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California Chartered Value Exchange

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Multiple quality measurement and public reporting initiatives operate in California. Opportunities exist to coordinate efforts and optimize resources to advance value-driven health care. Performance accountability can also be enhanced by reducing fragmentation of information for consumers, purchasers and providers.

The California Chartered Value Exchange is a “collaborative of collaboratives” formed to advance high-quality, patient-centered, cost-effective health care for Californians through coordination and alignment of priorities and activities of leading performance measurement, reporting, reward and improvement organizations. The participating organizations are:

  • California Cooperative Healthcare Reporting Initiative (CCHRI) – generates standard performance measures and reports at the health plan, physician group, and physician levels;

  • Integrated Healthcare Association (IHA) – measures physician group performance, provides incentives for improvement and health care IT adoption;

  • California Hospital Assessment and Reporting Taskforce (CHART) – generates and reports hospital quality measures;

  • AARP California – advocates for transparency in health care performance and for quality improvement on behalf of consumers in California and nationwide;

  • California Quality Collaborative (CQC) – helps providers to improve by promoting proven system changes and care re-design; and

  • The California Office of the Patient Advocate (OPA) – provides consumer-focused resources and reporting to facilitate individual choices and decision making using information provided by CCHRI, IHA, and other sources.

  • California HealthCare Foundation (CHCF) - supports improving the way health care is delivered and financed in California an an independent philanthropy.

In October 2008 the California Chartered Value Exchange was formally recognized by the US Department of Health and Human Services as “a multi-stakeholder organization that has taken clear action in its community to convene industry stakeholders and advance the four cornerstones of Value-Driven Health Care.” The four cornerstones include: 1) adoption of interoperable health information technology, 2) use of standardized quality measures for public reporting, 3) increased availability and transparency of pricing information, and 4) promotion of incentives for quality and efficiency.

Through increased coordination of the activities of the participating organizations, the California CVE provides value to PBGH members and all Californians by improving the availability and accessibility of publicly reported information for plan and provider accountability and for consumer engagement. The alignment of reporting initiatives and payment incentives aid translation of quality measurement results into actionable steps for quality improvement. Our current focus is  on measurement at the individual physician, practice site, group, and hospital levels using best available data and exploring opportunities for obtaining clinical data from providers.