Quality Measurement in Healthcare

Jesse M. Pines, MD, MBA, MSCE, is Chief of Clinical Innovation at US Acute Care Solutions and Clinical Professor of Emergency Medicine at George Washington University, USA. He has served as a consultant for the National Quality Forum and is a widely published expert in healthcare innovation and quality improvement. Helen Burstin, MD, MPH, MACP, is CEO of the Council of Medical Specialty Societies and Clinical Professor of Medicine at George Washington University, USA. She served as the Chief Scientific Officer at the National Quality Forum and is a widely published expert in safety, quality, equity, and measurement. Jane Hyatt Thorpe, JD, is Professor and Senior Associate Dean for Academic, Student & Faculty Affairs at the Milken Institute School of Public Health at George Washington University, USA. She specializes in health law and policy, with a focus on quality measurement and value-based care initiatives.

• List of Contributors xvPreface xixSection I What Is Quality and Why Should We Measure It in Healthcare? 11 What Is Healthcare Quality Measurement? 3Jane Hyatt Thorpe and Jesse M. Pines2 Quality Management for a High- Quality Healthcare System 13Jonathan B. Perlin3 Clinical Quality: Deciding What to Measure 31Monisha Dilip, Rohit B. Sangal, and Arjun K. VenkateshSection II How Do We Measure Quality in Healthcare? 474 A Primer on Quality Measurement Development 49Heidi Bossley5 Data Requirements for Valid Quality Measurement 61Jeffrey Geppert, Brenna Rabel, and Ian Warmbrodt6 Measuring Cost and Efficiency in Healthcare 77Taroon Amin, Jennifer Perloff, and Ashlie Wilbon Gyr7 Patient Safety Measurement 91Edward J. Septimus8 Patient- Reported Outcomes in Performance Measures 107Margaret Morris, Patricia D. Franklin, Nan E. Rothrock, and David Cella9 Measuring Equity in Health and Healthcare 127Jill A. Marsteller, Christina A. Vincent, Andrew Anderson, John Jackson, J. Matthew Austin, and Lisa A. CooperSection III How Do We Use Quality Measurement to Drive Change in Healthcare? 14710 Using Performance Data to Drive Improvement and Better Outcomes 149Robert Lloyd and Jeffrey Salvon- Harman11 Integrating Performance Measurement into Payment Policy – The Role of the Federal Government in the United States 165Michelle Schreiber and Lee A. Fleisher12 Improving Diagnostic Safety and Quality in Healthcare Through Measurement 185Karen S. Cosby13 Improving Quality Measurement for Rural Settings 207Karen Johnson14 Implications of Quality Measurement in Workforce Development 221Candice ChenSection IV How Might Quality Measurement in Healthcare Evolve? 24115 The Future of Quality Measurement 243Helen Burstin and Jesse M. PinesIndex 253