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A History of Accomplishments at PBGH

The following chronology of major events in the history of PBGH demonstrates the coalition’s commitment to its mission—to improve the quality and availability of health care while moderating costs.

2009 PBGH CEO David Lansky, PhD, has been appointed to the HIT Policy Committee, which will make recommendations on the implementation of a nationwide health information technology infrastructure and electronic health record in accordance with the American Recovery and Reinvestment Act of 2009.  Additionally, Dr. Lansky has been appointed to the California Health Information Exchange Advisory Board.
2009 PBGH helps launch Stand for Quality, a multistakeholder coalition that seeks alignment of public and private value-purchasing efforts and standardized quality measurement and reporting.
2009 The State of California Office of the Patient Advocate awards PBGH with a two-year contract to continue producing the statewide health plan and medical group performance report card.  PPOs will be added in 2009.
2008 The California Cooperative Healthcare Reporting Initiative (CCHRI) releases initial results of the Better Quality Information project.  Approximately 17,000 physicians receive individual performance results based on 15 quality measures, using combined Medicare and commercial PPO data.
2008 The US Department of Health and Human Services designates the California Chartered Value Exchange, convened by PBGH and CCHRI.
2008 The California Quality Collaborative launches new Web tool that catalogs Health and Disease Management programs to facilitate referrals and enhance care coordination among medical groups and health plans.
2008 The PBGH- and CalPERS-sponsored Hospital Value Initiative releases the first ever analysis of cost efficiency among California hospital facilities conducted by Milliman, Inc.
2007 An enhanced Retiree Health AccessSM program is launched in partnership with the HR Policy Association.
2007

The California Quality Collaborative introduces a Southern California regional learning network, the Inland Quality Collaborative.

2007 PBGH publishes an Evaluation of Consumer Decision Support Tools, focusing on treatment option decision support, hospital choice and cost calculators.
2006 PBGH introduces the California Quality Collaborative as the successor to Breakthroughs in Chronic Care and collaborates with the California Association of Physician Groups to launch the Optimizing Performance Series.
2006 PBGH partners with the California HealthCare Foundation and PricewaterhouseCoopers to document the current evidence for Assessing Quality-Based Benefit Design.
2006

PBGH/CCHRI is named by AQA as one of six organizations across the country to pilot the collection and reporting of physician-level performance information. 

2005 PBGH partners with Blue Shield of California to pilot physician performance measurement using Blue Shield PPO data aggregated with data from three large PBGH members.  The physician efficiency information is used in Blue Shield's internal quality improvement program. 
2005

PBGH publishes research on consumer use of a health plan chooser tool to inform individuals' health plan selection process.

2005 PBGH works with the California Medical Association and other stakeholders to declare unprecedented consensus on physician performance measurement. 
2004

PBGH and the National Disclosure Group disseminate Guidelines for Purchaser, Consumer, and Health Plan Measurement of Provider Performance. 

2004 PBGH wins a two-year contract with the State of California Office of Patient Advocate to develop and manage its consumer website featuring health plan and medical group report cards. 
2004

PBGH and the National Business Coalition on Health announce that eValue8 is chosen as the exclusive health plan RFI for Watson Wyatt Worldwide, expanding the number of participating health plans dramatically and declaring eValue8 the predominate RFI available in the marketplace.

2004 PBGH hosts a national meeting of stakeholders, measurement experts, and potential funders to outline the technical and methodological issues surrounding physician performance measurement.  Read Advancing Physician Performance Measurement: Using Administrative Data to Assess Physician Quality and Efficiency
2004

With PBGH serving as key technical advisor, the Integrated Health Care Association (IHA) pays out $50 million to California medical groups for standardized metrics measured across six participating health plans. 

2004 PBGH's successful involvement in CCHRI Diabetes Quality Improvement Project (DCQI) expands to address additional chronic disease conditions and its program components are strengthened to more deeply address systematic approaches to disease management across a broader set of medical groups.  Read more about the new Breakthroughs in Chronic Care program. 
2003

PBGH takes leadership role in Consumer-Purchaser Disclosure Project, a national effort to establish standardized measures for selecting hospitals, physicians and treatments.

2003 PBGH evaluates technical capability of medical groups to report clinical performance information.
2003 PBGH launches Web site devoted to the Diabetes Continuous Quality Improvement Project.
2003 PBGH launches pilot to measure clinical performance of individual physicians.
2003 PBGH evaluates health plan Web site features that help consumers select quality providers
2002 HealthScope redesigned; Leapfrog California survey results added to Hospital section.
2002 Shared Audit project, part of the Provider Group Oversight (P-GO) Improvement project, reduces medical group oversight redundancy by allowing health plans to share credentialing data.
2002 PBGH creates Health Plan Chooser, online tool to help consumers select the best health plan option.
2002 As member of National Quality Forum (NQF), PBGH pushes for national set of standardized performance measurements for hospitals.
2002 PBGH evaluates effectiveness of health plan programs in disease management.
2001-2002 Under PBGH leadership, Leapfrog California achieves 45% participation by state’s urban acute care hospitals.
2001 Silicon Valley Employers Forum (SVEF), an affiliate of PBGH, launches two Web-based pilot programs that link several thousand employees at leading high-tech companies with their physicians.
2001 PacAdvantage enrolls 147,000 members through 11,000 small employers.
2001 Three projects—Provider Group Oversight , Disease Management Evaluation and PPO Plan Survey—bring accountability to areas of importance to purchasers and providers.
2001 Breakthrough Strategy pushes market to adopt consumerism in health care.
2001 The California Report on Coronary Artery Bypass Graft Surgery offers the state’s first evaluation of how well California hospitals perform CABG surgery.
2001 The Patient Assessment Survey measures patient experience at medical group level.
2001 The California Cooperative Healthcare Reporting Initiative (CCHRI), managed by PBGH, achieves standardized diabetes treatment guidelines for state’s health plans and medical groups.
2001 PBGH designs and builds HMO report card (Web-based and print) for Office of the Patient Advocate (OPA).
2000 PBGH helps found The Leapfrog Group.
2000 PBGH builds private/public partnerships with California Office of Statewide Health Planning and Development (OSHPD) and Office of the Patient Advocate (OPA).
1999 New statewide provider directory makes available new tools for consumers.
1998 PBGH wins bid to privatize Health Insurance Plan of California and renames it Pacific Health Advantage (PacAdvantage).
1997 Blue Ribbon awarded to recognize high-value health plans and providers.
1996 Consumer information initiatives launched – HealthScope Web site and printed report cards.
1995 Quality Improvement Fund established to place a significant portion of premium revenue at risk for quality improvements.
1994-1998 PBGH’s Negotiating Alliance achieves significant HMO cost moderation.
1994 Group negotiating through Negotiating Alliance commences.
1993 PBGH forms and manages California Cooperative Healthcare Reporting Initiative (CCHRI).
1992 Health Services Advisory Committee (HSAC) created as forum for health plan medical directors, employers and state Department of Health Services.
1991-1992 Survey of health plans reveals huge variation in preventive guideline usage. PBGH convenes health plans to set guidelines, incorporate them into benefit design and disseminate to physicians statewide.
1989 PBGH founded.
   

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