HEDIS prevention performance indicators, prevention quality assessment and Healthy People 2010

Journal of Health Care for the Poor and Underserved

Volumn 16, Issue 4 SUPPL. A, 2005, Pages 64-82

  Levine, Robert S ^a   Briggs, Nathaniel C ^c   Husaini, Baqar A ^b   Foster, Irene ^c   Hull, Pamela C ^b   Pamies, Rubens J ^e   Tropez Sims, Susanne ^d   Emerson, Janice S ^b  

^a MOREHOUSE SCHOOL OF MEDICINE   (United States)

^b TENNESSEE STATE UNIVERSITY   (United States)

^c VANDERBILT UNIVERSITY   (United States)

^d MEHARRY MEDICAL COLLEGE   (United States)

^e UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

Health care quality, access and evaluation; Healthy people programs; Medicaid; Patient acceptance of health care; Prevention and control

Indexed keywords

EID: 29244432505     PISSN: 10492089     EISSN: None     Source Type: Journal    
DOI: 10.1353/hpu.2005.0067     Document Type: Conference Paper

References (37)

1. Thompson RS, Taplin SH, McAfee TA, et al. Primary and secondary prevention services in clinical practice. Twenty years' experience in development, implementaton, and evaluation. JAMA 1995 Apr 12;273(14):1130-5.
2. Hensur DD. Clinical preventive medicine in primary care: background and practice: 1. Rationale and current preventive practices. Mayo Clin Proc 2000 Feb;75(2):165-72.
3. Satcher D, Freyer GE Jr, McCann J, et al. What if we were equal? A comparison of the black-white mortality gap in 1960 and 2000. Health Affairs (Millwood) 2005 Mar-Apr;24(2):459-64.
4. Healthy People 2010. Volumes I and II. McLean, VA: International Medical Publishing, Inc. 2000.
5. Levine RS, Foster JE, Fullilove RE, et al. Black-white inequalities in mortality and life-expectancy, 1933-1999: implications for Healthy People 2010. Pub Health Rep 2001 Sep-Oct;116(5):474-83.
6. Snyder C, Anderson G. Do quality improvement organizations improve the quality of hospital care for Medicare beneficiaries? JAMA 2005 Jun 15;293(23):2900-7.
7. Sprague L. Contracting for quality. Medicare's quality improvement organizations. (NHPF Issue Brief No. 774) Washington, DC: George Washinton University, National Health Policy Forum, June 3, 2002.
8. Dans PE, Weiner JP, Otter SE. Peer review organizations. Promises and potential pitfalls. N Engl J Med 1985 Oct 31;313(18):1131-7.
9. Smits HL. The PSRO in perspective. N Engl J Med 1981 Jul 30;305(5):253-9.
10. Rubin HR, Rogers WH, Kahn KLet al. Watching the doctor-watchers. How well do peer review organization methods detect hospital care quality problems? JAMA 1992 may 6;267(17):2349-54.
11. Institute of Medicine, Division of Health Care Services. Medicare: a strategy for quality assurance. Washington, DC: National Academy Press. 1990.
12. Parkerton PH, Smith DG, Belin TR, et al. Physician performance assessment: nonequivalence of primary care measures. Med Care 2003 Sep;41(9):1034-47.
13. Vogt TM, Aickin M, Ahmed F, et al. The Prevention Index: using technology to improve quality assessment. Health Serv Res 2004 Jun;39(3):511-30.
14. Schneider EC, Riehl V, Courte-Wienecke S, et al. Enhancing performance measurement: NCQA's road map for a health information framework. National Committee for Quality Assurance. JAMA 1999Sep 22-29;282(12):1184-90.
15. Neumann PJ, Levine BS. Do HEDIS measures reflect cost-effective practices? Am J Prev Med 2002Nov;23(4):276-89.
16. Donelson SM. What gets measured gets done. Rehab Manag 2000 Dec-Jan; 13(1):54-6.
17. Granata AV, Hillman AL. Competing practice guidelines: using cost-effectiveness analysis to make optimal decisions. Ann Intern Med 1998 Jan 1;128(1):56-63.
18. Coffield AB, Maciosek MV, McGinnis JM, et al. Priorities among recommended clinical preventive services. Am J Prev Med 2001 Jul;21(1):1-9.
19. Maciosek MV, Coffield AB, McGinnis JM, et al. Methods for priority setting among clinical preventive services. Am J Prev Med 2001 Jul;21(1):10-9.
20. Wolff M, Bates T, Beck B, et al. Cancer prevention in underserved African American communities: barriers and effective strategies - a review of the literature. WMJ 2003;102(5):36-40.
21. Gamble VN. A legacy of distrust: African Americans and medical research. Am J Prev Med 1993 Nov-Dec;9(6 Suppl):35-8.
22. Afrika LO. Nutricide: the nutritional destruction of the Black race. Beaufort, SC: Llaila O. Afrika Golden Seal, 1994.
23. Cost C. Vaccines are dangerous - a warning to the Black community. Brooklyn, NY: A&B Books Publishers, 1992.
24. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd Ed. Baltimore, MD: Williams & Wilkins, 1996.
25. Anonymous. NCQA, HCFA Release Finalized Performance Measures for Medicaid. NCQA News. February 1, 1996; 1-6. Available at http://ncqa.org/ communications/news/finalmed.htm.
26. Bell RA, Kravitz RL, Thom D, et al. Unmet expectations for care and the patient-physician relationship. J Gen Intern Med 2002 Nov;17(11):817-24.
27. Thom DH, Kravitz RL, Bell RA, et al. Patient trust in the physician: relationship to patient requests. Fam Pract 2002 Oct;19(5):476-83.
28. CIGNA Government Services. 2000 Tennessee Medicare Part B Fee Schedule: 2000 Part B Drug Fee Schedule. Philadelphia, PA: CIGNA, 2005. Available at http://www.cignagovernmentservices.com/pdf/partb/fsch/ 2000_prtb_drug_fee_sch_sept.pdf.
29. Anonymous. Billing Information. Nashville, TN: Vanderbilt University Medical Center, 2005.
30. American Medical Association (AMA). Current Procedural Terminology. Fourth Edition. Chicago: AMA, 2002.
31. Hopkins C, Kachur K, Editors. CPT Expert. Third Edition. Salt Lake City, UT: Ingenix Publishing Group, 2002.
32. CIGNA Government Services. 2000 Tennessee Medicare Part B Fee Schedule: 2000 Tennessee Physician Fee Schedule. Philadelphia, PA: CIGNA, 2005. Available at http://www.cignagovernmentservices.com/ Search on "physician fee schedule".
33. Center for Medicare and Medicaid Serivces (CMS). Available at URL: http://www.hhs.gov.
34. Anonymous. Health care spending reaches $1.6 trillion in 2002. CMS News. January 8, 2004. Available at http://www.cms.hhs.gov/media/press/release. asp?Counter=935.
35. Bolen JC, Rhodes L, Powell-Griner EE, et al. State-specific prevalence of selected health behaviors, by race and ethnicity - Behavioral Risk Factor Surveillance System, 1997. MMWR CDC Surveill Summ 2000 Mar 24;49(2):1-60.
36. Centers for Disease Control and Prevention. Missed opportunities in preventive counseling for cardiovascular disease - United States, 1995. MMWR 1998 Feb 13;47(5):91-5.
37. Goodwin MA, Zyzanski SJ, Zronek S, et al. A clinical trial of tailored office systems for preventive service delivery. The Study to Enhance Prevention by Understanding Practice (STEP-UP). Am J Prev Med 2001 Jul; 21(1):20-8.