메뉴 건너뛰기




Volumn 32, Issue 8, 2013, Pages 1453-1461

Provider performance measures in private and public programs: Achieving meaningful alignment with flexibility to innovate

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; CARDIOVASCULAR DISEASE; DIABETES MELLITUS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH PLAN EMPLOYER DATA AND INFORMATION SET; HUMAN; MANDATORY REPORTING; MEDICAID; MEDICARE; OUTCOME ASSESSMENT; PATIENT SAFETY; PERFORMANCE MEASUREMENT SYSTEM; PREVENTIVE MEDICINE; RESOURCE ALLOCATION;

EID: 84884226715     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2013.0007     Document Type: Article
Times cited : (18)

References (32)
  • 2
    • 79951641670 scopus 로고    scopus 로고
    • Private-payer innovation in Massachusetts: the "Alternative Quality Contract"
    • Chernew ME, Mechanic RE, Landon BE, Safran DG. Private-payer innovation in Massachusetts: the "Alternative Quality Contract." Health Aff(Millwood). 2011; 30(1):51-61.
    • (2011) Health Aff(Millwood). , vol.30 , Issue.1 , pp. 51-61
    • Chernew, M.E.1    Mechanic, R.E.2    Landon, B.E.3    Safran, D.G.4
  • 3
    • 84855670736 scopus 로고    scopus 로고
    • Early lessons from accountable care models in the private sector: partnerships between health plans and providers
    • Higgins A, Stewart K, Dawson K, Bocchino C. Early lessons from accountable care models in the private sector: partnerships between health plans and providers. Health Aff(Millwood). 2011;30(9):1718-27.
    • (2011) Health Aff(Millwood). , vol.30 , Issue.9 , pp. 1718-1727
    • Higgins, A.1    Stewart, K.2    Dawson, K.3    Bocchino, C.4
  • 6
    • 84884270430 scopus 로고    scopus 로고
    • National Quality Forum, Washington (DC): NQF; [cited Jun 27]. Available from
    • National Quality Forum. Community tool to align measurement [Internet]. Washington (DC): NQF; [cited 2013 Jun 27]. Available from: http://www.qualityforum.org/AlignmentTool/
    • (2013) Community tool to align measurement [Internet]
  • 7
    • 84884254527 scopus 로고    scopus 로고
    • National Quality Forum, Washington (DC): NQF; [cited Jun 27]. Available from
    • National Quality Forum. Measure Applications Partnership [Internet]. Washington (DC): NQF; [cited 2013 Jun 27]. Available from: http://www.qualityforum.org/Setting_Priorities/Partnership/Measure_Applications_Partnership.aspx
    • (2013) Measure Applications Partnership [Internet]
  • 8
    • 84884261091 scopus 로고    scopus 로고
    • Robert Wood Johnson Foundation, Princeton (NJ): RWJF; Jul 18 [cited 2013 Jun 27]. Available from
    • Robert Wood Johnson Foundation. Private purchasers of health coverage join forces to align with Medicare's shift to value purchasing [Internet]. Princeton (NJ): RWJF; 2012 Jul 18 [cited 2013 Jun 27]. Available from: http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2012/07/private-purchasers-of-healthcoverage-join-forces-to-alignwith-.html
    • (2012) Private purchasers of health coverage join forces to align with Medicare's shift to value purchasing [Internet]
  • 9
    • 84884227165 scopus 로고    scopus 로고
    • Buying value: purchasing health care that's proven to work [home page on the Internet]. Princeton (NJ): Robert Wood Johnson Foundation; [cited Jun 27]. Available from
    • Buying value: purchasing health care that's proven to work [home page on the Internet]. Princeton (NJ): Robert Wood Johnson Foundation; [cited 2013 Jun 27]. Available from: http://www.buyingvalue.org/
    • (2013)
  • 10
    • 84884245535 scopus 로고    scopus 로고
    • CMS Blog [blog on the Internet]. Mar 7 [cited 2013 Jun 27]. Available from
    • Conway P. eHealth: aligning quality measurement at CMS. CMS Blog [blog on the Internet]. 2013 Mar 7 [cited 2013 Jun 27]. Available from: http://blog.cms.gov/2013/03/07/ehealth-aligning-qualitymeasurement-at-cms-3/
    • (2013) eHealth: aligning quality measurement at CMS
    • Conway, P.1
  • 11
    • 84884226913 scopus 로고    scopus 로고
    • AISHealth, Washington (DC): Atlantic Information Services
    • AISHealth. AIS's directory of health plans: 2011. Washington (DC): Atlantic Information Services; 2011.
    • (2011) AIS's directory of health plans
  • 12
    • 84884232823 scopus 로고    scopus 로고
    • To access the Appendix, click on the Appendix link in the box to the right of the article online
    • To access the Appendix, click on the Appendix link in the box to the right of the article online.
  • 13
