. "I What Information Do Consumers Want and Need: What Do We Know About How They Judge Quality and Accountability?." Improving the Medicare Market: Adding Choice and Protections. Washington, DC: The National Academies Press, 1996.
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Coverage for special concerns of the elderly: prescriptions, foot care, home care, long-term care, other supplemental coverage.
QUALITY (Accreditation and Survey-Based Information)
Percentage of board-certified physicians
Patient reports and ratings of care for all members and for members over age 65:
prior approval process
restrictions on referrals for specialty care, special services
appointment waiting times
visit waiting times
choice of primary care physicians and specialists
Communication and interpersonal skills
Coordination of care
Information and education
Respect for patient preferences
HEDIS and other technical measures appropriate for a Medicare population.
Finally, we recommend that AHCPR's Consumer Assessment of Health Plans Survey project incorporate the informational needs of Medicare beneficiaries into the design of surveys and report formats. This effort to collect national comparative data for all other consumers could serve as the vehicle for capturing and presenting information to the Medicare population in the future. As all consumers become familiar and accustomed to using these kinds of data and information, there is no justification for recommending that they or the providers of care switch to a different survey or report format for the Medicare population. As we lay the foundation for collecting and disseminating consumer feedback now, we should develop a system that works for everyone. More important, why would we ask the Medicare population to shift to new surveys and report card formats at a time when it is most important for information to be clear and comprehensible?