TABLE ES-2 Recommended Starter Set of Performance Measures

Ambulatory Care

Ambulatory care Quality Alliance (26)

Prevention measuresa (7), coronary artery diseasea (3), heart failurea (2), diabetesa (6), asthmaa (2), depressiona (2), prenatal carea (2), quality measures addressing overuse or misuse (2)


Ambulatory Care Survey

CAHPS Clinician and Group Survey: getting care quickly, getting needed care, how well providers communicate, health promotion and education, shared decision making, knowledge of medical history, how well office staff communicate

Acute Care

Hospital Quality Alliance (20)

Acute coronary syndromea (7), heart failurea (3), pneumoniaa (5), smoking cessationa (3), surgical infection preventiona (from the Surgical Care Improvement Project) (2)


Structural Measures (computerized provider order entry, intensive care unit intensivists, evidence-based hospital referrals)


Hospital CAHPS

Patient communication with physicians, patient communication with nurses, responsiveness of hospital staff, cleanliness/noise level of physical environment, pain control, communications about medicines, discharge information

Health Plans and Accountable Health Organizations

Health Plan Employer Data and Information Set (HEDIS) (61)

Integrated delivery systems (health maintenance organizations): effectiveness (26), access/availability of care (8), satisfaction with the experience of care (4), health plan stability (2), use of service (15), cost of care, informed health care choices, health plan descriptive information (6)

Preferred provider organizations within Medicare Advantage: selected administrative data and hybrid measures


Ambulatory Care Survey

CAHPS Health Plan Survey: getting care quickly, getting needed care, how well providers communicate, health plan paperwork, health plan customer service

Long-Term Care

Minimum Data Set (15)

Long-term care (12), short-stay care (3)


Outcome and Assessment Information Set (11)

Ambulation/locomotion (1), transferring (1), toileting (1), pain (1), bathing (2), management of oral medications (1), acute care hospitalization (1), emergent care (1), confusion (1)

End-Stage Renal Disease

National Healthcare Quality Report (5)

Transplant registry and results (2), dialysis effectiveness (2), mortality (1)

Longitudinal Measures of Outcomes and Efficiency

1-year mortality, resource use, and functional status (SF-12) after acute myocardial infarction

aThe committee recommends the aggregation of individual measures to patient-level composites for these areas.

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