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Monday, August 3, 2020 | History

5 edition of Medicare quality of care, and outcomes and effectiveness research found in the catalog.

Medicare quality of care, and outcomes and effectiveness research

Hearing before the Subcommittee on Health of the Committee on Ways and Means, House ... Congress, first session, April 30, 1991

by United States

  • 391 Want to read
  • 39 Currently reading

Published by For sale by the U.S. G.P.O., Supt. of Docs., Congressional Sales Office .
Written in English


The Physical Object
Number of Pages128
ID Numbers
Open LibraryOL7366841M
ISBN 10016035580X
ISBN 109780160355806
OCLC/WorldCa24707257

  Now in its Second Edition, the book contains an added emphasis on outcomes, effectiveness, and quality of Arlene Fink teaches the basic concepts and vocabulary necessary to do program evaluations and to review the quality of evaluation research so as to make informed decisions about methods and s: 1. The Center for Outcomes Research & Evaluation (CORE) is a leading national outcomes research center working on select projects designed to assess healthcare quality and evaluate clinical decision making and comparative effectiveness of specific healthcare interventions. Our mission is to improve health and health care.

Patient-reported outcomes measures (PROMs) are a critical way to assess whether clinicians are improving the health of patients. Unlike process measures, which capture provider productivity and adherence to the standards of recommended care, or patient experience measures, which focus on aspects of care delivery such as communication, PROMs attempt to capture whether the services . [3] The term “quality chasm” was first used in the ground breaking Institute of Medicine report Crossing the Quality Chasm, which brought to light the deep rifts in quality facing our health care system. See also AHRQ’s National health care Quality Report and NCQA’s State of Health Care Quality report.

  In its September report, the IOM offered 10 broad recommendations for creating a very different health care system in which research, new . 1 hour ago  The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, .


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Medicare quality of care, and outcomes and effectiveness research by United States Download PDF EPUB FB2

Background. In the interest of promoting high-quality, patient-centered care and accountability, the Centers for Medicare & Medicaid Services (CMS) and Hospital Quality Alliance (HQA) began publicly reporting day mortality measures for acute myocardial infarction (AMI) and heart failure (HF) in June and for pneumonia (PN) in June   Overview: The Medicare Health Outcomes Survey (HOS) is the first patient-reported outcomes measure used in Medicare managed goal of the Medicare HOS is to gather valid, reliable, and clinically meaningful health status data from the Medicare Advantage (MA) program to use in quality improvement activities, pay for performance, program oversight, public reporting, and to improve health.

Get this from a library. Medicare quality of care, and outcomes and effectiveness research: hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred Second Congress, first session, Ap [United States.

Congress. House. Committee on Ways and Means. Subcommittee on Health.]. The importance of effectiveness Medicare quality of care to the group health insurance-managed care industry, 2.

Current applications of effectiveness studies in managed care plans, 3. The contributions group health insurers can make to effectiveness research, and. Limitations of the effectiveness "strategy" in controlling health care : Kim A. Heithoff, Kathleen Lohr. The Effective Health Care (EHC) Program improves the quality of health care by providing the best available evidence on the outcomes, benefits and harms, and appropriateness of drugs, devices, and health care services and by helping health care professionals, patients, policymakers, and health care systems make informed health care decisions.

The research and outcomes and effectiveness research book has responded with proposals for a new focus in clinical research on outcomes of patient care, and the National Center for Health Services Research has recently announced a new program to sponsor such research.

To meet its responsibility for ensuring the quality of care provided to Medicare beneficiaries, the Health Care. Measures of timely and effective care (or “process of care” measures) show the percentage of patients receiving treatments known to get the best results and how quickly hospitals treat patients with certain medical emergencies.

The development of measures for home health is in the early stages, but several measures have been endorsed by NQF and are being reported. Here are some examples of measures that would be appropriate for reporting to consumers and are currently included in the Centers for Medicare & Medicaid Services’ (CMS’) Home Health Compare Web site.

The list is categorized by the Institute of Medicine. As a preface to his analysis of methodologies used in health services research, Donabedian identified the three dimensions that can be utilized to assess quality of care (structure, process, and outcome) that would later become the core divisions of the Donabedian Model.

“Evaluating the Quality of Medical Care” became one of the most. Agency for Healthcare Research and Quality. Agency for Healthcare Research and Quality's (AHRQ) mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans.

An agency within the Department of Health and Human Services, AHRQ supports research that improves the quality of healthcare services. The Center for Medicaid and CHIP Services (CMCS) partners with states to share best practices and provide technical assistance to improve the quality of care.

CMCS’s efforts are guided by the overarching aims of the Centers for Medicare & Medicaid Services (CMS) Quality Strategy: better health, better care, lower cost through improvement.

The Home Health Quality Measures are based on data collected on adult non-maternity home care patients receiving skilled services whose care is covered by Medicare (both fee for service and managed care) or Medicaid and provided by a Medicare-approved Home Health Agency.

Outcomes research has altered the culture of clinical practice and health care research by changing how we assess the end results of health care services.

In doing so, it has provided the foundation for measuring the quality of care. The results of AHRQ outcomes research are becoming part of the "report cards" that purchasers and consumers can.

Medicare beneficiaries generally rated Medicare Advantage lower than traditional Medicare on questions about health care access and quality. Chapter 5 the Ou t C O m e mO del O f Quality stressed that quality health care must be all of the following (IOM,pp.

5–6): • Safe—avoiding injuries to patients from the care that is intended to help them • Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those. Outcomes research is a broad umbrella term without a consistent definition.

However it tends to describe research that is concerned with the effectiveness of public-health interventions and health services; that is, the outcomes of these services. Attention is frequently focused on the affected indi. Significant variation exists in both the types and definitions of outcome measures used in patient registries, even within the same clinical area.

This variation reduces the utility of registries, making it difficult to compare, link, and aggregate data across the spectrum of clinical care and reporting. To address this variation, AHRQ developed the Outcome Measures Framework (OMF).

Effectiveness and Comparative Effectiveness Reviews, systematic reviews of existing research on the effectiveness, comparative effectiveness, and comparative harms of different health care interventions, are intended to provide relevant evidence to inform real-world health care decisions for patients, providers, and policymakers.

The U.S. Department of Health and Human Services (HHS) defines quality improvement efforts as “systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups.” The Institute of Medicine goes further in stating that quality is the degree to which care increases desired health outcomes.

Thanks to the Affordable Care Act (ACA), more than 20 million people have gained health coverage. About half of the increase reflects gains in private coverage, due to ACA policies such as subsidies for individual market coverage, reforms to the individual insurance market, letting young adults stay on their parents’ plans, and the individual mandate requiring most people to have coverage or.

Quality health care is care that is safe, effective, patient-centered, timely, efficient, and equitable. 1 Patient safety is an important aspect of health care quality and a key priority for ODPHP. To ensure patient safety, health care systems must strive to prevent errors, learn from the errors that do occur, and create a culture of safety.Six dimensions of quality (Berwick): Outcome measures and goals (MUM) = Institute of Medicine’s Safe Percentage of overall mortality rates/patients experiencing adverse events or harm Effective: science and evidence should be applied and serve as the standard for delivery of care.Four iterative CBPR steps of research activity were recorded during the 3-year research partnership.

As a direct outcome of the CBPR framework, the service and researchers co-designed a Healing Model of Care that comprises six core treatment components, three core organisational components and is articulated in two program logics.