Child and Adolescent Health and Health Care Quality Measuring What Matters (2011) / Chapter Skim
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Appendix C: Private-Sector Initiatives to Advance Health Care Quality and the Development of Quality Measures
Appendix C: Private-Sector Initiatives to Advance Health Care Quality and the Development of Quality Measures
Pages 245-250
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From page 245... ...
THE IOM QUALITY SERIES The first wave of the quality movement was shaped by a number of forces -- pressure to control health care spending, a demand for greater accountability in health care, urgent calls for improved patient safety, and an overall push for better national health outcomes. In 1990, the IOM provided what has become an enduring and widely used definition of quality of care: "Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." In the years that followed, a series of landmark reports, legislation, and innovations shaped the field of quality improvement.
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From page 246... ...
They reflect a bias toward the need for quality measures that can help improve the management of complex, chronic conditions, as well as health care services that are commonly associated with hospitalization or require intensive procedures or interactions with multiple health care providers. The initial IOM health care quality framework was augmented by a later approach that called attention to adapting quality measures to a patient-centered focus, emphasizing the stages of an individual's health status: preventive services ("staying healthy")
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From page 247... ...
to develop indicators for reviewing the delivery of inpatient asthma care and care provided in the pediatric intensive care unit (Scanlon et al., 2007;
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Numerous privately funded entities are engaged in developing measures for assessing the quality of health care for children and adolescents (NCQA, RAND, NICHQ, CAHMI, the American Medical Association-Physician Practice Management Company [AMA-PPMC] , the Joint Commission)
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From page 249... ...
In Pathways to quality health care, edited by the Committee on Redesigning Health Insurance Performance Measures, and Performance Improvement Programs, and Board on Health Care Services. Washington, DC: The National Academies Press.
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