Performance Measurement for People with Multimorbidity and Complex Health Needs

Area of Science:

• Health Services Research
• Healthcare Management
• Patient-Centered Care

Background:

• Current performance measurement in health systems often overlooks the unique needs of individuals with multimorbidity and complex health conditions.
• Effective performance measurement is crucial for aligning efforts across multiple stakeholders to improve healthcare delivery.

Purpose of the Study:

• To review and propose approaches for performance measurement tailored to individuals with multimorbidity and complex health needs.
• To identify essential components of performance measurement systems that are relevant and important to all stakeholders, including patients.

Main Methods:

• Review of existing performance measurement approaches in healthcare systems.
• Application of the Complexity Framework and the Triple Aim to guide performance measurement for complex patient populations.
• Identification of applicable measures and implementation strategies.

Main Results:

• Performance measures must extend beyond individual encounters to longitudinal tracking of care.
• Measures should focus on health outcomes and patient experiences, including care planning and coordination.
• Measures must be rooted in individual patient needs and goals for care.

Conclusions:

• New systems are required for collecting and reporting performance measures that capture the complexity of care for individuals with multimorbidity.
• Performance measurement should be informative, stakeholder-driven, and patient-centered to assess value effectively.