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Related Experiment Videos

Performance measures: are we measuring what matters?

B L Thompson1, J R Harris

  • 1Division of Prevention Research and Analytic Methods, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia 20241, USA. blthompson@cdc.gov

American Journal of Preventive Medicine
|May 2, 2001
PubMed
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Healthcare performance measures aim to improve health, but current sets inadequately address major causes of illness and death. Expanding performance measurement is crucial for disease prevention and health promotion.

Area of Science:

  • Health Services Research
  • Quality Improvement
  • Public Health

Background:

  • Healthcare performance measures are designed to enhance health status through quality improvements.
  • This study examines the alignment of current performance measurement sets with leading causes of U.S. morbidity and mortality.
  • The Health Plan Employer Data and Information Set (HEDIS) is used as a case study.

Purpose of the Study:

  • To evaluate the extent to which existing healthcare performance measures address the primary drivers of illness and death in the U.S.
  • To identify gaps in current measurement sets concerning major health concerns.
  • To inform strategies for improving healthcare quality and outcomes.

Main Methods:

  • Assessed the presence of HEDIS measures corresponding to leading causes of illness and death.

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  • Utilized five key indices to define leading causes: physiologic cause of death, underlying cause of death, disability-adjusted life years, healthcare expenditures, and missed work days.

    • Main Results:

    • Less than 50% of the leading causes of morbidity and mortality are currently covered by performance measures.
    • Significant gaps exist in performance measurement for major health issues.

    Conclusions:

    • Substantial opportunities for leveraging performance measurement in disease prevention and health promotion are currently underutilized.
    • Further expansion of performance measurement efforts is necessary to realize the full potential for improving population health.
    • Meaningful measurement is key to advancing prevention and promotion initiatives.