Measuring Health Care Performance Now, Not Tomorrow: Essential Steps To Support Effective Health Reform
Measuring Health Care Performance Now, Not Tomorrow: Essential Steps To Support Effective Health Reform
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DOI：
10.1377/hlthaff.2011.0137
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发表时间：
2011-04-01
期刊：
影响因子：
9.7
通讯作者：
McClellan, Mark
中科院分区：
文献类型：
--
作者：
Roski, Joachim;McClellan, Mark
如果改革国家医疗保健系统的努力要取得成功，就迫切需要更好的关于美国医疗保健质量的数据。本文描述了一种“分布式数据方法”来计算性能结果，同时保护患者的隐私。该战略以质量联盟指导委员会的努力为基础，该委员会是一个多利益相关者联盟，专注于实施绩效措施。不必等待政府或私营部门建立大型数据仓库，现在就可以更多地利用来自行政管理、实验室、临床登记和电子健康记录的现有数据，从而改善患者护理并促进绩效衡量的进一步发展。在本文中，我们介绍了实现这些目标的总体框架，并描述了一组步骤，以加速和扩大绩效指标的可用性，以改善目前的护理。
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.