Future Directions for the National Healthcare Quality and Disparities Reports (2010) / Chapter Skim
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to review past NHQRs and NHDRs and provide a vision so that the reports can contribute to advancing the quality of health care for all persons in the United States. The IOM formed the Committee on Future Directions for the National Healthcare Quality and Disparities Reports to address this task.
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Until a national set of priority areas is established, AHRQ should be guided by the Future Directions committee's recommended priority areas. A variety of stakeholders and legislative initiatives have called for a national strategy for quality improvement and disparities reduction.
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to support high-quality care. UPDATING THE CONCEPTUAL FRAMEWORK FOR THE REPORTS AHRQ has designed the NHQR and NHDR around a conceptual framework of quality recommended in earlier IOM reports (IOM, 2001, 2002b)
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The Future Directions committee recommends establishing a Technical Advisory Sub committee for Measure Selection to the AHRQ National Advisory Council for Healthcare Research and Quality (NAC)
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• Recommend the retirement of health care quality measures from the NHQR and NHDR for reasons including but not limited to the evolution of national priorities, new evidence on the quality of the measure, or the attainment of national goals. • Recommend a health care quality measure and data source development strategy for national reporting based on potential high-impact areas for inclusion in AHRQ's national quality research agenda.
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An independent consensus study conducted by a subcommittee to the Future Directions committee culminated in the report Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement, which was released in August 2009 (IOM, 2009) . That report highlighted the need to increase the standardized collection and use of race, ethnicity (including granular ethnicity)
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The story AHRQ relays in the national healthcare reports should engage readers and encourage, guide, or support action by them. For that reason, the committee believes that AHRQ should modify the reports from their current chartbook format to make them less a catalog of data and instead a more forward-looking and action-oriented document that tells a quality improvement story.
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approaches] quality improvement, media, and public Provides access to full datasets for user manipulation, and links to other sites that • Customizing reports via provide expanded metrics on health care data (e.g., CMS)
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IMPLEMENTING RECOMMENDED CHANGES Implementing many of the Future Directions committee's recommendations will require additional federal funding, although it is expected that numerous upgrades can be made to the NHQR, NHDR, and State Snapshots with existing funds. While the committee is fully cognizant of federal budgetary constraints, it is also aware of growing stakeholder demand for value and equity in the face of substantial expenditures for health care (an estimated $2.3 trillion in 2009)
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2009. Race, ethnicity, and language data: Standardization for health care quality improvement.
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