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Blue Cross and Blue Shield Initiatives Recognized for Increasing Patient Safety and Efficiency
Date:9/10/2007

incentive program, Quality-In-Sights(R) Hospital Incentive Program (Q-HIP). The program is designed to collect data from network hospitals and provide feedback on key quality and safety metrics. Q-HIP has expanded from 16 pilot hospitals to more than 60 hospitals in Virginia, serving more than 90 percent of Anthem members admitted to inpatient care in 2006. To complement Q-HIP, Anthem launched the Quality Physician Performance Program (Q-P3). Q-P3 incorporates outcome, process and quality measures to reward evidence-based medicine and other best practices. Based on data provided by the first eight hospitals with participating physicians, results were encouraging - complication rates in 2004 for angioplasty and cardiac catheterization decreased 50 percent and 29 percent, respectively, from 2003 levels.

Diabetes Disease Management

Recognizing that poor diabetes control is often to blame for considerable medical costs that could be reduced with better monitoring, Blue Cross Blue Shield of North Dakota (BCBSND) piloted a collaborative diabetes disease management program to help address some of the challenges faced by providers treating diabetic members. In 2005, patients joined the pilot study and were given a suite of services, including medication comprehension and self-management education. When comparing measurements taken in 2003 to those taken during BCBSND's Provider-Based Diabetes Disease Management Pilot Program in 2005, BCBSND found that the rise in costs was smaller for members in the study clinic. In addition, there were decreases in emergency room visits and inpatient admissions. BCBSND estimates a $100,000 to $300,000 savings due to the disease management program.

Health Information Technology

In efforts to increase patient safety and reduce costs, Blue Cross and Blue Shield of Massachusetts (BCBSMA) and CareFirst BlueCross BlueShield (CareFirst) are partnering with providers to replace paper prescriptions with electronic prescrib
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SOURCE Blue Cross Blue Shield Association
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