2008 Goals

1. Establish Pay for Quality Improvement Agreements with at least two major California hospital systems that, where possible, enable CHCC members to participate directly (through member-hospital service contracts) or indirectly (through their existing health plan ASO relationships);

2. With Blue Shield, launch joint PQI negotiations with major providers in the Central Valley and San Diego, with a goal of building local delivery systems that meet specific goals for improving patient outcomes and provider clinical effectiveness and efficiency;

3. Work with Kaiser Foundation Health Plan to establish specific, measurable and meaningful quality improvement goals, based on CHCC’s Pay for Quality Improvement matrix emphasizing patient outcomes, not just provider compliance with standard treatment protocols;

4. Develop a model risk sharing agreement with Kaiser to provide CHCC members with meaningful performance guarantees they can build into their own Kaiser contracts related to improvements in patient safety and provider clinical effectiveness;

5. Work with California employers, unions, trust funds and policymakers to enact transparency legislation that:

   • Expands public collection, measurement and reporting of hospital and physician performance;

   • Requires health plans to provide comparative quality and cost data on their contracted providers.

6. Implement an expanded CHCC member and California purchaser education, training and outreach program to achieve the following results:

   • Membership retention and growth;

   • Increased leverage for negotiations with key segments of the industry;

   • Increased understanding and support of CHCC among members’ trustees, consultants, negotiators, and plan beneficiaries;

   • Expansion of CHCC information resources on health system performance and provider quality and cost data;

   • Selection by CHCC members and their plan beneficiaries of higher quality, more cost-effective providers and networks.