Core Measurement Needs for Better Care, Better Health, and Lower Costs Counting What Counts: Workshop Summary (2013) / Chapter Skim
Currently Skimming:
4 Core Metrics Sets in Use
4 Core Metrics Sets in Use
Pages 31-38
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 31... ...
• The assessment of value should include measures of health outcomes and patient experience in relationship to per capita costs. Stiefel • There are myriad challenges in implementing measurement of the three-part aim.
|
From page 32... ...
This chapter summarizes three presentations that were focused on core measure sets in use, with a particular emphasis on the diversity of current measure sets, the need for tailoring metrics to their use, and the multiple supports necessary for metrics implementation. Eugene Nelson, professor of community and family medicine and a professor at the Dartmouth Institute, both at Dartmouth University, discussed measuring aspects of the three-part aim in an accountable care environment.
|
From page 33... ...
The accountable care process requires using patient-reported health outcomes, engaging patients in care decision making, and employing data to inform and improve care processes continuously. By incorporating all of the necessary resources for treating back pain, including specialists and physical therapists, into one central clinical microsystem, the Dartmouth Spine Center is able to provide better care in real time and to foster better research over time.
|
From page 34... ...
Moreover, he underscored the complex relationships between health determinants and health outcomes, highlighting the need to connect the upstream and individual factors that influence health with the downstream outcomes. At Kaiser Permanente, Stiefel continued, care experience metrics have been streamlined in accordance with the six domains of care quality defined by the Institute of Medicine: safety, effectiveness, timeliness, patientcenteredness, equitability, and efficiency.
|
From page 35... ...
Each different frame on cost yields a different answer, complicating the overall measure of cost. Stiefel's final comments focused on the measurement of value and its reliance on the relationships between population health, care experience, and per capita costs.
|
From page 36... ...
Specifically, Jones underscored the Blueprint's continuously learning, community-building directive: generating a foundation of medical homes and community health teams that can support coordinated care and linkages with a broad range of services; instituting multi-insurer payment reform that supports this foundation of delivery services; constructing a health information infrastructure that includes a variety of sources; and incorporating an evaluation system that uses routinely collected data to support services, guide quality improvement, and determine program impact. Regarding the growing team-based network in Vermont, Jones emphasized the critical nature of shared goals, clear roles, mutual trust, effective communication, and measurable processes and outcomes as the core principles of team-based care.
|
From page 37... ...
Core metrics can drive the core data dictionaries to ensure that captured data are useful for multiple purposes, such as clinical care, population health management, reporting, and payment programs. Those data are then available to guide ongoing policy and payment reforms that will influence the care process and generate new metrics data, helping to building a learning health system as a whole.
|
From page 38... ...
Stiefel added that it is also necessary to look beyond health care costs and to include spending on public health and social services. REFERENCES Gandhi, N., and R
|
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.