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Explore the impact of quality measures on care delivery and the need for a transparent process to prevent unintended consequences. Stakeholders expect easy implementation, improved accuracy, reduced costs, and evidence-based measures. A national action plan calls for thorough field testing and clear communication.
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Quality of Care B Group VII
1) Public Policy Problem • Measuring quality of care has unintended consequences.
3) Rationale for targeting ‘unintended consequences’ • We do not know if quality measures improve care • Performance measures are not accurate for every type of interaction • Performance measures are adding to the cost of care.
4) Stakeholders “Do what you want - just make it easy for me” Patients – AARP, patient advocacy groups Providers Facilities - long term/acute/ambulatory Businesses Insurance companies (keep it cheap, please) Regulatory bodies – CMS, JCAHO
5) Prerequisites • The quality measure is evidence based, or will contribute evidence to future developments in health care
5a) National Action Plan • To prevent unintentional consequences, implementation of a quality measure must be preceded by a transparent process of field testing done in demographically representative sites and must include: • Time and staff required (collect, collate, report…) • Risk of increased testing • Plan for useful interpretation, followed by communication to stakeholders
