Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Definitions and framework for assessing quality
What is known about health care quality
Slide content:Other Results from McGlynn and Related Data Differences between sociodemographic groups much greater than within groups (Asch et al., 2006) From this and other data, quality of care increases with number of chronic conditions (Higashi et al., 2007) Similar analysis applied to patients in Veteran s Health Administration found overall quality higher than national sample for process measures but not outcomes (Asch et al., 2004; Trivedi et al., 2011) In light of history of suboptimal care within VA, transformation called remarkable and attributed in part to EHR system (Greenfield & Kaplan, 2004; Baker, 2006; Congressional Budget Office, 2009) 12
Slide notes:A number of other results have come from the McGlynn and related studies. One analysis found that differences between sociodemographic groups were much greater than within groups. It has also been found that from this and other data the quality of care increases with the number of chronic conditions that patients have. A similar analysis to the McGlynn study applied to patients in the Veterans Health Administration system found that overall quality was higher than the national sample for process measures, though not for outcomes. In light of the distant past history of suboptimal care within the VA, its transformation has been called remarkable and is attributed in part to the VAs EHR (electronic health records) system. 12