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Using Performance Monitoring to Improve Community Health Exploring the Issues (1996) / Chapter Skim
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Activities at the National Level
Pages 32-40

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From page 32...
... Reaching agreement on electronic data interchange standards would facilitate the transfer of data among health departments, health plans, and other contributors to the assessment process. The successful development of community-wide data systems will also require resolving confidentiality concerns that arise in combining data from different sources.
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From page 33...
... Several factors will be considered in selecting PPG objectives: links to Healthy People 2000 (USOHHS, 1991~; issues that are important and understandable to policymakers and the public; aspects of health status on which states can be expected to have an impact and for which change can be measured during the grant period; a focus on results with measures for outcomes and for processes and capacities with clear links to outcomes; clearly specified measures; and the tunely availability of sound and comparable data to all grantees at reasonable cost. The menu of PPG objectives is expected to change as He capabilities of data systems improve.
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From page 34...
... relevant to performance monitoring include the development of clinical practice guidelines, technology assessment, support for outcomes research, and applied research on health care quality measurement and improvement. Two projects may have special relevance to community health assessment and improvement.
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From page 35...
... CDC is also working win managed care organizations to enhance their contribution to public health efforts through activities such as participation in community health planning,, development of assessment skills in environmental and occupational health, and collaboration on disease surveillance and over public heal information needs. In collaboration with organizations such as the Group Health Association of America, the Joint Commission on Accreditation of Healthcare Organizations, and the National Committee for Quality Assurance, CDC is exploring how to brie=, attention to prevention in reporting on health plan performance.
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From page 36...
... Private Sector Organizations American Public Health Associations' Health Communities 2000: Model Standards (American Public Heals Association et al., 1991) , is a tool specifically designed to help communities and local public health agencies monitor and improve heals by translating He national health promotion and disease prevention objectives of Healthy People 2000 into local objectives and developing community action plans to achieve those objectives.
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From page 37...
... The two previous editions of the Model Standards report were linked to the 1990 national health promotion and disease prevention objectives. In contrast to these earlier versions, Healthy Communities 2000 has built more directly on the national objectives of Healthy People 2000 to provide an explicit link from the national level to state and local efforts.
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From page 38...
... Previously NACCHO collaborated with CDC to produce Blueprint for a Healthy Community (NACHO arid CDC, 1994) , which outlines 10 elements needed to protect and promote community health and which local health departments should assure are available.
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From page 39...
... Third, performance measurement should produce information that promotes quality improvement. NCQA is addressing, these aims with HEDIS the Health Plan Employer Data and Information Set which provides a standard set of measures that helps purchasers compare health plans and helps health plans assess their own performance (National Committee for Quality Assurance, 1993~.
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From page 40...
... As this process moves forward various issues of accountability will need to be resolved. In a "capacity-building" effort, JCAHO will be holding workshops in conjunction with the American Hospital Association and CDC to better inform hospitals and other clinically focused health care organizations about issues such as health promotion and preventive services, This section is based on a presentation by Margaret VanAmringe.
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Key Terms

  • community health
  • health departments
  • care organizations
  • health agencies
  • local health

  • health status
  • model standards
  • health officials
  • city health
  • healthy people

  • health infrastructure
  • joint commission
  • health association
  • enrolled populations
  • national committee

  • performance partnership
  • health promotion
  • partnership grants
  • healthcare organizations
  • assessment protocol

  • health plan
  • national information
  • information infrastructure
  • prevention objectives
  • practice guidelines

  • improving community
  • comprehensive information
  • health assessment
  • local public
  • performance monitoring


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