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Quality of Care B. Group VII. 1) Public Policy Problem. Measuring quality of care has unintended consequences. 2) Dimensions of the problem of Unintended Consequences. 3) Rationale for targeting ‘unintended consequences’. We do not know if quality measures improve care
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Quality of Care B Group VII
1) Public Policy Problem • Measuring quality of care has unintended consequences.
3) Rationale for targeting ‘unintended consequences’ • We do not know if quality measures improve care • Performance measures are not accurate for every type of interaction • Performance measures are adding to the cost of care.
4) Stakeholders “Do what you want - just make it easy for me” Patients – AARP, patient advocacy groups Providers Facilities - long term/acute/ambulatory Businesses Insurance companies (keep it cheap, please) Regulatory bodies – CMS, JCAHO
5) Prerequisites • The quality measure is evidence based, or will contribute evidence to future developments in health care
5a) National Action Plan • To prevent unintentional consequences, implementation of a quality measure must be preceded by a transparent process of field testing done in demographically representative sites and must include: • Time and staff required (collect, collate, report…) • Risk of increased testing • Plan for useful interpretation, followed by communication to stakeholders
