coordination across all care settings; they provide virtually no information on the costs of care, especially for a population over time; and they offer very limited measures of the outcomes of care. To begin to address these shortcomings, the committee proposes longitudinal measures of outcomes and costs, starting with 1-year mortality, resource use, and functional status measures for acute myocardial infarction.


The next step in enhancing current performance measurement and reporting capabilities is to address the gaps identified in this chapter through a research agenda. Chapter 5 provides a strategy for the development of a research agenda to support the aggressive development of the resolution of underlying methodological issues, the improvement of public reporting methods, and the evaluation of the overall progress of the national system for performance measurement and reporting proposed in this report.


AHRQ (Agency for Healthcare Research and Quality). 2001. Approach to Performance Measurement. [Online]. Available: [accessed September 1, 2004].

AHRQ. 2003. National Healthcare Disparities Report. Rockville, MD: AHRQ.

AHRQ. 2004. CAHPS. [Online]. Available: [accessed March 3, 2005].

AHRQ. 2005. Ambulatory Care Quality Alliance Third Invitational Meeting Summary (continued). [Online]. Available: [accessed October 20, 2005].

American Cancer Society. 2004. Cancer Facts and Figures 2004. Atlanta, GA: American Cancer Society.

American Hospital Association. 2004. Trends Affecting Hospitals and Health Systems. Washington, DC: American Hospital Association.

Amundson GM, Gentilli S, Wehrle D. 2005. HealthPartners 2005 Clinical Indicators Report . 13th ed. Bloomington, MN: HealthPartners, Inc. [Online]. Available: [accessed December 6, 2005].

Baicker K, Chandra A. 2004. Medicare spending, the physician workforce, and beneficiaries’ quality of care. Health Affairs. Jan-June Suppl Web Exclusive: W4:184–197.

Barnato AE, Lucas FL, Staiger DP, Wennberg DE, Chandra AP. 2005. Hospital-level racial disparities in acute myocardial infarction treatment and outcomes. Medical Care 43(4):308–319.

Birkmeyer J. 2004. Does Risk Adjustment Always Matter? Presentation to the IOM Committee on Payment, Performance Measures, and Performance Improvement. December 1–3, 2004. Washington, DC.

Birkmeyer JD, Dimick JB, Birkmeyer NJO. 2004. Measuring the quality of surgical care: Structure, process, or outcomes? Journal of the American College of Surgeons 198(4):626–632.

Bulterys M, Nolan ML, Jamieson DJ, Dominguez K, Fowler MG. 2002. Advances in the prevention of mother-to-child HIV-1 transmission: Current issues, future challenges. AIDScience 2(4):1–10.

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement