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Increasing demands for quality measurement
Robert J Panzer1, Richard S Gitomer, William H Greene
1Department of Medicine, General Medicine Division, University of Rochester Medical Center, Rochester, New York2Department of Public Health Sciences, Division of Healthcare Management, University of Rochester Medical Center, Rochester, New York.
JAMA
|November 14, 2013
Summary
Improving healthcare quality measurement is crucial for value-based reform. Key challenges include fragmented systems and reliance on flawed data, necessitating a focus on comprehensive, transformative measures.
Area of Science:
- Health Services Research
- Healthcare Quality Improvement
- Patient Safety
Background:
- Healthcare quality and patient safety measurement are evolving due to US health system reforms focused on value.
- The National Quality Forum guides the development and selection of quality measures for evaluating care.
Purpose of the Study:
- To identify challenges in current healthcare quality measurement systems.
- To propose recommendations for improving the US quality measurement system.
Main Methods:
- Analysis of existing quality measurement systems and their limitations.
- Review of national quality strategy and public-private partnerships.
Main Results:
- Challenges include diverse measurement purposes, reliance on flawed claims data, system fragmentation, and resource strain from numerous measures.
- Proliferation of measures creates logistical problems for clinicians, hospitals, and insurers.
Conclusions:
- Recommendations include raising the standard for quality measures to drive transformational change.
- Promoting harmonized, comprehensive measurement systems, reducing claims-based measures, and transitioning to electronic health record measures are essential.
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