TABLE 6-4 Performance Measures of Psychosocial Health Care Adopted/Endorsed by Leading Performance Measurement Initiatives as of July 2007


Number of Performance Measures Adopted/Endorsed

Number and Description of Adopted/Endorsed Performance Measures Addressing Psychosocial Health Care in Community Settings

AQA Alliance (formerly Ambulatory Care Quality Alliance)

100 as of January 2007; 4 addressing cancer care (AQA, 2007)

  • None among the 4 cancer care measures

  • Primary care measures include 4: advising smokers to quit and asking about tobacco use, and two addressing depression medication management

  • Dermatology measures include 1: counseling those with new or a history of melanoma to perform a skin self-exam

ASCO Quality Oncology Practice Initiative (QOPI)

52 measures as of Spring 2007 (ASCO, 2007)

  • 2 address discussion of chemotherapy with patient

  • 6 address assessment of pain

  • 2 address smoking cessation

  • 4 address enrollment in hospice

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Adult Specialty Care Questionnaire

37 basic items and additional supplemental questions

  • 6 supplemental questions address how well the physician communicated with the patient

  • 3 address shared decision making

Healthplan Employer Data and Information Set (HEDIS)

73 for 2007, 3 of which are survey instruments asking about satisfaction with the experience of care (NCQA, 2007)

  • Follow-up after hospitalization for mental illness

  • Antidepressant medication management

  • Medical assistance with smoking cessation

  • Initiation and engagement of treatment for alcohol and other drug dependence

  • Mental health utilization: inpatient discharges and average length of stay (ALOS), percentage of health plan members receiving inpatient and intermediate care and ambulatory services

  • Chemical dependency utilization: inpatient discharges and ALOS

  • Identification of alcohol and other drug services

  • Medicare Health Outcomes Survey

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