Toward Quality Measures for Population Health and the Leading Health Indicators (2013) / Chapter Skim
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rather than identifying specific quality measures for specific public health programs. The former involves focusing primarily on intermediate and ultimate outcome measures, while identifying measures for specific programs requires a greater focus on process and intermediate outcomes.
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The report should also address data reporting and analytical capacities that must be available to capture the measures and for demonstrating the value of the measures to improving population health. Task 2: The committee will provide recommendations for how the measures can be used across sectors of the public health and health care systems.
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, but modified to reflect the definition of quality in public health provided in Box S-2. As high-level operating principles outlining the attributes of health systems (broadly defined)
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Measures for Healthy Conditions related to infant mortality include prenatal care, childhood vaccines, and tobacco use. The report outlines an approach to assist HHS in its efforts toward a national framework for quality that goes well beyond health care and clinical primary prevention.
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For this reason, too, describing a process seemed more useful than providing specific examples that would result from applying that process. Because it focused on the 26 LHIs, the committee did not include other issues of great importance to the nation's health, such as disaster preparedness, the quality of the governmental public health system itself, and poverty as a health determinant.
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BOX S-3 Findings and Recommendations Recommendation 1-1: The committee recommends that all partners in the multisectoral health system (public health, health care, community organiza tions, and others, as appropriate) should adopt as their explicit purpose to continually improve health outcomes of the entire population and the condi tions in which people can be healthy.
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HHS also should establish or designate a nongovernmental and appropriately equipped entity to endorse measures of quality. Recommendation 2-4: The committee recommends HHS should develop, implement, and support data collection, analysis, and dissemination mechanisms and infrastructure for the portfolio of quality measures so they are usable for health assessment and improvement at the national, state, and local levels.
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Recommendation 4-1: The committee recommends that HHS convene stakeholders to facilitate the use of measures of quality for the multisectoral health system and their integration into all activities under the Three-Part Aim with a special focus on the social and environmental determinants, equity, and the concept of total population health. a The concept of high preventable burden has two components: high burden and exist ence of effective interventions.
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