Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans

Quality measurement and reporting have emerged as important tools that providers, health plans and other stakeholders can use to identify gaps in quality and focus resources on improving care. Yet identifying, measuring, and evaluating the care that physicians and other health care providers deliver is complicated by limited data, privacy concerns, and the challenge of trying to compare data from diverse sources.

This article describes an effort to pilot-test in Florida and Colorado a consistent approach to individual physician performance measurement using data compiled from multiple health plans. This approach could be used as the basis for making comparable performance information available nationwide. Additional efforts are needed to address key issues, including ways to effectively engage providers in the use of performance information.

April Issue of Health Affairs Focuses on Patient Safety and Health Care Quality

  1. 1. The Ongoing Quality Improvement Journey
  2. 2. A Road Map for Improving the Performance of Performance Measures
  3. 3. The Trade-Off Among Quality, Quantity, and Cost
  4. 4. 'Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
  5. 5. Preventing Bloodstream Infections
  6. 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
  7. 7. Measuring Health Care Performance Now, Not Tomorrow
  8. 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
  9. 9. The Importance of Transitional Care in Achieving Health Reform
  10. 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
  11. 11. A Comparative Study of 11 Local Health Department Organizational Networks
  12. 12. Public Health Performance
  13. 13. A Self-Assessment Process for Accreditation Preparedness
  14. 14. Public Health Delivery Systems
  15. 15. Regionalization in Local Public Health Systems
  16. 16. A Shot in the Rear, Not a Shot in the Dark
  17. 17. What Predicts Local Public Health Agency Performance Improvement?
  18. 18. Growth of a Scientific Community of Practice
  19. 19. Evolution of Coauthorship in Public Health Services and Systems Research
  20. 20. Resources that May Matter
  21. 21. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
  22. 22. Public Health Financial Management Competencies
  23. 23. Decision Science
  24. 24. Public Health Financial Management Needs
  25. 25. Data-Driven Management Strategies in Public Health Collaboratives
  26. 26. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
  27. 27. Public Health Systems and Services Research
  28. 28. Mapping the Multidisciplinary Field of Public Health Services and Systems Research