improvement efforts that aim to align activities in three key areas that drive improvements in healthcare quality in Maine:

*    Engaging consumers to understand that quality matters, quality varies, and people
      have a role in improving their health care.
*    Performance measurement and public reporting of quality data
*    Capacity to help healthcare professionals improve the quality of care

In addition, there is also a focus within AF4Q improvement efforts to build nurse leadership and improve equity of healthcare.

The organization behind the research and management of AF4Q is the Robert Wood Johnson Foundation (RWJF).  Across the country, RWJF is working with 15 AF4Q communities to improve the overall quality of healthcare within their region.  We are very fortunate that Quality Counts, in conjunction with the Maine Health Management Coalition and the Maine Quality Forum, were selected to participate.

Through a series of articles in this and subsequent e-newsletters, we will explore the key components of the AF4Q effort in Maine, beginning with consumer engagement.

Part I :  A Look at Consumer Engagement

As consumers, what does 'quality' mean, and how can we actively participate and manage our healthcare and make informed choices?  These questions, and more, are being addressed by AF4Q comunities around the country. 

Quality Improvement in healthcare means...
Quality healthcare helps people stay healthy, recover from illness, manage living with a chronic disease or disability, and even prepare for the end of life.  Quality healthcare ensures these services are delivered in a way that is safe, timely, effective, patient centered, efficient, and equitable.  Improving communication between a patient and their care givers is the a key to improving not only the "hands on" care during treatment, but the whole decision making process.  This includes respecting patients' preferences and giving them the ability to participate and assist in their treatment process.  Consumers have a right to be informed and a right to have access to specific information, data and research around their particular illness. 

To help people better understand healthcare quality and their role in getting high quality care, the Maine AF4Q effort is developing a set of tools and messages that encourage people to get more engaged in their healthcare.  These messages are being promoted under the banner of "Quality Counts for ME" as a set of three themes, which collectively encourage Maine people to...

Ask  - e.g. ask your doctor or healthcare team about your healthcare options, promoted in AF4Q with the theme of "Questions are the answer"

Learn- e.g. when choosing a healthcare provider, check available quality information, promoted under "Care enough to compare"

Act - e.g. partner with your provider to improve your health, promoted under "Get on the pathway to better health"

To learn more about the "Quality Counts for ME" messages and tools, visit our website.  In addition, quality healthcare means helping consumers use information to choose the doctor or hospital that is right for them.  The Maine Health Management Coalition provides a website consumers can use to help them learn about differences in healthcare quality measures.
 
To guide our efforts to better engage consumers in their healthcare, the AF4Q staff has convened a "Consumer Engagement Leadership Team" that includes representatives from some of Maine's leading consumer organizations such as as AARP, the Maine Education Association Benefits Trust, the Office of  MaineCare Services, the Maine Peoples Alliance and the City of Portland's Public Health Division to name a few.  These partners have been instrumental in helping us spread these messages to consumers in our state by distributing the "Quality Counts for ME" information through their websites, newsletters, etc.  These resources include tools such as the "Maine Diabetes Pathway", which offers information on high quality diabetes care, and a checklist to bring to doctor's appointments.  Currently, the Af4Q consumer engagement team is working to develop an advertising campaign to help spread these messages through print and radio. 
 
Quality Counts is also looking for consumers who are interested in learning more about healthcare quality and working on projects designed to help improve the quality of care in Maine.   Join our consumer engagement communication list by sending an email to  info@mainequalitycounts.org.

***SAVE THE DATE ***

Friday, April 16, 2010 ~ Augusta Civic Center

Quality Counts, Part 7


Transforming Health and Healthcare in Maine's Communities:  What's Your Role?


Quality Counts 7 - a "Best Practice College"

Quality Counts 7 (QC7) is the latest in our series of annual conferences which promote transformational changes needed to create dramatic and sustainable improvements in health and healthcare in Maine.   The conference will feature a range of data sources to examine benchmarks of health and healthcare in our communities, including county-level health rankings across Maine.  It will also provide opportunities for stakeholders within and across communities to identify ways to work together to identify common goals and, by working together, overcome barriers to create transformative and sustainable change in Maine.

This conference will provide beneficial information to all healthcare providers, including physicians and other clinicians; hospital and nursing leaders; employers; payers; consumers; health policy makers; public health workers, including Healthy Maine Partnership staff; health educators; healthcare administrators; and physician office staff, including practice managers, nurses, case managers, medical assistants.

Be sure to read our next newsletter to learn more about the conference!

Please visit our website www.mainequalitycounts.org to get updates on our programs, learn about quality initiatives across the state, view our partner and member organizations and participate in our online discussion forum!
 

If you are not on our mailing list, please sign up here!