Creating a Business Case for Quality Improvement Research Expert Views: Workshop Summary (2008) / Chapter Skim
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2 The Role of Federal Funders
2 The Role of Federal Funders
Pages 24-31
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From page 24... ...
Panelists were asked by the planning committee to use the following questions as a guide for their remarks: • What are the fundamental public policy features and objectives that will lead to a transformational improvement in the quality and economic viability of our health care system? • What role does transparency of outcomes and cost data play in driving quality improvement?
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From page 25... ...
For the past decade, quality improvement has been a movement for health care leaders, but only recently has it become a movement for those on the front line of care delivery. In 2003 the Medicare Modernization Act required hospitals to report on selected measures of health care quality in order to receive their full reimbursements.
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From page 26... ...
Waste Efficiency Up to $1 trillion National health expenditures Health care– Hospital care $5 billion (2000) Hospital and associated other infections NOTE: These cost savings can be found in the AHRQ Closing the Quality Gap series.
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From page 27... ...
Although there is some overlap and support, quality improvement is not the main focus. As mentioned, there is a lack of coordination within the federal government regarding quality improvement in health care.
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From page 28... ...
Finally, every application for more than $300,000 in the area of health services research is automatically sent to the NIH, Kramer explained. Discussion Research Budget Clancy explained that resources in AHRQ's budget for grant applications outside priority areas (e.g., patient safety, health information technology, care management/prevention, and comparative effectiveness)
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From page 29... ...
Funders' Roles in Research Clancy posed the question of whether funders of health care services should support the development of quality measures because such support potentially could be viewed as a conflict of interest. Agencies such as the Centers for Medicare & Medicaid Services are currently involved in both roles; it is unclear what the relationship should be because it has been shown to have both positive and negative consequences.
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From page 30... ...
If the purpose is to improve health, quality improvement research and clinical research could be viewed as a continuum, with quality improvement research conducted before clinical research begins. If so, should health care delivery research design trials to answer questions important to advancing biology?
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From page 31... ...
Although quality of life remains difficult to capture, increasing attention is being paid to quality of life and more economists and quality-of-life experts are being incorporated into study teams. The IOM Forum on the Science of Health Care Quality Improvement and Implementation should focus on the urgent need to build a science base for quality improvement, said Clancy, in response to a question about what this group can do to really change health care.
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