Certification Commission for Healthcare Information Technology, 128

Chart data, 88, 103

Chronic heart failure, 180

Clinical quality

as basis for performance reward distribution, 8183, 9596

goals of payment system reform, 3, 20, 2122, 44

Collaborative efforts, 39

Competition, in health care delivery system, 29, 52

Connecting for Health, 126

Consolidated Health Informatics, 126

Consumer Assessment of Healthcare Providers and Systems, 87, 109, 209219

Coordination of care

accountable source of care, 120121, 123124

beneficiary role in, 123124

goals of payment system reform, 3, 8, 45

importance of, 124

performance measurement, 45

rationale, 13

recommendations, 13, 122

rewards for, 123

shortcomings of current delivery system, 1, 4, 33, 45, 119120

Coronary artery disease, 180

Cost of care

consumer spending, 1819

federal spending, 24

goals of payment system reform, 3, 2122

health information technologies, 127

hospital management strategies, 145146

international comparisons, 19

Medicare spending, 4, 24

quality of care and, 19

Cost shifting behavior, 5354

Crossing the Quality Chasm: A New Health System for the 21st Century, 1, 15, 71, 81

D

Data collection and management

data auditing, 103

health information technologies, 124129

limitations of current efforts, 8889

Medicare data collection efforts, 43

Medicare demonstration projects, 3839

pay-for-performance implementation, 5, 13, 103

provider feedback, 103

for quality improvement, 13

recommendations for, 14, 128129

See also Performance measurement;

Public reporting

Demonstration projects, 3, 14, 22, 3839, 139140

Department of Health and Human Services

current payment incentive programs, 3

information technology promotion, 14, 126, 128129

monitoring of pay-for-performance program, 14, 134

public reporting role, 1011, 106

recommendations for, 6, 8, 1011, 12, 14, 55, 78, 85, 106, 116117, 128129, 134

Diabetes, 19, 180

Diagnosis-related groups, 145146

Dialysis, 19

Dialysis facilities

Medicare prospective payment system, 148149, 208

Medicare spending, 19

pay-for-performance implementation, 110, 209211

performance measurement, 208209

Diffusion of knowledge and best practices

health information technologies, 124128

payment incentive program as obstacle to, 29, 5152

Disease management models, 3839

Distribution of rewards

to ambulatory care settings, 215

among Medicare parts, 97

beneficiary rewards, 4445

by care settings, 118119

composite measures for, 8990

condition-based system, 89

data collection for, 8889

defining comparison groups for, 9495

to dialysis facilities, 211

domains of care as basis for, 9, 8183, 9596, 100101

existing funds model, 6669

generated savings model, 6971



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