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
Friday, March 31, 2006
HSR - Quality Improvement Implementation and Hospital Performance on Quality Indicators
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
JOURNAL OF CLINICAL EPIDEMIOLOGY, 59 (3): 274-280; MAR 2006
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
JOURNAL OF CLINICAL EPIDEMIOLOGY, 59 (3): 265-273; MAR 2006
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.
http://www.cahps.ahrq.gov/
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
Introduction
Med Care Res Rev 2006 63: 11S-13S.
[PDF]
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
Commentary
Med Care Res Rev 2006 63: 117S-121S.
[PDF]
Mark R. Chassin
Does Paying for Performance Improve the Quality of Health Care?
Med Care Res Rev 2006 63: 122S-125S.
[PDF]
Robert S. Galvin
Evaluating the Performance of Pay for Performance
Med Care Res Rev 2006 63: 126S-130S.
[PDF] [References]
Thursday, March 23, 2006
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
OECD HEALTH WORKING PAPERS NO. 22
Soeren Mattke, Edward Kelley, Peter Scherer,
Jeremy Hurst, Maria Luisa Gil Lapetra
and the HCQI Expert Group Members
09-Mar-2006
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.
pdf
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.
- Webcast Archive
- Powerpoint Presentation
- The report available at National Academies Press
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
Tuesday, March 14, 2006
OECD - Health Care Quality Indicators Project Conceptual Framework Paper
OECD HEALTH WORKING PAPERS NO. 23
Edward Kelley and Jeremy Hurst
09-Mar-2006
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.
pdf
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]
Commentary
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)
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