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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.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|June 12, 2021
PubMed
Summary
This summary is machine-generated.

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.

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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.