States use monitoring and public reporting to hold themselves and other stakeholders accountable for health system improvement. Public reporting can also build the public’s understanding of the need for change and support for specific interventions.

*Milestone details:

*Full name: Monitor and publicly report on progress toward achieving established quality and efficiency goals.

*Relevance to the ACA:

Many of the quality initiatives outlined in the ACA include data collection and reporting requirements. States can take advantage of some of these newly available reports directly to track their progress in improving health care quality and efficiency. Others may serve as models for sates that wish to create their own tools or reports. Relevant provisions include:

§1311 - Requires that health plans that employ market based incentives to encourage quality report to Exchanges on their efforts to improve case management, care coordination, chronic disease management, medication and care compliance, hospital readmission rates, and patient safety.

§2701 - Secretary shall identify and publish a recommended core set of adult health quality measures for Medicaid eligible adults.

§3013 - Authorizes federal grants and contracts for developing, improving, updating, or expanding quality measures.

§3015 - Requires the Secretary to develop a public website providing quality measures tailored to providers, patients, researchers, and states.

§6002 - Requires public disclosure of financial relationships among providers, suppliers, and manufacturers.

§10303 - Requires CMS to publically report data on hospital-acquired conditions.

§10320 - Requires the Independent Medicare Advisory Board to produce an annual public report on system-wide health care costs, patient access to care, utilization, and quality-of-care that allows for comparison by region, types of services, types of providers, and payer.

§10332 - Requires that Medicare claims data be available for performance measurement.

§10407 - Creates a National Diabetes Report Card which includes data on preventative care practices and quality of care.