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Jewish Healthcare Foundation

PRHI Certified by CMS to Receive Medicare Claims Data to Help Consumers in Western Pennsylvania Make Better Decisions about Their Providers

April 1, 2013

PITTSBURGH, PA — APRIL 1 2013. On March 27, 2013, the Pittsburgh Regional Health Initiative (PRHI) received notification from the Centers for Medicare & Medicaid Services (CMS) that it has been certified to receive Medicare fee-for-service claims data for the purpose of helping consumers get easy-to-understand information regarding the quality of the services provided by their doctors, hospitals, and other healthcare providers.

The program, called the Medicare Data Sharing for Performance Measurement program makes Medicare claims data available to groups like PRHI that are certified as qualified to handle these data and strictly protect patient privacy.

PRHI, a Commonwealth of Pennsylvania’s Regional Health Improvement Collaborative (RHIC) will be working in partnership with the Commonwealth’s Medicare Quality Improvement Organization (QIO), Quality Insights of Pennsylvania, to:
  • Commit to the highest levels of data security and privacy protection,
  • Identify quality information especially important to consumers,
  • Work with healthcare providers to ensure that measurement is fair and accurate, and to
  • Create user-friendly consumer reports.

PRHI and Quality Insights of Pennsylvania will be approaching other insurers requesting their participation so that consumer reports reflect a wide range of insurers.

In addition to serving as a neutral, trusted mechanism through which consumers in Western Pennsylvania can obtain information to help them make better decisions about their healthcare providers, access to Medicare fee-for-service claims data provides significant opportunity with respect to advancing PRHI’s mission. As Karen Wolk Feinstein, PhD, President & CEO of PRHI remarked, "For 15 years, PRHI has sparked research, trainings, and demonstrations to improve the quality of care in western Pennsylvania. With access to this remarkable data set, we can better pinpoint deficiencies, identify improvement opportunities, and help local providers perform better."

ABOUT THE PITTSBURGH REGIONAL HEALTH INITIATIVE
The Pittsburgh Regional Health Initiative (PRHI) is an independent catalyst for improving healthcare safety and quality. It operates on the premise that dramatic quality improvement is the best cost-containment strategy for health care. PRHI is the first regional consortium of medical, business, and civic leaders to address healthcare safety and quality improvement as a social and business imperative. Turning its own community into a demonstration lab, PRHI strives to accelerate healthcare quality improvement and set the pace for the nation. PRHI believes that health care is local so Federal policy changes alone cannot achieve needed reform; those who work at the point of care develop quality and safety improvements that work and last. PRHI also believes that continuous improvement in quality and safety requires setting the highest possible standards, to settle for less limits achievement. For more information, visit www.prhi.org.

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Available for interviews:
Karen Wolk Feinstein, PhD, President & CEO, Pittsburgh Regional Health Initiative
Keith T. Kanel, MD, Chief Medical Officer, Pittsburgh Regional Health Initiative

About The Jewish Healthcare Foundation

The Jewish Healthcare Foundation (JHF) is a public charity that offers a unique blend of research, education, grantmaking and program management to advance the quality of clinical care and health of populations, with a focus on improving the quality, efficiency, and safety of health care. JHF and its three operating arms—the Pittsburgh Regional Health Initiative (PRHI), Health Careers Futures (HCF), and the Women's Health Activist Movement Global (WHAMglobal)— are located in Pittsburgh, Pennsylvania, and serve a national and global audience. JHF is also a founding member of the Network for Regional Healthcare Improvement (NRHI). For more information, visit www.jhf.org.

Contact:
David Golebiewski
Jewish Healthcare Foundation
412-594-2553 or 412-216-6305 (mobile)
golebiewski@jhf.org

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