The National Health Plan Collaborative to Reduce Disparities and Improve Quality

Lurie, Nicole; Fremont, Allen; Somers, Sara; Coltin, Kathryn L.; Gelzer, Andrea; Johnson, Rhonda; Rawlins, Wayne; Ting, Grace; Wong, Winston; Zimmerman, David

doi:10.1016/s1553-7250(08)34032-x

Cited by 20 publications

(16 citation statements)

References 8 publications

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“…Efforts to reduce disparities provide plans with invaluable opportunities to identify effective interventions directed toward members, providers, communities, and their own organizations. 10,11 The two-fifths of commercial health plans that did not collect data on race and ethnicity in 2008 were generally small and accounted for less than one-tenth of commercial health plan members. Moreover, nearly one-sixth of the plans that did not collect data, accounting for more than twofifths of all members in such plans, were in the development phase of data collection.…”

Section: Discussionmentioning

confidence: 99%

Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts

et al. 2011

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In 2003 the Institute of Medicine called on health plans to collect data on their members' race and ethnicity as a foundation for improving the quality of care and reducing disparities. We describe the progress made toward collecting these data, the most commonly used data collection methods, and the challenges plans have encountered. We found that from 2003 through 2008, the proportion of plans that collected members' data on race and ethnicity doubled in the commercial market to 60 percent. It increased even more sharply to 94 percent and 83 percent, respectively, for plans covering Medicaid and Medicare Advantage enrollees. However, the scope of data collection varied greatly across plans, and data collection was an organizationwide initiative in a minority of plans. To fulfill the goals of recent legislation, including the Affordable Care Act, health plans will need to expand their efforts. Among other steps, plans and other key stakeholders should agree on uniform race and ethnicity categories, modify information systems to capture these data, and increase members' trust so that self-reported data-the most accurate data on race and ethnicity-can be gathered. R esearchers have documented racial and ethnic disparities in the use and quality of health care for more than two decades. In a landmark report, the Institute of Medicine recommended a comprehensive, multilevel approach to address disparities.1 A key recommendation was that health plans collect and report data on members' race and ethnicity as a necessary foundation for improving the quality of care and reducing disparities. 2 The collection of such data is uniquely important because, in contrast to health care providers, plans can obtain information about members who do not frequently use the health care system.

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Section: Discussionmentioning

confidence: 99%

Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts

et al. 2011

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“…Yet these data are often incomplete within health systems and creates an additional barrier for QI efforts. For example, the National Health Plan Collaborative to Reduce Disparities and Improve Quality spent the first 2 years troubleshooting incomplete and inconsistent race/ethnicity data [48]. Although this collaborative consisted of major health plans with leverage for health center data reporting, the lack of race/ethnicity information escaped attention until the focus turned to reducing disparities.…”

Section: Lessons Learned From Quality Improvement Collaboratives: Impmentioning

confidence: 99%

Addressing diabetes racial and ethnic disparities: lessons learned from quality improvement collaboratives

Wilkes

Bordenave²,

Vinci³

et al. 2011

Diabetes Management

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SUMMARY A review of national data confirms that while the quality of healthcare in the USA is slowly improving, disparities in diabetes prevalence, processes of care and outcomes for racial/ethnic minorities are not. Many quality measures can be addressed through system level interventions, referred to as quality improvement (QI), and QI collaboratives have been found to effectively improve processes of care for chronic conditions, including diabetes. However, the impact of QI collaboratives on the reduction of health disparities has been mixed. Lessons learned from previous QI collaboratives including the complexity of impacting clinical outcomes, the need for expert support for skills outside of QI methodology, limiting impact of poor data, and the need to develop disparities quality measures, can be used to inform future QI collaborative approaches to reduce diabetes racial/ethnic minority health disparities.

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“…Nurses should have the ability to work with different groups and organizations to establish policies addressing social and environmental inequities and disparities in health care. (67) (68) Involvement with professional and civic organizations provides a forum for understanding broad social issues affecting health of populations and developing the skills in building effective coalitions at local, national, and global arenas to effect change. (63) Suggestions for Implementation of Standard 11 1. establish the structure and policies to reward membership and engagement of nurses in professional and civic organizations.…”

Section: Suggestions For Implementation Of Standardmentioning

confidence: 99%

Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

Douglas

Pierce²,

Rosenkoetter

et al. 2009

J Transcult Nurs

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need to educate nurses to deliver culturally competent care for an increasingly diverse patient population, regardless of geographic location. (3)(4) This need served as the primary impetus for this work. Cultural standards exist within political, economic, and social systems, and that many health organizations throughout the world have defined care for their specific populations from the perspective of these systems. The variation among standards and the context within which standards are practiced may preclude a single set that fits all cultures.

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The National Health Plan Collaborative to Reduce Disparities and Improve Quality

Cited by 20 publications

References 8 publications

Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts

Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts

Addressing diabetes racial and ethnic disparities: lessons learned from quality improvement collaboratives

Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

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