The Maine Quality Forum (MQF) is a state agency that is responsible for monitoring and improving the quality of health care in the
State of Maine. MQF’s governing statute is Title 24-A Chapter 87 §6951. The projects that the MQF supports align with the needs of
its stakeholders as it relates to advancing the Institute for Healthcare Improvement’s (IHI) triple aim.
- Improving the patient experience of care (including quality and satisfaction);
- Improving the health of populations; and
- Reducing the per capita cost of health care.
The MQF is governed by a board of Trustees as defined in Title 24-A: Chapter 87 section 6904. The current chair of the Board is Joseph
Bruno, R.Ph. former House Minority Leader. The MQF drives health care quality improvement by working collaboratively with our private and public sector partners.
MQF’s work is focused in six key areas:
- Advancement of primary care
- Collection and analysis of hospital quality measures
- Public transparency of health care quality in the state of Maine
- Reductions in the rate of Health Care Associated Infections in the State of Maine
- Patient experience
- Culture of safety in physician practices
- MQF was one of the four conveners for the States Patient Centered Medical Home Pilot and was responsible for the agreement (one of eight states selected) with the Federal Centers for Medicare and Medicaid Services (CMS) for the Multi-Payer Advanced Primary Care Practice (MAPCP) demonstration, which brought the Medicare beneficiaries into the PCMH pilot (both ended in December 2016). The MAPCP brought in over $15.8 Million in new money to Primary Care Practices participating in the pilot to support better ways to deliver more effective/better care and over $6.7 Million to Community Care Teams for a total of over $22 Million.
- MQF’s Maine Patient Experience Matters initiative was the first statewide survey of patients' experience with their providers in Maine. The website www.MainePatientExperienceMatters.org provides information from the patients' perspective about the care they receive at adult primary care, specialty and pediatric practices across the State for two survey cycles (2012 and 2014). The website allows consumers to compare results across participating practices in the State. Our website also includes a Toolkit which provides practices with an easy-to-navigate list of evidence-based quality improvement strategies and related resources from literature to help improve performance for specific patient experience measure categories.
- In March 2016 MQF released a report titled, "Maine Patient Experience Matters- Analysis of Patient Experience Over Time, 2012 and 2014". One of the key findings of this report is that over time, patient experience in Maine adult primary care practices significantly improved in nearly all areas between 2012 and 2014.
- MQF is required to submit an annual report in collaboration with the Maine CDC on the state of Healthcare Associated Infections (HAI) in Maine hospitals to the Joint Standing Committee on Health and Human Services. The 2017 report is expected to be released later this year. The 2016 HAI Report is now available.
- MQF partners with the Maine CDC and co-chairs the Healthcare Associated Infections (HAI) Collaborating Partners Committee. The HAI Committee was established to assess and analyze the status of infection prevention and control in the state of Maine and make recommendations on state strategies for the reduction of healthcare associated infections across all healthcare settings. This committee began its work in 2015 and successfully submitted recommendations for the States HAI Plan 2015-2018. The membership of the committee and meeting notes and documents including the States HAI plan 2015-2018 can be found at https://mhdo.maine.gov/haiCPcommittee.htm
- In 2016 MQF released an eight-hour Healthcare Associated Infection training program for extended care facilities which can be found at http://maineinfectionpreventionforum.org. Content areas include: general infection control and prevention practices; common infectious diseases; Isolation/transmission precautions, surveillance and data collection; performance improvement, and antibiotic stewardship. In addition to the stand-alone modules there is a comprehensive set of resources that have been organized by topic that are accessible to the facility.
- In April 2017 MQF released a training program on Bloodborne Pathogens for both clinical and non-clinical staff which can be found at http://maineinfectionpreventionforum.org.
- In May 2017 MQF added a training module on Biological Hazards. This can also be accessed at http://maineinfectionpreventionforum.org.
- In 2014 MQF partnered with the Maine Health Data Organization (as required by statue) to promote the transparency of healthcare cost and quality data. With the support of two federal grants and several external partners a new website www.CompareMaine.org was launched in the fall of 2015. CompareMaine reports the average cost for 248 health care procedures at 155 facilities by payer (top 5 commercial payers in the state, by facility). Additionally CompareMaine reports on several quality measures including patient survey ratings, preventing serious complications and preventing healthcare associated infections. MQF will continue to explore the feasibility and make recommendations on adding additional quality measures to CompareMaine. We are planning to add late 2017 quality data for falls with injury and rate of pressure ulcers when hospitalized.