Serious Illness Quality Alignment Hub
The Serious Illness Quality Alignment Hub (“the Hub”) was a coordinated effort from 2017-2019 to develop a national strategic plan to incentivize the delivery of high-quality care for people living with a serious illness.
The Hub – led by CAPC, in collaboration with the National Quality Forum– was funded by the Gordon and Betty Moore Foundation. It completed four work streams
Opportunity Assessment: investigating operations and opportunities across multiple levers of accountability
Accountability Committee: assessing and prioritizing opportunities to strengthen accountability, by feasibility and likely impact, across each of the levers
Quality Measurement Committee: cataloging measures and making recommendations to address measurement gaps
National Serious Illness Projects: coordinating and aligning multiple national efforts to improve standards and measures in the care of people living with serious illness
Resources Developed Under the Hub
Tools and resources for various stakeholders to ensure high-quality, high-value care for people living with serious illness.
Consolidation of selected areas of focus and defined strategies to enhance accountability for access to palliative care and enhance the quality of those services. Center to Advance Palliative Care and National Quality Forum, 2020.
Opportunities to improve access and quality across 10 "Accountability Systems" spanning federal, state, and private arenas.
Measures that can be used by payers and policymakers to ensure quality care for people living with serious illness.
Insights, recommended strategies, approaches, and tools, and a snapshot of the current quality measurement landscape for serious illness. National Quality Forum (NQF).
Structures and processes that all hospitals and skilled nursing facilities need to assure access to high-quality care for people with serious illness.
Recommended palliative care definitions and standards used for state legislation.
Tools for employers and other stakeholders to specify required benefits and network competencies. Catalyst for Payment Reform and Center to Advance Palliative Care, 2018.
How palliative care fills gaps in U.S. health care, and state-level policy recommendations to expand access to it.
The Hub Quality Committee gathered in February 2019 to explore best practices and opportunities to improve measurement of function. National Quality Forum, 2019.
Publications guiding the work of the Hub.
Illustrates the gaps in care for people with serious illness, and the need for a national strategy to ensure reliable access to high-quality palliative care. Health Affairs, 2017.
2017 convening on accountability for access to quality care of people with serious illness in community settings.
March 2018 issue dedicated to quality measurement and accountability for community-based care for people living with serious illness.
Diane E. Meier, MD, FACP, FAAHPM
Founder, Director Emerita and Strategic Medical Advisor, Center to Advance Palliative Care
Allison Silvers, MBA
Chief Health Care Transformation Officer
Sara Hufstader-Collins, MA
Stacie Sinclair, MPP
Associate Director, Policy and Care Transformation
Amy S. Kelley, MD, MSHS