Diabetes healthcare quality report cards: How accurate are the grades?

American Journal of Managed Care

Volumn 11, Issue 12, 2005, Pages 797-804

  Pogach, Leonard ^a,b   Xie, Minge ^c   Shentue, Yue ^c   Tseng, Chin Lin ^a,b   Maney, Miriam ^a   Rajan, Mangala ^a   Tiwari, Anjali ^a   Kolassa, John ^c   Helmer, Drew ^a,b   Crystal, Stephen ^c   Safford, Monika ^d  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b RUTGERS NEW JERSEY MEDICAL SCHOOL   (United States)

^c RUTGERS UNIVERSITY   (United States)

^d UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GLYCOSYLATED HEMOGLOBIN; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ADULT; AGED; ARTICLE; BLOOD PRESSURE REGULATION; CHOLESTEROL BLOOD LEVEL; DIABETES CONTROL; DIABETES MELLITUS; FEMALE; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOM SAMPLE;

AGED; BLOOD PRESSURE; CHOLESTEROL, LDL; CROSS-SECTIONAL STUDIES; DIABETES MELLITUS; FEMALE; HEMOGLOBIN A, GLYCOSYLATED; HOSPITALS, VETERANS; HUMANS; INFORMATION DISSEMINATION; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; QUALITY INDICATORS, HEALTH CARE; SAMPLING STUDIES; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS;

EID: 29044442615     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (39)

