Evaluating the Quality of Healthcare Delivery

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  • Foundational Concepts for Evaluating Quality
    • We will begin by briefly discussing key developments in the U.S. and elsewhere underlying changing
      perspectives toward the way quality of care is defined and evaluated. We will then outline and discuss a basic conceptual framework for selecting measures for evaluating the quality of care by hospitals and physicians. This discussion will draw attention to key distinctions between process and outcome measures and their relative advantages and disadvantages for evaluating quality of care. This module will also include examples of quality measures that are currently in use.
  • Scientific Issues and Challenges for Comparing Quality of Care Among Providers
    • We will discuss key challenges in making valid comparisons among healthcare providers in terms of their quality of care including case mix differences, small sample sizes and data integrity issues. We will discuss methods and techniques for addressing such challenges. We will show how these methods and techniques can be applied in practice to produce more useful quality of care evaluations.
  • Resources and Tools for Evaluating Quality
    • We will cover consumer report cards and value-based purchasing programs, both of which constitute
      important applications of the science of measuring and evaluating quality of care. Consumer report
      cards on quality of care frequently exist within publicly available websites. These websites provide
      consumers and other interested parties with quality-related information for comparing the performance of hospitals and physicians. Such resources and tools have been produced by government agencies, private health plans, and business organizations. We will look at several examples of these resources and tools and consider their value as well as their limitations.
  • Future Directions in Evaluating Quality of Care
    • We will discuss emerging developments pertaining to the science and practice of evaluating quality of
      care. This discussion will include the increased interest in value-oriented measures of provider performance (i.e., efficiency as well as quality) and in composite measures. Also, we will consider the debate over whether quality measures should be adjusted to account for differences among providers
      regarding the socio-economic characteristics of their patients and how such adjustments could be
      conducted.

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