Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Current quality measures in use
Slide content:Sampling of Current Quality Programs and Measures Many sets and acronyms, and they change constantly Still early in the science of quality improvement (Berwick, 2008) Science defined in an IOM report (2006) Many measurements in use ( Damberg , 2011) but still need improvement ( Pronovost , 2011) Many measures have been developed, reflecting various perspectives AHRQ maintains clearinghouse: www.qualitymeasures.ahrq.gov Growing consensus that standard sets are needed for each perspective We view them from following perspectives: Health plans Outpatient Inpatient Quality measures in HITECH meaningful use program 4
Slide notes:This lecture examines quality measures that are currently used under the meaningful use requirements of the Heath Information and Technology (HITECH) [high-tech] Act. A sampling of current quality programs and measures in use appears on the screen. Berwick has noted that we are early in the science of quality improvement. What exactly is that science? An Institute of Medicine report describes the science behind health care quality assessment. Many measures have been developed, all reflecting different perspectives, somewhat like standards. The Agency for Healthcare Research and Quality, or AHRQ [A-H-R-Q], maintains a clearinghouse of the different types of measures that are available, where they are being used, and so forth. But theres clearly a growing consensus that we need to develop standardized sets so that we can implement them in standardized ways and obtain value from them. In the following slides, we talk about specific quality measures from different perspectivesthe perspectives of health plans, outpatient medicine, and inpatient medicineand we look at the quality measures required under the meaningful use rules of the HITECH Act. 4