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Measuring health care performance now, not tomorrow: essential steps to support effective health reform.
Joachim Roski,Mark McClellan +1 more
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An overall framework for achieving a "distributed data approach" to computing performance results while protecting patients' privacy is introduced, and a set of steps to accelerate and expand the availability of performance measures to improve care now are described.Abstract:
Better data on the quality of health care being delivered in the United States are urgently needed if efforts to reform the nation's health care system are to succeed. This paper describes a "distributed data approach" to computing performance results while protecting patients' privacy. The strategy builds on the efforts of the Quality Alliance Steering Committee, a multistakeholder coalition focused on the implementation of performance measures. Instead of waiting for the government or the private sector to build large data warehouses, existing data from administrative sources, laboratories, clinical registries, and electronic health records could be put to greater use now, resulting in improved patient care and spurring further advances in performance measurement. In this article we introduce an overall framework for achieving these goals, and we describe a set of steps to accelerate and expand the availability of performance measures to improve care now.read more
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The Perioperative Surgical Home: how can it make the case so everyone wins?
Thomas R. Vetter,Lee A. Goeddel,Arthur M. Boudreaux,Thomas R. Hunt,Keith A. Jones,Jean-Francois Pittet +5 more
TL;DR: Broadening the anesthesiologist’s scope of practice via the Perioperative Surgical Home may promote standardization and improve clinical outcomes and decrease resource utilization by providing greater patient-centered continuity of care throughout the preoperative, intraoperative, and postoperative periods.
Validity of electronic health record-derived quality measurement for performance monitoring
TL;DR: In this article, the authors show that workflow and documentation habits have a profound impact on EHR-derived quality measures and documented preventive services, with a disproportionately negative impact on the number of patients captured as receiving a clinical preventive service or meeting a recommended treatment goal.
Journal ArticleDOI
Validity of electronic health record-derived quality measurement for performance monitoring.
TL;DR: Results from this study show that workflow and documentation habits have a profound impact on EHR-derived quality measures, which can undercount practice performance and lead to a disproportionately negative impact on the number of patients captured as receiving a clinical preventive service or meeting a recommended treatment goal.
Journal ArticleDOI
Reforming payments to healthcare providers: the key to slowing healthcare cost growth while improving quality?
TL;DR: A range of empirical studies suggest that provider payment reforms in conjunction with greater attention to improving measurements of care quality and outcomes can have a significant impact on quality of care and, in some cases, resource use and costs of care.
Journal ArticleDOI
The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department Flow Improvement
TL;DR: The Urgent Matters Seven Success Factors were drawn from the early work done by program participants and propose practical guidelines for implementing and sustaining ED improvement activities.
References
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Journal ArticleDOI
Privacy-preserving distributed mining of association rules on horizontally partitioned data
Murat Kantarcioglu,Chris Clifton +1 more
TL;DR: In this paper, the authors address secure mining of association rules over horizontally partitioned data. And they incorporate cryptographic techniques to minimize the information shared, while adding little overhead to the mining task.
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A National Strategy To Put Accountable Care Into Practice
TL;DR: This paper proposes a national strategy to identify and expand successful approaches to accountable care implementation, and seeks to clarify definitions and key principles of these approaches.
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Linking inpatient clinical registry data to Medicare claims data using indirect identifiers
Bradley G. Hammill,Adrian F. Hernandez,Eric D. Peterson,Gregg C. Fonarow,Kevin A. Schulman,Lesley H. Curtis +5 more
TL;DR: A method to link hospitalization records from registries with Medicare inpatient claims data, without using direct identifiers, to create a unique data source that pairs rich clinical data with long-term outcome data is presented.
Journal ArticleDOI
Vaccine Safety Datalink Project: A New Tool for Improving Vaccine Safety Monitoring in the United States
Robert T. Chen,John W. Glasser,P. Rhodes,Robert L. Davis,Barlow We,Robert S. Thompson,John P. Mullooly,Steven Black,Henry R. Shinefield,C. M. Vadheim,S. M. Marcy,Joel I. Ward,Robert P. Wise,Steven G. F. Wassilak,Stephen C. Hadler +14 more
TL;DR: Preliminary design, data collection, and analytic capability of the Vaccine Safety Datalink project has been validated by replication of previous known associations between seizures and DTP and MMR vaccines.
Journal ArticleDOI
Developing the Sentinel System — A National Resource for Evidence Development
Rachel E. Behrman,Joshua S. Benner,Jeffrey S. Brown,Mark McClellan,Janet Woodcock,Richard Platt +5 more
TL;DR: Using the distributed data network of the new Mini-Sentinel program, the FDA can now query the electronic health information of more than 60 million people, posing specific questions in order to monitor the safety of approved medical products.