From 1996 to 1997, the National Committee for Quality Assurance (NCQA) convened a work group of experts in performance measurement and information technology who examined the research literature, surveyed health plan information system capabilities, and interviewed 60 experts in the field.
NCQA, Washington, is the primary accreditation body of the managed care industry. It has played a key role in developing measurement standards to evaluate managed care organizations.
NCQA's efforts to generate more sophisticated measurements of health quality cannot be accomplished until health plans develop better information systems, most of which have been designed for billing and claims payment rather than to produce information on the quality of the health care provided.
- The work group produced a report, "A Road Map for Information Systems: Evolving Systems to Support Performance Measurement, " that outlines recommended steps that health plans will need to take to improve their information systems.
The report includes the following conclusions and recommendations:
- Current health plan information systems fall short in all areas necessary to a fully functioning "information framework."
- Health plans can take a number of immediate steps to improve their information systems. These include:
- Improve the use of currently available data.
- Create an environment that rewards the automation of data.
- Improve the quality of currently automated data.
- In three to five years, a number of developments could make it possible to develop a full-blown information framework. These include:
- Federal standards for the content and coding of medical records.
- Federal standards for ensuring privacy.
- Vendor software that automates patient records in compliance with standards.
- Communication technology that makes it practical to share clinical data.
The Robert Wood Johnson Foundation (RWJF) supported the project with a grant of $137,000 between September 1996 and October 1997.
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Progress and lessons learned from two programs that seek to advance the impact digital games can have on health.
Joint Commission Resources in Oak Brook Ill., oversaw development and testing of an online course and support materials to improve communica...
The rapid rise of antibiotic resistance can be tracked using ResistanceMap, an online tool that visually highlights regions of the country w...
Report examines, compares and contrasts Massachusetts and Utah health insurance exchanges.
Report examines issues states will face as they integrate Medicaid into the exchange.
This poll shows most Americans believe the quality of U.S. health care is average at best. More than half of American adults surveyed barely...
Want to improve health? Start with where we live, work, learn and play.
Health care reform may create incentives to spur the growth in HDHPs and CDHPs, a move that might help hold costs down?at least for a time.
The authors suggest repairing the health care system by realigning provider incentives, increasing the availability of information with whic...
While the ACA is aimed primarily at improving individual health by increasing access to health insurance, it also contains a number of provi...