Advancing & Improving Measurement and Value in Primary Care (The AIM-PC Starfield Summit)

项目摘要： 我们目前的医疗保健系统价格过高，表现不佳，部分原因是未能培养高- 进行初级保健。与此相关的是，美国在一套能够帮助美国经济复苏的节俭措施上缺乏共识。 将初级保健集中在其高价值功能上。为了应对这些挑战和人权事务委员会的优先事项， 提高医疗保健的可负担性，效率和成本透明度，弗吉尼亚健康创新中心， 与医疗保健中的物质主义和价值中心以及密歇根大学合作， VBID中心，正在申请为期一年的AHRQ会议补助金，以支持召开，发展， AIM-PC Starfield峰会的工作产品，以及成果的传播和实施， "推进和改善初级保健的测量和价值。" Starfield Summits于2016年启动， "设想作为一个正在进行的一系列会议......在初级保健研究的不同领导人之间 和政策，旨在激励其参与者，为公众消费产生重要的讨论， 促进研究和政策制定，以支持初级保健功能。" AHRQ是 第三届Starfield峰会帮助制定了以患者为中心的初级保健措施，该措施现已获得批准 由CMS作为QCDR MIPS措施，并通过NQF认可。我们提议建立第五个星域 解决初级保健计量挑战的首脑会议。嵌套在更广泛的对话中 关于"对初级保健至关重要的措施" 1 - 3将是一个重点讨论如何具体增加 通过测量和减少初级保健提供者的低价值护理（LVC）来评估其价值。有 现在，数以百计的测试和程序被认为是不必要的，由明智选择运动确定， 美国预防服务工作组，国际实体，甚至商业软件。拼命 需要就哪些LVC措施最重要达成共识--对支付者、学者、临床医生、政策制定者， 患者，尤其是重点人群。我们的首脑会议及其摘要将构成主要的 在全面支付改革的背景下关注低消费量，审查和确定低消费量建议的范围， 制定评估低消费量措施的标准，确定实施低消费量措施的可行性， 就初级保健的一套简明的低消费量指标达成共识;并宣传选定的衡量标准 设置为可扩展实施。我们将通过领先的LVC虚拟装配实现这一目标， 初级保健措施顾问和执行两个评级和排名调查，以产生所需的交付物。

Project Abstract: Our current health care system is overpriced and underperforming in part due to failure to nurture high- performing primary care. Related to this, the US lacks consensus on a parsimonious set of measures capable of focusing primary care on its high-value functions. To address these challenges and AHRQ’s priorities of improving health care affordability, efficiency and cost transparency, the Virginia Center for Health Innovation, in partnership with the Center for Professionalism and Value in Health Care and the University of Michigan VBID Center, is requesting a one-year AHRQ Conference Grant to support the convening, development of work products, and dissemination and implementation of results for the AIM-PC Starfield Summit, entitled “Advancing & Improving Measurement and Value in Primary Care.” Initiated in 2016, the Starfield Summits are “envisioned as an ongoing series of meetings… among a diverse group of leaders in primary care research and policy, intended to galvanize its participants, generate important discussion for public consumption, and enable research and policy agenda-setting in support of primary care function.” AHRQ was a supporter of the 3rd Starfield Summit that helped produce the Patient Centered Primary Care Measure which is now endorsed by CMS as a QCDR MIPS measure and which is going through NQF endorsement. We propose a 5th Starfield Summit to address the challenge of measurement in primary care. Nested within the broader conversation about “Measures that Matter for Primary Care”1-3 will be a focused conversation on how to specifically increase its value through measurement and reduction of low value care (LVC) by primary care providers. There are now hundreds of tests and procedures considered unnecessary, identified by the Choosing Wisely campaign, the US Preventive Services Task Force, international entities, and even commercial software. Desperately needed is consensus on which LVC measures matter most – to payors, academics, clinicians, policymakers, and patients, especially those in priority populations. Our Summit and its summary writings will frame primary care LVC in the context of overall payment reform, review and identify the range of LVC recommendations, develop criteria for evaluating LVC measures, establish feasibility for LVC measure implementation, achieve consensus on a concise set of LVC indicators specific to primary care; and disseminate the selected measure set for widescale implementation. We will achieve this aim through the virtual assembly of leading LVC and primary care measures advisors and executing two rating and ranking surveys to yield desired deliverables.