Friday, March 31, 2006

HSR - Quality Improvement Implementation and Hospital Performance on Quality Indicators

Bryan J. Weiner, Jeffrey A. Alexander, Stephen M. Shortell, Laurence C. Baker, Mark Becker, Jeffrey J. Geppert
Health Services Research 2006 41:2 307
abstract html pdf

Thursday, March 30, 2006

J Clin Epidemiol - Specific comorbidity risk adjustment was a better predictor

of 5-year acute myocardial infarction mortality than general methods
Grunau, GL; Sheps, S; Goldner, EM; Ratner, PA
Abstract Full Text + Links PDF (116 K)

J Clin Epidemiol - Charlson scores based on ICD-10 administrative data were valid in assessing comorbidity

in patients undergoing urological cancer surgery
Nuttall, M; van der Meulen, J; Emberton, M
Abstract Full Text + Links PDF (148 K)

Wednesday, March 29, 2006

Medical Care - Impact of Changing the Statistical Methodology on Hospital and Surgeon Ranking

The Case of the New York State Cardiac Surgery Report Card.
Laurent G. Glance, Andrew Dick, Turner M. Osler, Yue Li, Dana B. Mukamel.
Medical Care. 44(4):311-319, April 2006.
Abstract HTML PDF (469 K)

Medical care - Risk-Adjusted Mortality as an Indicator of Outcomes

Comparison of the Medicare Advantage Program With the Veterans' Health Administration.
Alfredo J. Selim, Lewis E. Kazis, William Rogers, Shirley Qian, James A. Rothendler, Austin Lee, Xinhua S. Ren, Samuel C. Haffer, Russ Mardon, PhD; Donald Miller, Avron Spiro III, Bernardo J. Selim, Benjamin G. Fincke.
Medical Care. 44(4):359-365, April 2006.
Abstract HTML PDF (268 K)

Tuesday, March 28, 2006

AHRQ - Consumer Assessment of Healthcare Providers and Systems

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program develops and supports the use of a comprehensive and evolving family of standardized surveys that ask consumers and patients to report on and evaluate their experiences with health care.
CAHPS originally stood for the Consumer Assessment of Health Plans Study, but as the products have evolved beyond health plans, the name has evolved as well to capture the full range of survey products and tools.
The CAHPS program is funded and administered by the U.S. Agency for Healthcare Research and Quality (AHRQ), which works closely with a consortium of public and private organizations.

Monday, March 27, 2006

JCAHO - Implementation Guide for the National Quality Forum (NQF) Endorsed Nursing-Sensitive Care Performance Measures

The guide provides detailed specifications for the 15 national voluntary consensus standards for nursing-sensitive care endorsed by the
National Quality Forum (NQF).

The project to develop this guide was undertaken by The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) through funding provided by the Robert Wood Johnson Foundation (RWJF), with the guidance of an advisory panel which included the measure developers.

full text

Friday, March 24, 2006

Medical Care Research and Review - Pay-for-Performance supplement

Peggy McNamara
Foreword: Payment Matters? The Next Chapter
Med Care Res Rev 2006 63: 5S-10S.
[PDF] [References]

Dan Berlowitz, James F. Burgess, Jr., and Gary J. Young
Med Care Res Rev 2006 63: 11S-13S.

Jeffrey Levin-Scherz, Nicole DeVita, and Justin Timbie
Impact of Pay-for-Performance Contracts and Network Registry on Diabetes and Asthma HEDIS®Measures in an Integrated Delivery Network
Med Care Res Rev 2006 63: 14S-28S.
[Abstract] [PDF] [References]

Stephen R. Grossbart
What's the Return? Assessing the Effect of "Pay-for-Performance" Initiatives on the Quality of Care Delivery
Med Care Res Rev 2006 63: 29S-48S.
[Abstract] [PDF] [References]

Tammie A. Nahra, Kristin L. Reiter, Richard A. Hirth, Janet E. Shermer, and John R. C. Wheeler Cost-Effectiveness of Hospital Pay-for-Performance Incentives
Med Care Res Rev 2006 63: 49S-72S.
[Abstract] [PDF] [References]

Barbara G. Bokhour, James F. Burgess, Jr., Julie M. Hook, Bert White, Dan Berlowitz, Matthew R. Guldin, Mark Meterko, and Gary J. Young
Incentive Implementation in Physician Practices: A Qualitative Study of Practice Executive Perspectives on Pay for Performance
Med Care Res Rev 2006 63: 73S-95S.
[Abstract] [PDF] [References]

Jeff Beich, Dennis P. Scanlon, Jan Ulbrecht, Eric W. Ford, and Ibrahim A. Ibrahim
The Role of Disease Management in Pay-for-Performance Programs for Improving the Care of Chronically Ill Patients
Med Care Res Rev 2006 63: 96S-116S.
[Abstract] [PDF] [References]

Glenn Hackbarth
Med Care Res Rev 2006 63: 117S-121S.

