Using Performance Monitoring to Improve Community Health Exploring the Issues (1996) / Chapter Skim
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Connecting with the Community
Connecting with the Community
Pages 6-11
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From page 6... ...
CONNECTING WITH THE COMMUNITY Improvin, the health of communities requires looking beyond the contributions of medical care and providers of personal health care services. Similarly, measures of community health must be based on a broader population than those who have received medical care or who are members of a particular health plan.
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From page 7... ...
The relatively positive findings also raised questions about why risk factors usually associated with poor health outcomes had a less adverse effect in this neighborhood. Possible explanations include greater household stability than might be expected among a predominantly immigrant population and the availability of informal employment to offset some of the "official" unemployment.
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From page 8... ...
Workshop participants suggested that a future report ought to include more information on other determinants of health such as genetic factors, individual behavior, and the social and physical environment. The report also might provide more information on the heals services and other resources in the community that might be expected to have a role in community health issues.
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From page 9... ...
Performance indicators provide infonnation to support decisionmaking regardin;, health services and can contribute to efforts in quality assessment and improvement for health care providers and communities. Health plans can be expected to use performance indicators as marketing tools.
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From page 10... ...
Expanding the scope of performance monitoring beyond enrollees to an entire community raises questions about He limits of health plans' responsibility and accountability for nonmembers and for aspects of health that are beyond the traditional realm of medical care. Currently, without a population-based "system" to promote the health of the public, being able to adopt a community perspective depends on the willing cooperation of the various organizations contributing to heals and health care.
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From page 11... ...
The discussion drew attention to the lack of data on the effectiveness of many health services and the problem that it can create for selecting performance indicators. Another challenge is determining appropriate indicators for multidimensional health issues.
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