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Unformatted text preview: wed for various uses
of process of care measures for internal quality improvement,
for choice of providers by patients or purchasers, and for
accreditation and regulatory purposes. References
1. Marshall M, Shekelle P, Brook R, Leatherman S. Dying to Know:
Public Disclosure of Information about the Quality of Care. Santa
Monica, CA and London, UK: The Nufﬁeld Trust and RAND,
2000. For an accreditation or regulatory audience, summary measures for the relevant unit of analysis are helpful. For example,
in the US an organization such as the NCQA that accredits
health plans will use health plans as the unit of analysis.
These groups generally present summary measures and the
measures must be strongly linked to outcomes. For these
uses, acceptance by the clinical community is also important,
and providers often assist in the development of the accreditation policies. Finally, the burden on clinicians to collect
and analyze the data must be low, as results are not used for
direct clinical feedback. Unfunded mandates can place an
increased burden on a taxed health care system, potentially
mitigating the beneﬁts of assessing quality. 2. Miller T, Leatherman S. The National Quality Forum: a ‘metoo’ or a breakthrough in quality measurement and reporting?
Health Aff (Millwood) 1999; 18: 233–237. Conclusion 7. Palmer RH. Process based measures of quality: the need for
detailed clinical data in large health care databases. Ann Intern
Med 1997; 127: 733–738. In this essay, we have discussed the advantages and disadvantages of process measures of quality, and some strategies
for implementing them for different purposes or audiences.
Process measures are highly acceptable to providers because
they demonstrate clearly how providers can improve their
outcomes. Clinicians are also more accountable for the process of care than its outcomes, which are affected by many
other things. As electronic medical records become more
common, process measures can be unobtrusively tracked
as part of routine clinical care, which will aid in their
implementation. Process measures that are incorporat...
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This document was uploaded on 03/09/2014 for the course ACC 301 at HELP University.
- Spring '09