Current Efforts of Regional and National Performance Measurement Initiatives Around the United States
High-Value Health Care Project, Engelberg Center for Health Care Reform, The Brookings Institution, Washington, DC 20036-2103, USA.American Journal of Medical Quality (Impact Factor: 1.25). 10/2009; 25(4):249-54. DOI: 10.1177/1062860609346463
Performance measurement and reporting has become widespread. The authors provide a status snapshot of regional (n = 20) and nonregional (n = 24) initiatives that have issued at least 1 performance report since 2005. Most regional initiatives around the United States are in the very early stages of acquiring data and devising data collection strategies. The authors recommend that a framework and approach for generating nationally consistent and locally adaptable performance information for communities across the United States should be formulated. This would allow better coordination of promising regional initiatives to improve their impact and reduce operating costs/burden.
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ABSTRACT: Better data on the quality of health care being delivered in the United States are urgently needed if efforts to reform the nation's health care system are to succeed. This paper describes a "distributed data approach" to computing performance results while protecting patients' privacy. The strategy builds on the efforts of the Quality Alliance Steering Committee, a multistakeholder coalition focused on the implementation of performance measures. Instead of waiting for the government or the private sector to build large data warehouses, existing data from administrative sources, laboratories, clinical registries, and electronic health records could be put to greater use now, resulting in improved patient care and spurring further advances in performance measurement. In this article we introduce an overall framework for achieving these goals, and we describe a set of steps to accelerate and expand the availability of performance measures to improve care now.
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ABSTRACT: Quality measurement and reporting have emerged as important tools that providers, health plans, and other stakeholders can use to identify gaps in quality and focus resources on improving care. Yet identifying, measuring, and evaluating the care that physicians and other health care providers deliver is complicated by limited data, privacy concerns, and the challenge of trying to compare data from diverse sources. This article describes an effort to pilot-test in Florida and Colorado a consistent approach to individual physician performance measurement using data compiled from multiple health plans. Our approach could be used as the basis for making comparable performance information available nationwide. Additional efforts are needed to address key issues, including ways to effectively engage providers in the use of performance information.
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