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Envisioning the National Health Care Quality Report (2001)

Chapter:Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector

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Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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APPENDIX C

Submissions in Response to the IOM Committee's Call for Measures from the Private Sector1

Submitted by:

Name of Measure

Component of Health Care Quality

Consumer Perspective on Health Care Needs

American Diabetes Association (ADA)

Percentage of patients receiving one or more glycohemoglobin (HbA1c) tests per year

Effectiveness

Living with illness

ADA

Percentage of patients with highest-risk HbA1c level (HbA1c greater than 9.5%)

Effectiveness

Living with illness

ADA

Percentage of patients assessed for nephropathy

Effectiveness

Living with illness

ADA

Percentage of patients receiving a lipid profile

Effectiveness

Living with illness

ADA

Percentage of patients with a low-density lipoprotein (LDL) less than 130 mg/dl

Effectiveness

Living with illness

ADA

Percentage of patients with blood pressure less than 140/90 mmHg

Effectiveness

Living with illness



1 The committee issued its call for measures to the private sector from June to July, 2000. The Agency for Healthcare Research and Quality issued a separate call for measures to federal agencies after the committee had concluded its deliberations.

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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Page 180

ADA

Percentage of patients receiving a dilated eye exam in the past year (or past two years if certain criteria are met)

Effectiveness

Living with illness

ADA

Percentage of patients with an annual foot exam

Effectiveness

Living with illness

ADA

Smoking cessation counseling

Effectiveness

Living with illness

American Medical Association (AMA)

Percentage of patients with diabetes receiving one or more HbA1c test(s) per year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes receiving at least one lipid profile per year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes who had any test for microalbuminuria per year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes receiving a dilated eye exam per year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes with at least one foot exam per year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes who received an influenza vaccine in the past year

Effectiveness

Living with illness

AMA

Percentage of patients with diabetes who had a blood pressure reading at each visit

Effectiveness

Living with illness

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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Page 181

AMA

Percentage of patients with diabetes with two or more visits per year

Effectiveness

Living with illness

American Nurses Association (ANA)

Patient satisfaction

Patient centeredness

Other

ANA

Mix of registered nurses, licensed practical nurses, and unlicensed assistive personnel in institutional settings

Safety

Getting better

ANA

Maintenance of skin integrity—prevention of nosocomial pressure ulcers. Percentage of patients with documented nosocomial ulcer on day of prevalence study

Safety

Getting better

ANA

Rate of patient falls and patient falls with injury. The rate per 1,000 patient-days at which patients fall and incur physical injury during their institutional stay

Safety

Getting better

American Psychiatric Association (APA)

Percentage of patients with a current diagnosis of chronic, moderate, or severe depression (not in remission) receiving an antidepressant medication or electroconvulsive therapy (ECT)

Effectiveness

Getting better

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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Page 182

APA

Percentage of patients with a current diagnosis of depression with psychotic features (not in remission) receiving either a combination of an antidepressant medication and an antipsychotic medication, or electroconvulsive therapy

Effectiveness

Getting better

APA

Percentage of patients with a current diagnosis of depression that is mild and not chronic (not in remission) receiving medication and/or psychotherapy

Effectiveness

Getting better

Foundation for Accountability (FACCT)

Adult asthma: patient education

Effectiveness

Living with illness

FACCT

Adult asthma: peak flow meter use

Effectiveness

Living with illness

FACCT

Adult asthma: appropriate inhaler use

Effectiveness

Living with illness

FACCT

Adult asthma: patient experience and satisfaction

Patient centeredness

Living with illness

FACCT

Adult asthma: patient self-management knowledge and behavior

Effectiveness

Living with illness

FACCT

Adult asthma: patient ability to maintain daily activities

Effectiveness

Living with illness

FACCT

Breast cancer: mammography

Effectiveness

Staying healthy

FACCT

Breast cancer: early-stage detection

Timeliness

Staying healthy

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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Page 183

