Hospital Quality Incentive Program (HQIP) Collaborative

CHEA is proud to announce the launch of a three-year Learning Collaborative to support the implementation of the Hospital Quality Incentive Program (HQIP) focused on Racial and Ethnic Health Disparities (REHD). The purpose of this learning collaborative is to address issues of racial/ethnic health disparities related to measures for Potentially Avoidable Admissions (PAA). This program will focus on improving Prevention Quality Indicators (PQIs) and Pediatric Quality Indicators (PDIs).

Pennsylvania’s Department of Human Services developed Hospital Quality Incentive Programs as part of its commitment to promote cost-effective, quality healthcare through an outcome and value-based payment structure. HQIP is available to Pennsylvania’s instate acute care general hospitals which serve Medicaid beneficiaries enrolled in the Physical Health HealthChoices (PH-HC) Managed Care Program.

A new HQIP program was developed for 2022 to address Racial and Ethnic Health Disparities (REHD), focused on the collection and use of REaL (Race, Ethnicity and Language) data, screening for social needs and social risk, developing a community advisory board (CAB) to advise on REHD, and addressing racial/ethnic disparities in potentially avoidable admissions (PAA). Each eligible Penn Medicine facility has attested to the pathway related to REaL data, developing a CAB, and commitment to identifying and addressing disparities in PAA. This program begins with attestation this Summer of 2022 and will continue into Winter 2023.

CHEA will host learning sessions which will support entity teams through collaborative learning. Our goals are to understand the concepts and requirements for implementing incentive activities and determine enterprise-wide solutions versus entity-based solutions. Each entity team will work closely with CHEA to develop and test plans to reach their performance goals.

Entities will begin by prioritizing the collection of Race, Ethnicity, and Language (REaL) data, as this will help with identifying disparities and developing a plan to address them. Additionally, they will create and implement social needs and social risk screening processes. Lastly, they will develop a community advisory board with diverse stakeholders to inform these practices. Hospitals will be measured and rewarded based on their improvements in reducing racial/ethnic disparities in the identified PQI/PDIs.

Key Partnerships