Envisioning the National Health Care Quality Report

Abstract

Executive Summary Introduction Origins of the National Health Care Quality Report The IOM Committee on the National Quality Report on HealthCare Delivery Defining Health Care Quality Recent Initiatives on Health Care Quality and Quality Reporting Other National and International Initiatives on Health Care Quality Measurement National Initiatives State Initiatives International Initiatives Quality Measurement and Reporting in Other Sectors Objectives of the National Health Care Quality Report Organization of the IOM Report Defining the Contents of the Data Set: The National Health Care Quality Framework Recommendation Importance of the Framework National Health Care Quality Framework Overview Components of Health Care Quality Consumer Perspectives on Health Care Needs Consumer Perspectives on Health Care Needs as Reflected in Care for Specific Health Conditions Using a Matrix to Portray the Framework Equity in Quality of Care as a Cross-Cutting Issue in the Framework what About Efficiency? Summary Selecting Measures for the National Health Care Quality Data Set Recommendations Examining Potential Measure Selection Criteria Criteria for Selecting Individual Measures for the National Health Care Quality Data Set Major Aspects to Consider Specific Aspects to Consider When Selecting Measures Evaluating Individual Measures According to the Criteria Evaluation Criteria for the National Health Care Quality Measure Set Balance Comprehensiveness Robustness Measure Selection Process Steps in the Process of Measure Selectior Role of an Advisory Body Reviewing and Updating the Measure Set Measuring Health Care Quality Comprehensively Types of Measures Role of Summary Measures Measures of the Structure, Processes, and Outcomes of Health Care Summary Data Sources for the National Health Care Quality Report Recommendations Data Source Selection Criteria Credibility and Validity of the Data National Scope and Potential to Provide State-Level Detail Availability and Consistency of the Data Over Time and Across Sources Timeliness of the Data Ability to Support Subgroup- and Condition-Specific Analyses Public Accessibility of the Data Potential Data Sources Public Data Sources Private Data Sources Evaluating Data Sources for the National Health Care Quality Data Set in the Short Term Coverage of Health Care Quality Components Data Sources for the National Health Care Quality Report Data Sources in the Short Term Encouraging the Long-Term Development of Electronic Clinical Data Systems Increasing the Access to the National Health Care Quality Data Set Summary Designing the National Health Care Quality Report Recommendation Audiences for the National Health Care Quality Report Report Guidelines Defining the Content of the Quality Report Presenting Information in the Quality Report Audience Testing the National Health Care Quality Report Audience Testing Before Report Releases Evaluative Testing of Report Releases Promoting the Quality Report Communication Channels Partnerships Evaluating the Promotion Plan Summary Appendices A Workshop: Envisioning a National Quality Report on Health Care B Designing a Comprehensive National Report on Effectiveness of Care: Measurement, Data Collection, and Reporting Strategies C Submissions in Response to the Committee's Call for Measures from the Private Sector D Selected Approaches to Thinking About the National Health Care Quality Report E Quality Measure Selection Criteria Glossary Acronyms and Abbreviations Biographical Sketches of Committee Members