FACCT

Breast cancer: informed about radiation treatment options

Patient centeredness

Living with illness

FACCT

Breast cancer: breast-conserving surgery

Effectiveness

Living with illness

FACCT

Breast cancer: radiation therapy following breast conserving surgery

Effectiveness

Living with illness

FACCT

Breast cancer: patient satisfaction with care

Patient Centeredness

Living with illness

FACCT

Breast cancer: experience of disease

Effectiveness

Living with illness

FACCT

Breast cancer: five-year disease-free survival

Effectiveness

Living with illness

FACCT

Diabetes: foot exam

Effectiveness

Living with illness

FACCT

Diabetes: frequency of HbA1c testing

Effectiveness

Living with illness

FACCT

Diabetes: retinal exam

Effectiveness

Living with illness

FACCT

Diabetes: advice to quit smoking

Effectiveness

Living with illness

FACCT

Diabetes: HbA1c under good control

Effectiveness

Living with illness

FACCT

Diabetes: lipid levels

Effectiveness

Living with illness

FACCT

Diabetes: smoking cessation

Effectiveness

Living with illness

FACCT

Diabetes: patient ability to maintain daily activities

Effectiveness

Living with illness

FACCT

Major depressive disorder: patient ability to maintain daily activities

Effectiveness

Living with illness

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
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Page 184

FACCT

Health risks: advice to quit smoking

Effectiveness

Staying healthy

FACCT

Health risks: awareness of health habits

Effectiveness

Staying healthy

FACCT

Health risks: smoking cessation

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: counseling and screening to prevent risky behaviors

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: counseling and screening to prevent unwanted pregnancies and sexually transmitted diseases (STDs)

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: counseling and screening related to diet, weight, and exercise

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: counseling and screening related to depression, mental health, and relationships

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: care provided in a confidential and private setting

Effectiveness

Staying healthy

FACCT

Adolescent preventive care: helpfulness of counseling provided

Patient centeredness

Staying healthy

FACCT

Adolescent preventive care: communication and experience of care

Patient centeredness

Staying healthy

FACCT

Early childhood development: getting anticipatory guidance from providers

Patient centeredness

Staying healthy

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×

Page 185

FACCT

Early childhood development: follow-up for children with an indication of risk for developmental problems

Effectiveness

Staying healthy

FACCT

Early childhood development: communication and relationship with providers

Patient centeredness

Not specified

FACCT

Early childhood development: helpfulness and effect of anticipatory guidance and counseling on confidence as a parent

Patient centeredness

Not specified

FACCT

Children with chronic conditions: how well doctors communicate

Patient centeredness

Living with illness

FACCT

Children with chronic conditions: getting care quickly

Timeliness

Living with illness

FACCT

Children with chronic conditions: patient education and teamwork

Patient centeredness, effectiveness

Living with illness

FACCT

Children with chronic conditions: coordination of child's care

Timeliness

Living with illness

FACCT–Robert Wood Johnson (RWJ)

Health status and quality of life (6 measures)

Effectiveness

Not specified

FACCT–RWJ

Healthy life style (3 measures)

Effectiveness

Staying healthy

FACCT–RWJ

Self-care efficacy (1 measure)

Patient centeredness

Staying healthy

FACCT–RWJ

Risk reduction counseling (3 measures)

Patient centeredness

Staying healthy

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×

Page 186

FACCT–RWJ

Getting needed care (2 measures)

Timeliness

Getting better

FACCT–RWJ

Medical home (2 measures)

Timeliness

Not specified

FACCT–RWJ

Access to specialized services (1 measure)

Timeliness

Getting better, living with illness

FACCT–RWJ

Consumer empowerment (2 measures)

