Active Supervision of the Cooperative Agreement

Active Supervision Measures

The Code of Virginia (§ 15.2-5384.1) requires the State Health Commissioner to provide active and continuing supervision to ensure compliance with the provisions of the cooperative agreement.  Virginia's Regulations Governing Cooperative Agreements (12VAC5-221) requires the Virginia Department of Health to establish quantitative measures that will be used to evaluate the proposed and continuing benefits of the cooperative agreement.

The quantitative measures shall include measures of the cognizable benefits from the cooperative agreement in at least the following categories:

a. Population health;
b. Access to health services;
c. Economic;
d. Patient safety;
e. Patient satisfaction; and
f. Other cognizable benefits.

The Commissioner provided the following quantitative measures to the parties on January 12, 2018:

Technical Advisory Panel - Background 

The Regulations also require the Commissioner to appoint a Technical Advisory Panel to provide (i) initial recommendations to the commissioner as to the quality, cost, and access measures and benchmarks to be considered to objectively track the benefits and disadvantages of a cooperative agreement and (ii) ongoing input to the commissioner on the evolution of these and other new measures and the progress of the parties with respect to achievement of commitments with respect to these measures.   The Technical Advisory Panel shall identify evidence-based cost, quality, and access measures in areas, including population health, patient safety, health outcomes, patient satisfaction, access to care, and any other areas identified by the panel. The panel shall also make recommendations regarding how to best report performance on quality metrics.  The Commissioner appointed 15 members to the panel.

Technical Advisory Panel - Past Meetings (2017) 

The Technical Advisory Panel held its first meeting on November 14, 2017 in Abingdon, Virginia.  Materials for that meeting are below:

The Technical Advisory Panel met again on December 4 and 5, 2017 in Glen Allen, Virginia.  Materials for that meeting are below:

The Technical Advisory Panel met again on December 14, 2017 in Glen Allen, Virginia.  Materials for that meeting are below:

The Technical Advisory Panel submitted its report to the Commissioner on December 20, 2017. The report is provided below.

Technical Advisory Panel - Past Meetings (2019) 

The Technical Advisory Panel met on April 2, 2019 in Richmond, Virginia.

The Technical Advisory Panel met again on November 18, 2019 in Glen Allen, Virginia.

  • The meeting agenda, meeting materials, and meeting minutes are available Here.

Technical Advisory Panel - Upcoming Meetings 

The next meeting of the Technical Advisory Panel of the Cooperative Agreement has not been scheduled at this time.