Managed care performance indicators for prevention and treatment of tobacco use and addiction

The broad goal of this project is to develop performance measures that can be used by health plans and by external constituencies (purchasers, consumers, regulators, accrediting organizations and policy makers) to evaluate the quality of care provided for tobacco use and addiction. The most immediate objective is to assure that promising indicators of tobacco use surveillance and intervention are considered for inclusion in the updated Health Plan Employer Data and Information Set (HEDIS 3.0, scheduled for release by the National Committee for Quality Assurance in late 1996). Under this grant, the investigators will: (1) identify tobacco control researchers and health plan innovators currently engaged in tobacco performance quality measurement and widen the mailing of the "Call for Measures" for HEDIS 3.0 to include these individuals; (2) review the literature for methodological data on tobacco indicators; (3) compile existing smoking cessation clinical practice guidelines to help assure that suggested measures are consistent with these guidelines; (4) convene a small Expert Working Group to review the tobacco measures proposed to the Center and the NCQA; and (5) establish a wider Advisory Board, composed of representatives of consumers, purchasers, purchasing coalitions, health plans, insurers, and regulators to provide input on promising measures and measurement gaps. A final report outlining promising indicators and identifying areas in which further research is needed will be submitted to the Foundation. In addition, a report recommending optimal measures in the tobacco area will be presented to the HEDIS 3.0 Review Group and other state, federal, and private-sector organizations concerned with health plan quality measurement or accreditation/regulation. A manuscript on study results will also be prepared for publication in a peer-reviewed journal.

Grant Details

Amount Awarded $49,699.00

Awarded on: 1/29/1996

Time frame: 2/1/1996 - 7/31/1996

Grant Number: 28757


Center for Advancing Health

2000 Florida Avenue, N.W., Suite 210
Washington, 20009-1231


Jessie C. Gruman
Project Director