Future Directions for the National Healthcare Quality and Disparities Reports (2010) / Chapter Skim
Currently Skimming:
Pages 159-170
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 159... ...
Appendix D Measurement Opportunities for the Framework's Components of Quality Care In Chapter 3, the committee recommends for the NHQR and NHDR an updated framework that includes components of quality care not previously included (access, efficiency, care coordination, and health systems infrastructure capabilities)
|
From page 160... ...
160 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS measurement that might have a high impact for improving population health and providing value for the investment in care, but for which effectiveness research, measurement development, or sufficient data collection are still needed. Examples include the provision and management of oncology care (not just prevention)
|
From page 161... ...
APPENDIX D 161 the following information, but counsels that any measure should be assessed according to the process outlined in Chapter 4 to determine if it meets the test for inclusion in the NHQR and NHDR. Reporting Opportunities for Access Measures As discussed in Chapter 3, insurance status, affordability, and continuity of care are interrelated aspects of access.
|
From page 162... ...
162 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS Reporting Opportunities for Efficiency Measures Efficiency refers to producing the best possible outputs from a given set of inputs or producing a specific output with the least costly inputs. Efficiency measures are differentiated from cost measures because they take into account the outputs produced by a process as well as the resources used (inputs)
|
From page 164... ...
164 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS BOX D-1 Using Subnational Data to Provide Insight into Potential Efficiency Measures The Wisconsin Collaborative for Healthcare Quality (WCHQ) is working to develop measures that reflect efficiency in hospitals and health care systems.
|
From page 165... ...
APPENDIX D 165 TABLE D-1 NQF-Endorsed Measures Identified by National Priorities Partnership to Satisfy the Overuse Priority Area Measure Description Low back pain: use of imaging studies. Percentage of patients with new low back pain who received an imaging study (plain X-ray, magnetic resonance imaging, CT scan)
|
From page 166... ...
166 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS up with test results and evaluating how informed a personal doctor is about a patient's care received from other providers (AHRQ, 2009b)
|
From page 167... ...
APPENDIX D 167 TABLE D-3 NQF-Endorsed Measures for Health Information Technology (HIT) Adoption and Use Measure title Measure description Adoption of medication Documents whether provider has adopted a qualified e-prescribing system and the extent of use in the e-prescribing ambulatory setting.
|
From page 168... ...
168 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS TABLE D-3 Continued Measure title Measure description Participation by a physician or Participation in a systematic qualified clinical database registry involves: other clinician in systematic (a) Physician or other clinician submits standardized data elements to registry.
|
From page 169... ...
APPENDIX D 169 SUMMARY The updated framework implies looking to areas of measurement that are now underdeveloped and collaborating with other entities to develop measures and data sources. Consideration of priority areas (Chapter 2)
|
From page 170... ...
170 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORTS HHS Office of the Secretary.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.