Patient centeredness

Not specified

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

AMI, HF, PN—smoking cessation advice counseling

Effectiveness

Getting better

JCAHO

AMI—aspirin at arrival

Effectiveness

Getting better

JCAHO

AMI—reperfusion therapy: time from arrival to initiation

Effectiveness

Getting better

JCAHO

AMI—aspirin at discharge

Effectiveness

Getting better

JCAHO

AMI—beta-blocker at arrival

Effectiveness

Getting better

JCAHO

AMI, HF—LVEF <40% prescribed ACEI at discharge

Effectiveness

Getting better

JCAHO

AMI—beta-blocker at discharge

Effectiveness

Getting better

JCAHO

AMI—intrahospital mortality

Effectiveness

Getting better

JCAHO

HF—patients with atrial fibrillation prescribed warfarin at discharge

Effectiveness

Getting better

JCAHO

HF—diet, weight, and medication management instructions at discharge

Patient centeredness

Living with illness

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×

Page 187

JCAHO

HF—assessment of left ventricular function

Effectiveness

Getting better

JCAHO

PN—pneumonia screen or pneumococcal vaccination

Effectiveness

Staying healthy

JCAHO

PN—oxygenation assessment

Effectiveness

Getting better

JCAHO

PN—blood cultures

Effectiveness

Getting better

JCAHO

PN—antibiotic timing

Timeliness

Getting better

JCAHO

PN—empiric antibiotic regimen non-ICU

Effectiveness

Getting better

JCAHO

PN—empiric antibiotic regimen ICU

Effectiveness

Getting better

JCAHO

PR—vaginal birth after C-section (VBAC) rate

Effectiveness

Getting better

JCAHO

PR—third- or fourth-degree laceration

Effectiveness

Getting better

JCAHO

PR—neonatal mortality

Effectiveness

Other

JCAHO

SG—surgical site infection within 30 days (for selected surgical procedures)

Safety

Getting better

JCAHO

SG—timing of prophylactic administration of antibiotic

Timeliness

Getting better

Pamela Mitchell (American Academy of Nursing)

Patient fall injury rate

Safety

Getting better

Pamela Mitchell

Nosocomial infection (category of adverse events) (includes pneumonia and urinary tract infection in surgical patients; decubiti in all patients)

Safety

Getting better

National Committee for Quality Assurance (NCQA)—HEDIS

Effectiveness of care (16 measures)

Effectiveness

All

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×

Page 188

NCQA—HEDIS

Access or availability of care (5 measures)

Timeliness

All

NCQA—HEDIS

Satisfaction with experience of care (2 sets of measures—HEDIS/CAHPS 2.0H)

Patient centeredness

Several

NCQA—HEDIS

Health plan stability (2 measures)

Safety

Several

NCQA—HEDIS

Use of services (17 measures)

Not specified

Several

NCQA—HEDIS

Informed health care choices (1 measure)

Patient centeredness

Staying healthy

NCQA– HEDIS

Health plan descriptive information (8 measures)

NA

NA

Barbara Starfield

Primary Care Assessment Tool (child edition, adult edition, provider edition)

Effectiveness, patient centeredness

Staying healthy, getting better, coping with the end of life

U.S. Pharmacopoeia

Patient safety and medication error reporting system (standardized Medication Error Index)

Safety

Getting Better

NOTES: ACEI = angiotensin-converting enzyme inhibitor; AMI = Acute Myocardial Infarction Core Performance Measurement Set; CAHPS = Consumer Assessment of Health Plans Survey; HEDIS = Health Plan Employer Data and Information Set; HF = Heart Failure Core Performance Measurement Set; ICU = intensive care unit; LVEF = left ventricular ejection fraction; PN = Community-Acquired Pneumonia Core Performance Measurement Set; PR = Pregnancy and Related Conditions Core Performance Measurement Set; SG = Surgical Procedures and Complications Core Performance Measurement Set; VBAC = vaginal birth after cesarean section.

Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page179
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page180
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page181
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page182
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page183
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page184
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page185
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page186
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page187
Suggested Citation:"Appendix C: Submissions in Response to the Committee's Call for Measures from the Private Sector." Institute of Medicine. 2001. Envisioning the National Health Care Quality Report. Washington, DC: The National Academies Press. doi: 10.17226/10073.
×
Page188
Next: Appendix D: Selected Approaches to Thinking About the National Health Care Quality Report »
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How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation’s effort to improve health care.

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