Future Directions for the National Healthcare Quality and Disparities Reports (2010) / Chapter Skim
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1 Introduction
1 Introduction
Pages 11-20
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From page 11... ...
Congress passed the Healthcare Research and Quality Act of 1999, which required the annual production of both reports, AHRQ contracted with the IOM to develop a vision for the NHQR and NHDR and to establish the reports' content and presentation. That request led to the publication of two IOM consensus reports: Envisioning the National Healthcare Quality Report (IOM, 2001b)
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From page 12... ...
, and for specific population groups (e.g., race, BOX 1-1 Statement of Task for the IOM Committee on Future Directions for the National Healthcare Quality and Disparities Reports The Institute of Medicine (IOM) will form a consensus committee to review and synthesize current evidence to establish priority areas in health care quality and disparities for a combined update of the 2001 IOM report Envision ing the National Healthcare Quality Report and the 2002 IOM report Guidance for the National Healthcare Disparities Report.
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From page 13... ...
Other health care quality reports also find overall performance on quality measures is less than optimal and that disparities continue to persist, although they may look at different topics and sets of measures (for example, Byers, 2010; Cantor et al., 2007; The Commonwealth Fund Commission on a High Performance Health System, 2008; IOM, 2000, 2001a, 2002b, 2003a,b, 2004a,b, 2005, 2006, 2007; Kaiser Family Foundation, 2009; McCarthy et al., 2009; NCQA, 2008, 2009; President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry, 1998; Rowe et al., 2010; Schuster et al., 2005)
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From page 14... ...
R01677 uneditable bitmapped image low-resolution Reporting as One Aspect for Quality Improvement In testimony to the Future Directions committee, AHRQ staff observed that the primary utility of the national healthcare reports is to raise awareness of the level of health care quality and the existence of disparities (Moy, 2009)
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KEY ISSUES ADDRESSED BY THE COMMITTEE Throughout much of the period of the Future Directions committee's deliberations, the nation considered expanding insurance coverage and investments in quality monitoring.,10 With trillions of dollars already being spent on health care, monitoring the state of health care quality improvement and the degree of disparities is essential. The committee acknowledges the tremendous effort that AHRQ and its data partners have made in bringing forth the national healthcare reports and related products to document the state of U.S.
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From page 16... ...
In subsequent chapters, the committee makes recommendations to AHRQ for modifying future editions of the NHQR and NHDR, identifying priority areas and developing a process for the selection of measures to evaluate progress, strengthening data resources for quality measurement and disparities identification, and providing for additional resources to fulfill the recommended changes. • Chapter 2 -- Re-envisioning the NHQR and NHDR.
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From page 17... ...
Establish national priority areas and give guidance on setting a what to focus quality improvement efforts. hierarchy among measures.
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Chapter 5 examines the ways in which AHRQ can play a role in establishing needed content for the nation's health care data infrastructure by suggesting areas for measure and data source development, and by defining areas where data enhancement is desirable. Criteria are set for use of subnational data to inform quality improvement efforts when national data are not yet available in key areas.
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From page 19... ...
Agency for Healthcare Research and Quality. Presentation to the IOM Com mittee on Future Directions for the National Healthcare Quality and Disparities Reports, February 9, 2009.
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From page 20... ...
2009. The state of health care quality report 2009: Value, variation and vulnerable populations.
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