Mark R. Chassin
Does Paying for Performance Improve the Quality of Health Care?
Med Care Res Rev 2006 63: 122S-125S.

Robert S. Galvin
Evaluating the Performance of Pay for Performance
Med Care Res Rev 2006 63: 126S-130S.
[PDF] [References]

Thursday, March 23, 2006

Milbank Quarterly - The Indiana Chronic Disease Management Program

Rosenman, MB; Holmes, AM; Ackermann, RT; Murray, MD; Doebbeling, CC; Katz, B; Li, JJ; Zillich, A; Prescott, VM; Downs, SM; Inui, TS
MILBANK QUARTERLY, 84 (1): 135-163; 2006
abstract full text pdf

Milbank Quarterly - Stories from the sharp end

Case studies in safety improvement
McCarthy, D; Blumenthal, D
MILBANK QUARTERLY, 84 (1): 165-200; 2006
abstract full text pdf

Wednesday, March 22, 2006

AHRQ - 2005 State Snapshots

Agency for Healthcare Research and Quality released a new interactive Web-based tool for States to use in measuring health care quality.
The new State Snapshot Web tool is based on the 2005 National Healthcare Quality Report (NHQR) and the 2005 National Healthcare Disparities Report (NHDR) and provides quick and easy access to the many measures and tables of the NHQR from each State’s perspective.

State Snapshot tool

Tuesday, March 21, 2006

ASSR - Gli Indicatori per la qualità: strumenti, metodi, risultati

Supplemento al n. 15 di Monitor PDF
Agenzia per i Servizi Sanitari Regionali (ASSR)

Parte 1: Identificazione sperimentazione e validazione di alcuni indicatori di processo ed esito della qualità delle attività sanitarie

  • Presentazione di Laura Pellegrini e Leonardo La Pietra
  • I componenti del gruppo di ricerca
  • Introduzione alla ricerca e obiettivi
  • Metodologia e risultati
  • Rassegna della letteratura e delle esperienze
  • Allegati

Parte 2: Identificazione, sperimentazione e validazione di alcuni indicatori di qualità delle attività sanitarie e socio sanitarie del territorio Rapporto preliminare

  • Il nuovo progetto sugli indicatori per le attività territoriali
  • I componenti del gruppo di ricerca
  • Rassegna della letteratura

Parte 3: Allegati aggiuntivi non pubblicati nel Supplemento

Criteri di transcodifica e trasformazione delle variabili nel tracciato record SDO

Quesiti dei rilevatori dati e risposte dei clinici

Distribuzione delle covariate per sesso

Distribuzione delle covariate per classe di età

Distribuzione delle covariate per classe di gravità (rischio di morte)

Distribuzione delle covariate e copertura degli indicatori di mortalità per regione

La qualità della documentazione clinica

Monday, March 20, 2006

OECD - Health Care Quality Indicators Project Initial Indicators Report

Soeren Mattke, Edward Kelley, Peter Scherer,
Jeremy Hurst, Maria Luisa Gil Lapetra
and the HCQI Expert Group Members

The Health Care Quality Indicators Project has been divided into two phases. The initial phase, for which this report serves as the summary report, concentrated on 17 important and readily available indicators of effectiveness of care.

Future indicators to be considered in the second phase of work will consider a broader set of clinical conditions and other dimensions of health care quality.


Friday, March 17, 2006

IOM - Medicare's Quality Improvement Organization Program

Maximizing Potential

Series: Pathways to Quality Health Care - Institute of Medicine

This report examines the Quality Improvement Organization program in detail and proposes a major restructuring of it so that it can become an important national resource integral to strategies of performance measurement, public reporting, and payment incentives.

The QIO program should focus on offering, through its infrastructure in each state, technical assistance to providers and practitioners aimed at building their capacity for quality improvement.

Thursday, March 16, 2006

NEJM - Who Is at Greatest Risk for Receiving Poor-Quality Health Care?

Asch, Steven M., Kerr, Eve A., Keesey, Joan, Adams, John L., Setodji, Claude M., Malik, Shaista, McGlynn, Elizabeth A.
N Engl J Med 2006 354: 1147-1156

Abstract FREE Full Text PDF Supplementary Material

RAND News Release

Wednesday, March 15, 2006

International Journal of Evidence-based Healthcare - Systematic review

Strategies to reduce medication errors with reference to older adults.
Hodgkinson, Brent, Koch, Susan, Nay, Rhonda & Nichols, Kim
International Journal of Evidence-based Healthcare (2006) 4 (1), 2-41.
abstract full text pdf

Tuesday, March 14, 2006

OECD - Health Care Quality Indicators Project Conceptual Framework Paper

Edward Kelley and Jeremy Hurst

This paper represents an attempt to set out a conceptual framework for the OECD's Health Care Quality Indicator (HCQI) Project.

Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be measured.


Monday, March 13, 2006

BMJ - Information technology

Will Connecting for Health deliver its promises?
Michael Cross
BMJ 2006;332:599-601
[Full text] [PDF]

Psychiatr Serv - Transforming mental health care at the interface with general medicine

report for the presidents commission
Unutzer J, Schoenbaum M, Druss BG, Katon WJ.
Psychiatr Serv. 2006 Jan;57(1):37-47.
[Abstract] [Full Text] [PDF]

Friday, March 10, 2006

BMJ - Kaiser Permanente's experience of implementing an electronic medical record

a qualitative study
J Tim Scott, Thomas G Rundall, Thomas M Vogt, John Hsu
BMJ 2005;331:1313-1316
[Abstract] [Full text] [PDF] [extra: Interview prompt sheet]

Trouble in paradise—learning from Hawaii
Sheila Teasdale
BMJ 2005;331:1316
[Full text] [PDF]

Thursday, March 09, 2006

Wednesday, March 08, 2006

NACH - Briggs® National Quality Improvement and Hospitalization Reduction Study

The final Briggs National Quality Improvement/ Hospitalization Reduction Study has been completed and the full report is now available.

The study, which was launched to determine the best practices used by home health agencies to reduce patient re-hospitalizations, was sponsored by the Briggs Corp. and cosponsored by National Association for Home Care (NAHC) and Fazzi Associates.

Tuesday, March 07, 2006

Health Affairs - Medical Technology

Is Technological Change In Medicine Always Worth It? The Case Of Acute Myocardial Infarction
Jonathan S. Skinner, Douglas O. Staiger, and Elliott S. Fisher
Health Affairs, 25, no. 2 (2006): w34-w47
[Abstract] [Full Text] [Figures Only] [PDF]

Making Sense Of Medical Technology
David M. Cutler
Health Affairs, 25, no. 2 (2006): w48-w50
[Abstract] [Full Text] [PDF]

To Use Technology Better
Alan M. Garber
Health Affairs, 25, no. 2 (2006): w51-w53
[Abstract] [Full Text] [PDF]

Monday, March 06, 2006

J Am Coll Surg - Developing Quality Indicators for Elderly Patients Undergoing Abdominal Operations

McGory ML, Shekelle PG, Rubenstein LZ, Fink A, Ko CY.
Journal of the American College of Surgeons, Vol. 201, No. 6, Dec 2005, pp. 870-883.
Abstract Full Text + Links PDF (141 K)

Friday, March 03, 2006

J Clin Oncol - Results of the National Initiative for Cancer Care Quality

How Can We Improve the Quality of Cancer Care in the United States?
Jennifer L. Malin, Eric C. Schneider, Arnold M. Epstein, John Adams, Ezekiel J. Emanuel, Katherine L. Kahn
Journal of Clinical Oncology, Vol 24, No 4 (February 1), 2006: pp. 626-634
[Abstract] [Full Text] [PDF]

Supportive Care in Cancer - Understanding Cancer Patients Experience and Outcomes

Development and Pilot Study of the Cancer Care Outcomes Research and Surveillance Patient Survey
Malin JL, Ko C, Ayanian JZ, Harrington D, Nerenz DR, Kahn KL, Ganther-Urmie J, Catalano PJ, Zaslavsky AM, Wallace RB, Guadagnoli E, Arora NK, Roudier MD, Ganz PA.
Supportive Care in Cancer , Vol. 44, No. 2, Feb 2006, pp. 141-148.

Thursday, March 02, 2006

HFMA - Overcoming Barriers to Electronic Health Record Adoption

Results of Survey and Roundtable Discussions Conducted by the Healthcare Financial Management Association

The Healthcare Financial Management Association (HFMA) released a report that identifies the top barriers to electronic health record implementation and recommends strategies for government to help providers overcome those barriers.

Report (pdf)

Wednesday, March 01, 2006

Medical Care - Exposure to Automated Drug Alerts Over Time

Effects On Clinicians' Knowledge And Perceptions.
Medical Care. 44(3):250-256, March 2006.
Peter A. Glassman; Pamela Belperio; Barbara Simon; Andrew Lanto; Martin Lee
Abstract HTML PDF (264 K)

Medical Care - Clinical Information Technology Capabilities in Four U.S. Hospitals

Testing a New Structural Performance Measure.
Medical Care. 44(3):216-224, March 2006.
Ruben Amarasingham; Marie Diener-West; Michael Weiner; Harold Lehmann; Jerome E. Herbers; Neil R. Powe
Abstract HTML PDF (635 K)