Devising episode-of-care performance measures for use in value-based purchasing

This project will design episode-of-care performance measures for value-based purchasing (VBP). The project is one of twelve that the Robert Wood Johnson Foundation is supporting to respond to heightened concern across the country about the ballooning costs and poor quality of health care. In April 2010, the Foundation issued a broad call for ideas from the field to rein in spending without jeopardizing patient care. RWJF received 277 proposals and, based on input from independent reviewers, selected the most novel ideas and those most likely to engender far-reaching change. These grants, totaling $3.1 million, address issues in value-based purchasing, quality improvement support, public reporting of provider performance, and data collection and aggregation for performance measurement. The alignment of performance measurement and financial incentives for service delivery around episodes of care is a key strategy to drive patient-centered improvements in care delivery and coordination. An "episode" is a series of related services for a period of illness or for an acute medical event. Existing performance measures and measurement efforts do not track the quality of care for an episode. This project will: (1) expand the focus of mapping measures within an episode context beyond the quality measures used in Medicare; (2) develop detailed episode frameworks for selected conditions that reflect the care provided to different types of patients during an episode; (3) provide a framework for analyzing quality measures and gaps; and (4) develop a prioritized list of development activities for quality measures in order to provide comprehensive, episode-based measurement for VBP programs. This study will benefit public and private payers and purchasers who seek to develop and implement VBP programs, quality-measure developers who are interested in supplying the measures used in VBP programs, and patient advocates with an interest in ensuring that patients receive coordinated, high-quality care.

Grant Details

Amount Awarded $299,208.00

Awarded on: 10/15/2010

Time frame: 11/1/2010 - 4/30/2012

Grant Number: 68277


Rand Corporation

1776 Main Street
P.O. Box 2138
Santa Monica, 90401-2138


Cheryl L. Damberg
Project Director