surement task force under the leadership of the National Council on Quality Assurance and the Foundation for Accountability, includes, as one component, the development of a set of quality measures to assess care for children with chronic conditions. This set has as its base a section of the Consumer Assessment of Health Plans survey designed specifically for households with children who have chronic health conditions.


This chapter has reviewed the basis for the measurement of long-term care quality relying on individual-level information to create aggregated measures characterizing provider performance. In differentiating between staff-provided data (based on codification of staff assessment information) and consumer-provided reports on the nature and quality of care provided, this chapter does not intend to imply that they are mutually exclusive. Both have strengths and weaknesses, and they should be regarded as complementary.

Despite the potential weaknesses inherent in using staff-reported data, such data are currently more readily available than consumer-reported data for both the institutional and the home health arena. A substantial amount of research is devoted to the application of these individual-level data to aggregated performance measures. To be sure, additional research is still needed to grapple with the numerous complex technical and substantive issues cited here, but these problems are being addressed and several should be substantially resolved in time.

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