提高绩效测量:NCQA关于健康信息框架的路线图. 国家质量保证委员会
E C Schneider1, V Riehl, S Courte-Wienecke
1Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women's Hospital, Boston, Mass 02115, USA. eschneid@hsph.harvard.edu
JAMA
|September 29, 1999
概括
准确的医疗保健质量测量需要一个综合健康信息框架. 该框架确保数据质量,标准化和安全性,使健康计划和医疗团体能够更好地跟踪绩效.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 衡量医疗保健提供质量是美国的一个关键挑战.
- 有效的绩效测量依赖于来自健康计划和医疗团体的及时,准确的数据.
- 国家质量保证委员会 (NCQA) 确定了改善健康计划雇主数据和信息集 (HEDIS) 电子报告的需求.
研究的目的:
- 确定加强卫生计划对绩效数据的电子报告的行动.
- 概述用于临床绩效跟踪的综合健康信息框架的基本特征.
- 引导卫生计划为信息框架准备其数据管理.
主要方法:
- 委托一份报告来评估健康计划对电子数据报告的能力.
- 定义了一个综合健康信息框架的七个基本特征.
- 推针对健康计划的具体行动,以改善数据管理和信息框架的采用.
主要成果:
- 综合健康信息框架对于跟踪临床表现至关重要.
- 这一框架的七个关键特征是必不可少的:数据元素规范,链接能力,标准化,自动化,质量评估,安全/机密性和数据共享协议.
- 卫生计划需要改善数据采集,自动化,质量,标准化和保密性,并得到资本规划的支持.
结论:
- 实施一个强大的健康信息框架对于准确的医疗保健质量测量至关重要.
- 卫生计划必须主动调整其数据管理系统.
- 要求详细质量数据的采购者可以推动采用此信息框架.
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