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Linking Spending and Quality Indicators to Measure Value and Efficiency in Health Care
Andrew M Ryan1, Christopher P Tompkins2, Adam A Markovitz1
11 University of Michigan School of Public Health, Ann Arbor, MI, USA.
Medical Care Research and Review : MCRR
|May 26, 2016
Summary
Selecting the right model is crucial for accurately measuring healthcare provider efficiency. Different approaches to combining quality and spending indicators yield varied results, impacting policy decisions.
Area of Science:
- Health Services Research
- Health Economics
- Healthcare Management
Background:
- Healthcare systems aim to jointly measure quality and spending indicators for optimal performance.
- Understanding the comparative effectiveness of different models combining quality and spending metrics is limited.
Purpose of the Study:
- To identify and review various models for profiling provider efficiency using combined quality and spending indicators.
- To evaluate the trade-offs of these models in specific healthcare contexts.
Main Methods:
- Conducted a literature review to identify existing and proposed efficiency models.
- Applied seven identified models to publicly available hospital data for efficiency profiling.
Main Results:
- Identified seven distinct models for evaluating provider efficiency.
- Hospital efficiency profiles varied significantly across different models, highlighting the impact of model selection.
Conclusions:
- Model selection critically influences the assessment of healthcare provider efficiency.
- This analysis aids policymakers and stakeholders in choosing appropriate methods for linking quality and spending indicators to measure healthcare efficiency.
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