1. Hurtado MP, Swift EK, Corrigan JM, eds. Designing the National Healthcare Quality Report. In: Envisioning the National Healthcare Quality Report. Washington, DC: Institute of Medicine, National Academy Press; 2001.
2. Hibbard J. Use of outcomes data by purchasers and consumers: new strategies and new dilemmas. Int J Qual Health Care. 1998;10:503-508.
3. Bentley JM, Nash DB. How Pennsylvania hospitals have responded to publicly released reports on coronary artery bypass graft surgery. Jt Comm J Qual Improv. 1998;24:40-49.
4. Jencks SF. Clinical performance. JAMA. 2000;283:2015-2016.
5. Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350:2409-2412.
6. Marshall MN, Shekelle PG, Leatherman S, Brook RH. The public release of performance data: what do we expect to gain? a review of the evidence. JAMA. 2000;283:1866-1874.
7. Schneider EC, Riehl V, Courte-Wienecke S, Eddy DM, Sennett C. Enhancing performance measurement: NCQA's road map for a health information framework. JAMA. 1999;282:1184-1190.
8. Hofer TP, Hayward RA, Greenfield S, Wagner EH, Kaplan SH, Manning WG. The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease. JAMA. 1999;281:2098-2105.
9. Hannan E, Sui AL, Kumar D, Kilburn H Jr, Chassin MR. The decline in coronary artery bypass graft surgery mortality in New York State: the role of surgeon volume. JAMA. 1995;273:209-213.
10. Kizer KW. The "new VA": a national laboratory for health care quality management. Am J Med Qual. 1999;14:3-20.
11. Krein SL, Vijan S, Pogach LM, Hogan M, Kerr EA. Aspirin use and counseling about aspirin among patients with diabetes. Diabetes Care. 2002;25:965-970.
12. Weinstock RS, Hawley G, Repke D, Feuerstein BL, Sawin CT, Pogach LM. Pharmacy costs and glycemic control in the Department of Veterans Affairs. Diabetes Care. 2004;27(suppl 2):B74-B81.
13. Miller DR, Safford MM, Pogach LM. Who has diabetes? Best estimates of diabetes prevalence in the Veterans Health Administration based on computerized patient data. Diabetes Care. 2004;27(suppl 2):B10-B21.
14. Jha AK, Perlin JB, Kizer KW, Dudley RA. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348:2218-2227.
15. Little RR, Rohlfing CL, Wiedmeyer HM, Myers GL, Sacks DB, Goldstein DE; NGSP Steering Committee. The National Glycohemoglobin Standardization Program: a five-year progress report. Clin Chem. 2001;47:1985-1992.
16. Krein SL, Hofer TP, Kerr EA, Hayward RA. Whom should we profile? Examining diabetes care practice variation among primary care providers, provider groups, and health care facilities. Health Serv Res. 2002;37:1159-1180.
17. Kerr EA, Smith DM, Hogan MM, et al. Comparing clinical automated, medical record, and hybrid data sources for diabetes quality measures. Jt Comm J Qual Improv. 2002;28:555-565.
18. Safford M, Eaton L, Hawley G, et al. Disparities in use of lipid-lowering medications among people with type 2 diabetes mellitus. Arch Intern Med. 2003;163:922-928.
19. Fleming BB, Greenfield S, Engelgau MM, Pogach LM, Clauser SB, Parrott MA. The Diabetes Quality Improvement Project: moving science into health policy to gain an edge on the diabetes epidemic. Diabetes Care. 2001;24:1815-1820.
20. National Committee for Quality Assurance. HEDIS 2001. Vol 1. Washington, DC: National Committee for Quality Assurance; 2000.
21. American Diabetes Association. Standards of medical care for patients with diabetes mellitus. Diabetes Care. 2002;25(suppl 1):S33-S49.
22. Gordis L. Epidemiology. 2nd ed. Philadelphia, Pa: WB Saunders Co; 2000.
23. Efron B, Tibshirani R. An Introduction to the Bootstrap. New York, NY: Chapman & Hall; 1993.
24. Shen Y, Hendricks A, Zhang S, Kazis LE. VHA enrollees' health care coverage and use of care. Med Care Res Rev. 2003;60:253-267.
25. Keating NL, Landrum MB, Landon BE, Ayanian JZ, Borbas C, Guadagnoli E. Measuring the quality of diabetes care using administrative data: is there bias? Health Serv Res. 2003;38:1529-1545.
26. Heisler M, Bouknight RR, Hayward RA, Smith DM, Kerr EA. The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. J Gen Intern Med. 2002;17:243-252.
27. Harris MI. Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001;24:454-459.
28. 1c. Diabetes Care. 2000;23:919-927.
29. Chin MH. Risk-adjusted quality of care rating for diabetes: ready for prime time? Diabetes Care. 2000;23:884-886.
30. Kerr EA, Gerzoff RB, Krein SL, et al. Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study. Ann Intern Med. 2004;141:272-278.
31. National Committee for Quality Assurance Web site. Bridges to excellence: rewarding quality across the healthcare system. Available at: http://www.ncqa.org/Programs/bridgestoexcellence. Accessed July 16, 2005.
32. Landon BE, Normand SL, Blumenthal D, Daley J. Physician clinical performance assessment: prospects and barriers. JAMA. 2003;290:1183-1189.
33. Galvin RS, McGlynn EA. Using performance measurement to drive improvement: a road map for change. Med Care. 2003;41:148-160.
34. New Jersey Commercial Health Maintenance Organizations. A comprehensive performance report: year 2003. Available at: http://www.state.nj.us/health/hcsa/ 2003com_report.pdf. Accessed March 24, 2005.
35. National Committee for Quality Assurance Web site. NCQA report cards. Available at: http://hprc.ncqa. org/menu.asp. Accessed March 24, 2005.
36. Greenfield S, Kaplan SH. Creating a culture of quality: the remarkable transformation of the Department of Veterans Affairs Health Care System. Ann Intern Med. 2004;141:316-318.
37. Krumholz HM, Rathore SS, Chen J, Wang Y, Radford MJ. Evaluation of a consumer-oriented internet health care report card: the risk of quality ratings based on mortality data. JAMA. 2002;287:1277-1287.
38. Dranove D, Kessler D, McClellan M, Satterthwaite M. Is more information better? the effects of "report cards" on health care providers. J Polit Econ. 2003;111:555-588.
39. McCormick D, Himmelstein DU, Woolhandler S, Wolfe SM, Bor DH. Relationship between low quality-of-care scores and HMOs' subsequent public disclosure of quality-of-care scores. JAMA. 2002;2882:1484-1490.