Now Viewing: Performance standards and measurement

Helping Physicians Do What They Got Into Medicine to Do

Sep 25, 2014, 10:02 AM, Posted by Anne Weiss

Two women are at a desk, one is counting money

“Health care was never intended to be the behemoth it's become. It was intended to be the place where people could get help for medical problems so they can return to living a healthy life.”

For me, this statement—from an internist I met last month—is a refreshing take on the value of the health care system in a Culture of Health. It’s an inspiring vision for those of us focused on the usual litany of problems: Our health care system costs too much, and delivers outcomes that lag behind other countries to such a degree that it threatens our economic health and social fabric.

Last year, the Robert Wood Johnson Foundation (RWJF) invested in five markets—Maine, Minnesota, Oregon, Colorado, and the St. Louis region—where there is the will and ability to measure health care costs and quality, and use that information to drive change. In each of these markets, we’re working with multi-stakeholder organizations who are members of the Network for Regional Health Improvement (NHRI). Each organization will produce reports that compare the cost of treating patients in each primary care practice in their market. (You can learn more about this project here.)

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Aligning Measures to Improve Quality

Feb 11, 2014, 4:51 PM, Posted by Gerry Shea

Doctors go over a patient's charts in the emergency room.

The quest over the last decade and a half to define and quantify “quality” in health care in the United States has resulted in widespread use of quality measures. Unfortunately, the alignment of these measures among entities in both the private and public sectors has been secondary to the efforts to identify and use good measures. This failure has resulted in a tremendous lack of comparability between quality improvement efforts.

While not surprising, the near total lack of alignment has become a major obstacle in the effort to improve care for patients. It leads to significant burdens for those looking to improve, wastes valuable (and finite) resources and is a drag on overall quality improvement efforts. Additionally, it creates a considerable barrier to efforts encouraging value-based decision making by consumers and others.

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On the Way to Better Health, a Call to Educate the Consumer With Complete and Useful Information

Jan 24, 2014, 2:41 PM, Posted by Tara Oakman

“An educated consumer is our best customer...”

A big sign with these words welcomed me and others into the local department store, Syms. I’m definitely not the only one who noticed. In fact, an educated consumer of this blog would know that it resonated with Susan Dentzer as well.

As a child, this statement baffled me. On the plus side, pondering its meaning gave me something to do during seemingly interminable shopping expeditions with my parents. Why, I wondered, does a department store care about how much consumers know? Don’t they just want them to buy clothes?

Now I get it.

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