|
Health Affairs, Vol 17, Issue 4, 7-25
Copyright © 1998 by Project HOPE
Performance measurement: problems and solutions
D M Eddy
Recent efforts to measure performance have established its feasibility and value. However, its full potential is currently limited by several problems. They include the probabilistic nature, rarity, and confounding of many health outcomes; the inadequacies of information systems; the multiplicity of measures and measures; the complexity of health plans; and the availability of funding. Solutions are to rely more on process measures; to justify every measure with a formal, evidence-based rationale; to improve information systems; to supplement population-based measures with case-based measures; to develop a single, nationally standardized set of measures; and to provide nonpolitical, public funding for the design and administration of measures.
       What's this?
This article has been cited by other articles:
|
|
|
|
 
M Lugtenberg, J S Burgers, and G P Westert
Effects of evidence-based clinical practice guidelines on quality of care: a systematic review
Qual. Saf. Health Care,
October 1, 2009;
18(5):
385 - 392.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Ouwens, M. Hulscher, R. Hermens, M. Faber, H. Marres, H. Wollersheim, and R. Grol
Implementation of integrated care for patients with cancer: a systematic review of interventions and effects
Int. J. Qual. Health Care,
April 1, 2009;
21(2):
137 - 144.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.M. Mourad, W.L.D.M. Nelen, R.P.M.G. Hermens, L.F. Bancsi, D.D.M. Braat, G.A. Zielhuis, R.P.T.M. Grol, and J.A.M. Kremer
Variation in subfertility care measured by guideline-based performance indicators
Hum. Reprod.,
November 1, 2008;
23(11):
2493 - 2500.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. H. Mehta, L. Liang, A. M. Karve, A. F. Hernandez, J. S. Rumsfeld, G. C. Fonarow, and E. D. Peterson
Association of Patient Case-Mix Adjustment, Hospital Process Performance Rankings, and Eligibility for Financial Incentives
JAMA,
October 22, 2008;
300(16):
1897 - 1903.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Shcherbatykh, A. Holbrook, L. Thabane, L. Dolovich, and COMPETE III investigators
Methodologic Issues in Health Informatics Trials: The Complexities of Complex Interventions
JAMIA,
September 1, 2008;
15(5):
575 - 580.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W.L.D.M. Nelen, R.W. van der Pluijm, R.P.M.G. Hermens, C. Bergh, P. de Sutter, K.G. Nygren, A.M.M. Wetzels, R.P.T.M. Grol, and J.A.M. Kremer
The methodological quality of clinical guidelines of the European Society of Human Reproduction and Embryology (ESHRE)
Hum. Reprod.,
August 1, 2008;
23(8):
1786 - 1792.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.M. Mourad, R.P.M.G. Hermens, W.L.D.M. Nelen, D.D.M. Braat, R.P.T.M. Grol, and J.A.M. Kremer
Guideline-based development of quality indicators for subfertility care
Hum. Reprod.,
October 1, 2007;
22(10):
2665 - 2672.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. C. Earle, B. A. Neville, M. B. Landrum, J. M. Souza, J. C. Weeks, S. D. Block, E. Grunfeld, and J. Z. Ayanian
Evaluating claims-based indicators of the intensity of end-of-life cancer care
Int. J. Qual. Health Care,
December 1, 2005;
17(6):
505 - 509.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. J. Fickel and C. R. Thrush
Policymaker use of quality of care information
Int. J. Qual. Health Care,
December 1, 2005;
17(6):
497 - 504.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. M. Studdert, M. M. Mello, W. M. Sage, C. M. DesRoches, J. Peugh, K. Zapert, and T. A. Brennan
Defensive Medicine Among High-Risk Specialist Physicians in a Volatile Malpractice Environment
JAMA,
June 1, 2005;
293(21):
2609 - 2617.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. A. Kerr, R. B. Gerzoff, S. L. Krein, J. V. Selby, J. D. Piette, J. D. Curb, W. H. Herman, D. G. Marrero, K.M. V. Narayan, M. M. Safford, et al.
Diabetes Care Quality in the Veterans Affairs Health Care System and Commercial Managed Care: The TRIAD Study
Ann Intern Med,
August 17, 2004;
141(4):
272 - 281.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. C. Walter, N. P. Davidowitz, P. A. Heineken, and K. E. Covinsky
Pitfalls of Converting Practice Guidelines Into Quality Measures: Lessons Learned From a VA Performance Measure
JAMA,
May 26, 2004;
291(20):
2466 - 2470.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. C. Baker, D. Hopkins, R. Dixon, J. Rideout, and J. Geppert
Do health plans influence quality of care?
Int. J. Qual. Health Care,
February 1, 2004;
16(1):
19 - 30.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. H. Spies, H. G. A. Mokkink, P. F. De Vries Robbe, and R. P. T. M. Grol
Which data source in clinical performance assessment? A pilot study comparing self-recording with patient records and observation
Int. J. Qual. Health Care,
February 1, 2004;
16(1):
65 - 72.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
O. A. Arah, N. S. Klazinga, D. M. J. Delnoij, A. H. A. T. Asbroek, and T. Custers
Conceptual frameworks for health systems performance: a quest for effectiveness, quality, and improvement
Int. J. Qual. Health Care,
October 1, 2003;
15(5):
377 - 398.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. B. Ferguson Jr, E. D. Peterson, L. P. Coombs, M. C. Eiken, M. L. Carey, F. L. Grover, and E. R. DeLong
Use of Continuous Quality Improvement to Increase Use of Process Measures in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial
JAMA,
July 2, 2003;
290(1):
49 - 56.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. L. Reinertsen
Zen and the Art of Physician Autonomy Maintenance
Ann Intern Med,
June 17, 2003;
138(12):
992 - 995.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. A. Spertus, M. J. Radford, N. R. Every, E. F. Ellerbeck, E. D. Peterson, and H. M. Krumholz
Challenges and opportunities in quantifying the quality of care for acute myocardial infarction: Summary from the acute myocardial infarction working group of the American heart association/American college of cardiology first scientific forum on quality of care and outcomes research in cardiovascular disease and stroke
J. Am. Coll. Cardiol.,
May 7, 2003;
41(9):
1653 - 1663.
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Rosenbaum
Contemporary Managed Care: Readings in Structure, Operations, and Public Policy
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1219 - 1230.
[PDF]
|
|
|
|
|
|
|
S. Rosenbaum
The Managed Care Blues and How to Cure Them
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1219 - 1230.
[PDF]
|
|
|
|
