Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Quality Measurement and Improvement
Lecture:Definitions and framework for assessing quality
What is known about health care quality
Slide content:What Else We Know: Providers Rate of deaths from treatable conditions ( amenable to healthcare ) has declined much more slowly in US than in other developed countries (Nolte & McKee, 2008) Physicians who score better on maintenance of certification exams have higher rates of quality based on process measures ( Holmboe et al., 2008) Use of hospitalists associated with better performance on quality indicators in hospitals ( Lpez et al., 2009) In primary care, visit duration (Chen, Farwell, & Jha , 2009) and patient connectedness (Atlas et al., 2009) associated with quality Underinsured, minority, disabled, and/or non-English-speaking patients associated with lower-quality rankings for primary care physicians (Hong et al., 2010) 17
Slide notes:What else do we know about health care quality? Lets look at health care providers. One way to look at health care quality is the measure of amenable mortality, which is mortality that could be prevented with timely and effective health care. Nolte and McKee have done a number of analyses, the last one published in 2008, looking at how many deaths could be avoided with timely and effective health care. This analysis excludes factors such as lifestyle and accidents and instead focuses on conditions under which death can be prevented with timely and effective health care. In 2008, the United States ranked last among fourteen advanced countries that were part of this study of amenable mortality. Other studies have shown that physicians who score better on maintenance of certification exams have higher rates of quality based on process measures. It has also been found that use of hospitalists is associated with better performance on quality indicators in hospitals. In primary care, visit duration and a measure of patient connectedness are associated with quality. It has also been shown that patients who are underinsured, minority, have disabilities, and/or are non-English-speaking are associated with lower quality rankings for primary care physicians. 17