Core Measurement Needs for Better Care, Better Health, and Lower Costs Counting What Counts: Workshop Summary (2013) / Chapter Skim
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1 Introduction
1 Introduction
Pages 1-8
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Despite spending almost one-fifth of the economy's output on health care, the quality and safety of care remains uneven (Hartman et al., 2013; IOM, 2012)
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One of the major questions concerning measurement is its scope. Current measurement initiatives focus on health care quality as it affects individuals, often on narrow or technical aspects of care, which encourages improvement only on those areas being measured.
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in 2006, brought together leaders from throughout the health system to accelerate the development of a continuously learning health system. A learning health system is one in which science, informatics, incentives, and culture are aligned to create a continuous learning loop, with evidence and best practices embedded in health and health care services and new knowledge routinely captured as a byproduct from each interaction with the system.
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This workshop drew participation from across the measurement landscape, including perspectives from health care delivery organizations, clinicians, patients and consumers, public health experts, researchers, payers, health economists, measure developers, standard-setting organizations, regulators, clinical research, health information technology, and community organizations. The goal of this workshop was to understand how to improve the nation's measurement capacity to track progress in a core measure set for better care quality, lower cost, improved patient and public engagement, and better health outcomes.
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The focus of the sessions will be on practical approaches to capacity building to ensure not only that options are considered for the critical analysis of progress toward the three-part aim but also that achievement of a learning health system is extended through seamless availability of health care data.
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Chapter 5 covers the discussions from the breakout groups that surveyed potential metric categories and example metrics for population health, health care quality, and health care costs. Chapters 6 and 7 focus on implementation issues, including the implementation challenges faced by example initiatives and the data infrastructure needs for measurement.
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2011a. Digital Infrastructure for the Learning Health System: The Foundation for Continuous Improvement in Health and Health Care: Workshop Series Summary.
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