The desire to improve the quality of health care has prompted the increased use of performance measures. These measures examine the outcomes of interventions for evidence of improved health and are used to hold providers accountable for the quality of health care. Yet tension exists regarding the capabilities of the current science of quality measurement. Physicians and researchers often question the validity of these data—for example, the use of hospital claims to measure quality—even as policy-makers, payers, and the public seek evidence of improved performance. This article discusses the current impasse in the field of quality measurement and what is needed to overcome this deadlock.
(This research was not funded by the Robert Wood Johnson Foundation, but has been provided as an additional resource from this special issue of Health Affairs.)
- 1. The Ongoing Quality Improvement Journey
- 2. A Road Map for Improving the Performance of Performance Measures
- 3. The Trade-Off Among Quality, Quantity, and Cost
- 4. Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
- 5. Preventing Bloodstream Infections
- 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
- 7. Measuring Health Care Performance Now, Not Tomorrow
- 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
- 9. The Importance of Transitional Care in Achieving Health Reform
- 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
- 11. A Comparative Study of 11 Local Health Department Organizational Networks
- 12. Public Health Performance
- 13. A Self-Assessment Process for Accreditation Preparedness
- 14. Public Health Delivery Systems
- 15. Regionalization in Local Public Health Systems
- 16. Public Health Services and Systems Research
- 17. A Shot in the Rear, Not a Shot in the Dark
- 18. What Predicts Local Public Health Agency Performance Improvement?
- 19. Growth of a Scientific Community of Practice
- 20. Evolution of Coauthorship in Public Health Services and Systems Research
- 21. Resources that May Matter
- 22. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
- 23. Public Health Financial Management Competencies
- 24. Decision Science
- 25. Public Health Financial Management Needs
- 26. Data-Driven Management Strategies in Public Health Collaboratives
- 27. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
- 28. Public Health Systems and Services Research
- 29. Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
- 30. A Needs Assessment for Data and Methods in Public Health Systems Research
- 31. Mapping the Multidisciplinary Field of Public Health Services and Systems Research
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