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:Relationship between Expenditures and Quality Medicare data: Great variation in cost among patients but little relationship to quality (Fisher et al., 2003a, 2003b) Inverse relationship between expenditures per capita and state rank of quality (Baicker & Chandra, 2004) No association between per capita expenses and perceptions of quality by patients (Fowler et al., 2008) 19
Slide notes:Is there a relationship between health care expenditures and quality? Medicare data shows theres great variation in cost among patients but little relationship to quality. One study actually shows, by state, an inverse relationship between expenditures per capita and rank of quality. Theres also no association between per capita expenses and patients perceptions of quality or between spending and quality measures in annual NCQA reports. 19