Benchmarking Physician Performance: Current Practice & Research Needs

医生绩效基准：当前实践

• 批准号: 7114102
• 负责人: SARAH H. SCHOLLE
• 金额: $ 3.8万
• 依托单位: NATIONAL COMMITTEE FOR QUALITY ASSURANCE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7114102
• 关键词: behavioral /social science research tag; health care personnel education; health care personnel performance; health care quality; meeting /conference /symposium; physicians; travel

Local coalitions of health plans, employers, and physician organizations across the country are engaging in projects to improve health care quality by collecting and disseminating performance information about physicians and physician organizations. These efforts can focus on quality improvement initiatives, provide physicians information to benchmark their performance against others, offer consumers reliable and valid quality of care information for selecting providers, allow payers or purchasers to reward superior performance. There is substantial variation across these organizations in the measures and methods used to implement these measures, creating confusion for physicians and limiting opportunities for comparisons. Through a grant from the Commonwealth Fund, the National Committee for Quality Assurance (NCQA) is working with a national panel of physician benchmarking organizations to develop and test a complete set of implementation methods for physician-level measures of effectiveness and resource consumption to enable nationally standardized performance measure collection and benchmarking. A number of concerns have been noted in the research literature about methodological issues such as measurement reliability, risk adjustment and the potential for gaming. It is unclear whether organizations engaged in physician benchmarking are aware of these concerns and have addressed them in existing methods. There is a critical need to ensure that research knowledge that could improve current physician measurement efforts is shared with organizations and stakeholders that use physicians benchmarking data. NCQA will convene a conference in January 2006 to bring together physician benchmarking organizations and researchers to discuss draft consensus standards for measuring and benchmarking performance on effectiveness and resource utilization at the physical level. The goals are 1) To advise physician benchmarking organizations on a set of draft measure implementation rules for physician benchmarking efforts and 2) To draft a research agenda that will inform the improvement of methods for physician level measurement in the future. This conference directly addresses AHRQ's efforts to increase opportunities for knowledge transfer related to improving quality of care health for all Americans and offers a critical opportunity for AHRQ to stimulate knowledge transfer to users and to encourage efforts that will transform the health care system.

全国各地的卫生计划、雇主和医生组织的地方联盟正在参与通过收集和传播有关医生和医生组织的绩效信息来提高医疗保健质量的项目。这些努力可以集中于质量改进计划，为医生提供信息以将他们的表现与其他人进行比较，为消费者提供可靠和有效的护理质量信息以供选择提供者，允许支付者或购买者奖励卓越的表现。这些组织之间的措施和用于实施这些措施的方法存在很大差异，这给医生带来了困惑并限制了比较的机会。通过联邦基金的资助，国家质量保证委员会 (NCQA) 正在与国家医师基准测试组织小组合作，开发和测试一整套针对医生层面的有效性和资源消耗衡量指标的实施方法，以实现全国标准化的绩效衡量指标收集和基准测试。研究文献中提到了许多关于测量可靠性、风险调整和博弈潜力等方法论问题的担忧。目前尚不清楚从事医生基准测试的组织是否意识到这些问题并已用现有方法解决这些问题。迫切需要确保与使用医生基准数据的组织和利益相关者共享可以改善当前医生测量工作的研究知识。 NCQA 将于 2006 年 1 月召开一次会议，汇集医生基准测试组织和研究人员，讨论衡量和基准测试物理层面有效性和资源利用率绩效的共识标准草案。目标是 1) 为医生基准测试组织提供关于医生基准测试工作的一套措施实施规则草案的建议；2) 起草一项研究议程，为未来改进医生水平测量方法提供信息。这次会议直接讨论了 AHRQ 为增加与提高所有美国人的护理健康质量相关的知识转移机会所做的努力，并为 AHRQ 提供了一个重要的机会，以刺激向用户的知识转移并鼓励将改变医疗保健系统的努力。