Initiative

Number of Performance Measures Adopted/Endorsed

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

2006 National Health Care Quality Report

211 measures, including 15 addressing effectiveness of cancer care

  • Cancer-specific measures do not address psychosocial health services

  • 8 address effectiveness of mental health and substance abuse care

  • 15 address timeliness of care

  • 24 address patient–provider communication across conditions

National Quality Forum

  • 6 measures for breast cancer; 4 for colorectal cancer (NQF, 2007a)

  • No psychosocial measures among the breast and colorectal cancer measures

  • 9 measures of symptom management and end-of-life care for patients with cancer (NQF, 2006)

  • Symptom management and end-of-life measures predominantly (8 or 9 of 9) address hospice, death, and last 30 days of life

 

  • 112 ambulatory care measures endorsed as of July 2007 for treatment of 9 noncancer conditions (e.g., asthma, diabetes), plus emergency care, geriatrics, medication management, patient experience with care, screening, and preventive care (NQF, 2007b)

  • Ambulatory measures for mental health address major depressive disorders, new episodes of depression, attention-deficit hyperactivity disorder, bipolar disorder, alcohol and other drug treatment

  • Other ambulatory care measures address tobacco cessation, physical activity, and cancer screening

  • Patient experience of care measures include CAHPS survey of adult specialty care and survey for children with chronic conditions

pilot testing the measures, ensuring calculation and submission of the measures, auditing to ensure their accuracy, analyzing and displaying measurement results in a format suitable for the intended audiences, and maintaining the measures’ accuracy and reliability over time (IOM, 2006a). Structures and processes for performing many of these functions already exist within the health care system. However, marshaling these resources, especially with respect to ensuring the calculation and submission of the measures, will require leadership.



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