Value-Based Purchasing Programs (VBPs): Are the Quality Measures Used "Fit for Purpose"?
Sheila H Roman1, Catherine Eikel Major
1Independent Healthcare Consultant, Monkton, MD Part-Time Associate Professor, Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD.
Summary
To improve healthcare value-based purchasing programs (VBPs), quality measures must be "fit for purpose." This means vetting measures based on their impact on providers, patients, and the provider-patient relationship to truly drive value.
Area of Science:
- Health Services Research
- Healthcare Quality Improvement
- Health Economics
Background:
- Current quality measures for Value-Based Purchasing Programs (VBPs) are often repurposed, not designed for value.
- Limited success has been observed in national VBPs, indicating a need for improved measure selection.
Purpose of the Study:
- To advocate for vetting quality measures as "fit for purpose" within VBPs.
- To propose criteria for selecting quality measures that directly impact providers, patients, and the provider-patient relationship.
Main Methods:
- Conceptual framework development for "fit for purpose" quality measures.
- Definition of 5 key attributes for effective VBP quality measures.
Main Results:
- Identified the need for quality measures specifically designed to link provider actions and patient outcomes.
- Proposed a framework emphasizing patient-centeredness and provider impact for VBP measures.
Conclusions:
- Implementing "fit for purpose" quality measures is crucial for shifting the US healthcare reimbursement system towards value.
- Such measures can foster a culture of value improvement in healthcare delivery.
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