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

前进

• 批准号: 10294316
• 负责人: Beth A Bortz
• 金额: $ 4.78万
• 依托单位: VIRGINIA CENTER FOR HEALTH INNOVATION
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10294316
• 关键词: Advancing; Improving; Measurement; Value; Primary

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.

项目摘要： 我们目前的医疗保健系统定价过高，表现不佳，部分原因是未能培养出高素质的 进行初级保健。与此相关的是，美国在一套节俭的措施上缺乏共识 将初级保健重点放在其高价值职能上。为了应对这些挑战和AHRQ的优先事项 提高医疗负担能力、效率和成本透明度，弗吉尼亚健康创新中心， 与医疗保健专业精神和价值中心和密歇根大学合作 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峰会的工作成果以及成果的传播和执行，题为 “推进和改进初级保健的衡量和价值。”星野峰会于2016年启动，现已启动 “设想为正在进行的一系列会议…在初级保健研究的不同领军者中 和政策，旨在激励其参与者，为公共消费产生重要的讨论，以及 开展研究和制定政策议程，以支持初级保健职能。“AHRQ是该计划的支持者 第三届斯塔菲尔德峰会，帮助制定了以患者为中心的初级保健措施，现已获得批准 被CMS作为QCDR MIPS措施，并正在通过NQF认可。我们提议建造第五座星际机场 应对初级保健衡量挑战的首脑会议。嵌套在更广泛的对话中 关于“对初级保健很重要的措施”1-3将集中讨论如何具体增加 初级保健提供者通过测量和减少低价值护理(LVC)来实现其价值。确实有 现在有数以百计的测试和程序被认为是不必要的，这是由选择明智运动确定的， 美国预防服务工作组、国际实体，甚至商业软件。拼命地 需要就哪些LVC措施对支付者、学者、临床医生和政策制定者最重要达成共识， 和病人，特别是那些优先人群。我们的峰会及其摘要写作将构成主要框架 在全面支付改革的背景下关注低收入国家，审查和确定低收入国家的建议范围， 制定评估低风险措施的标准，确定低风险措施实施的可行性，实现 就一套专门针对初级保健的简明低成本指标达成共识；并传播选定的措施 为宽范围实施设置。我们将通过领先的LVC和 初级保健措施顾问，并执行两个评级和排名调查，以产生预期的交付成果。