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1
HOUSE JOINT RESOLUTION

 
2    WHEREAS, Despite an increased focus on improving the
3quality of care in the United States, our nation's healthcare
4system often remains fractured, with misaligned payment
5systems, a lack of information and transparency, and gaps in
6care delivery; and
 
7    WHEREAS, The healthcare marketplace has traditionally
8rewarded our providers for the volume of care they deliver;
9even though utilization of healthcare is high, there are
10significant differences between the healthcare that should be
11received and the healthcare that is actually received; those
12gaps result in increased costs, and in some cases, harm to
13patients; and
 
14    WHEREAS, The Patient Protection and Affordable Care Act
15contains provisions that are facilitating a shift from volume
16of services provided to the value of services provided by
17linking provider and physician payment to quality of care and
18patient outcomes; and
 
19    WHEREAS, The Institute of Medicine defines healthcare
20quality as "the degree to which health services for individuals
21and populations increase the likelihood of desired health
22outcomes and are consistent with current professional

 

 

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1knowledge" and has recommended that the United States
2healthcare system be aligned to deliver care meeting 6 aims
3critical to quality improvement, including care that is safe,
4effective, patient-centered, timely, efficient, and equitable;
5and
 
6    WHEREAS, The United States Department of Health and Human
7Services was tasked by the Patient Protection and Affordable
8Care Act to convene public and private stakeholders to
9establish a National Quality Strategy focused on 6 priorities:
10safety, care coordination, population/community health,
11clinical care, patient and care-giver centered experience and
12outcomes, and efficiency and cost reduction; public and private
13entities are encouraged to align their activities to reach
14these common aims; and
 
15    WHEREAS, Working from this common understanding of
16quality, experts have developed hundreds of quality measures in
17use today and continue to develop and refine new ones; and
 
18    WHEREAS, Measures of quality should be evidence-based,
19consistent with nationally-recognized practice guidelines and
20endorsed through a multi-stakeholder consensus-based
21organization (i.e., National Quality Forum); and
 
22    WHEREAS, The trends of linking quality of care to

 

 

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1reimbursement and using quality information to inform patient
2choices will continue to grow as they are critically important
3to ensuring that healthcare reforms preserve and enhance the
4quality of healthcare; and
 
5    WHEREAS, Evidence-based cost and quality measures will
6help the healthcare system evolve from one rewarded for the
7volume of services to one promoting the value of services; and
 
8    WHEREAS, Because medical advances occur rapidly, quality
9measures need to be updated regularly to reflect the latest
10medical knowledge and continuous reassessment is required to
11avoid penalizing early adopters of care improvement and to
12facilitate medical innovations; therefore, be it
 
13    RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE
14NINETY-EIGHTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, THE
15SENATE CONCURRING HEREIN, that we support the application of
16evidence-based multi-stakeholder endorsed (National Quality
17Forum) quality measures and requirements that health plans and
18providers report publicly on quality performance to improve
19patient outcomes and better inform patient choices in state
20Health Insurance Marketplaces and state-funded healthcare
21programs, including Medicaid.