Recently, the National Academy of State Health Policy released State Strategies to Improve Quality and Efficiency: Making the Most of Opportunities in National Health Reform. This report examines specific Affordable Care Act provisions that support state system improvement goals and profiles efforts in 10 states including Colorado, and Minnesota. The report highlights the opportunities and challenges that federal health care reform will bring and offers suggestions for how state and national leaders can streamline implementation.
The states were selected based on 2009 findings indicating that they were leaders in coordinating quality improvement strategies through public–private partnerships, in five key target areas states can use to improve quality and efficiency: data collection and standardization, data transparency and public reporting, payment reform, and both consumer and provider engagement.
Colorado’s Center for Improving Value in Health Care (CIVHC) was featured as driving consumer-centered care, improving population health, bending the cost curve and increasing transparency for the state. CIVHC has convened five advisory groups to identify strategies to reach its goals through data collection and transparency, consumer engagement, business engagement, delivery system redesign, and payment reform.
The Minnesota Statewide Standardized Quality Reporting and Measurement System supports increased quality, transparency and competition. In addition, Minnesota developed the Provider Peer Grouping, a composite measure that compares providers on overall value (including quality and cost); data collection began in July 2009. Also, Minnesota developed standard quality reporting measures for its baskets of care bundled payment initiative (see Payment Reform).
To access the full report: http://www.nashp.org/state-strategies-improve-quality-efficiency


Peter Urbanowicz is a Managing Director with Alvarez & Marsal Healthcare Industry Group in Washington, D.C. Mr. Urbanowicz brings more than 20 years of experience in solving challenging healthcare matters in government and private industry. He advises management, boards of directors, investors and lenders on healthcare compliance and regulatory issues, performance improvement, corporate governance and government and internal investigations.