    • 84884249040 scopus 로고    scopus 로고
    • National Quality Forum, Washington (DC): NQF; [cited Jun 27]. Available from
    • National Quality Forum. Measures (708) [Internet]. Washington (DC): NQF; [cited 2013 Jun 27]. Available from: http://www.qualityforum.org/Measures_List.aspx
    • (2013) Measures (708) [Internet]
  • 14
    • 84884252668 scopus 로고    scopus 로고
    • National Committee for Quality Assurance, technical specifications.Washington (DC): NCQA
    • National Committee for Quality Assurance. HEDIS 2013, vol. 2, technical specifications.Washington (DC): NCQA; 2012.
    • (2012) HEDIS 2013 , vol.2
  • 16
    • 84926635804 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality, Rockville (MD): AHRQ; [cited Jun 27]. Available from
    • Agency for Healthcare Research and Quality. National Quality Measures Clearinghouse: glossary [Internet]. Rockville (MD): AHRQ; [cited 2013 Jun 27]. Available from: http://www.qualitymeasures.ahrq.gov/about/glossary.aspx
    • (2013) National Quality Measures Clearinghouse: glossary [Internet]
  • 18
    • 0013923473 scopus 로고    scopus 로고
    • Evaluating the quality of medical care
    • Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1996;44(3 Suppl):166-206.
    • (1996) Milbank Mem Fund Q. , vol.44 , Issue.3 SUPPL. , pp. 166-206
    • Donabedian, A.1
  • 20
    • 84884228826 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality, Rockville (MD): AHRQ; 2013 May [cited Jun 27]. Available from
    • Agency for Healthcare Research and Quality. Patient safety for selected indicators: technical specifications [Internet]. Rockville (MD): AHRQ; 2013 May [cited 2013 Jun 27]. Available from: http://www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/V45/TechSpecs/PSI%2090%20Patient%20Safety%20for%20Selected%20Indicators.pdf
    • (2013) Patient safety for selected indicators: technical specifications [Internet]
  • 21
    • 4143094414 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality, Rockville (MD): AHRQ; [updated Nov 5; cited 2013 Jun 27]. Available from
    • Agency for Healthcare Research and Quality. Medical Expenditure Panel Survey [Internet]. Rockville (MD): AHRQ; [updated 2012 Nov 5; cited 2013 Jun 27]. Available from: http://meps.ahrq.gov/mepsweb/data_stats/MEPSnetHC.jsp
    • (2012) Medical Expenditure Panel Survey [Internet]
  • 23
    • 84884244035 scopus 로고    scopus 로고
    • Minnesota Department of Health, St. Paul (MN): The Department; 2011 Oct [cited Jun 27]. Available from appendices to Minnesota administrative rules, chapter 4654 [Internet]
    • Minnesota Department of Health. Minnesota Statewide Quality Reporting and Measurement System: appendices to Minnesota administrative rules, chapter 4654 [Internet]. St. Paul (MN): The Department; 2011 Oct [cited 2013 Jun 27]. Available from: http://www.health.state.mn.us/healthreform/measurement/adoptedrule/measure1111b.pdf
    • (2013) Minnesota Statewide Quality Reporting and Measurement System
  • 24
    • 84884223682 scopus 로고    scopus 로고
    • Minnesota Medical Association, Minneapolis (MN): The Association; [cited Jun 27]. Available from
    • Minnesota Medical Association. Transparency improves quality [Internet]. Minneapolis (MN): The Association; [cited 2013 Jun 27]. Available from: http://www.mnmed.org/KeyIssues/QualityandSafety/StatewideQualityReporting/tabid/3238/Default.aspx
    • (2013) Transparency improves quality [Internet]
  • 25
    • 67649573353 scopus 로고    scopus 로고
    • Washington (DC): HHS. Press release, HHS secretary awards health leaders with special distinction for improving quality and value of health care Feb 1 [last revised 2009 Jan 20; cited 2013 Jul 8]. Available from
    • Department of Health and Human Services [Internet]. Washington (DC): HHS. Press release, HHS secretary awards health leaders with special distinction for improving quality and value of health care; 2008 Feb 1 [last revised 2009 Jan 20; cited 2013 Jul 8]. Available from: http://www.hhs.gov/news/press/2008pres/02/20080201a.html
    • (2008) Department of Health and Human Services [Internet]
  • 26
    • 84884276576 scopus 로고    scopus 로고
    • Medicare.gov., Baltimore (MD): Centers for Medicare and Medicaid Services; [cited Jul 8]. Available from
    • Medicare.gov. Measures displayed on Hospital Compare [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; [cited 2013 Jul 8]. Available from: http://www.medicare.gov/HospitalCompare/Data/AboutData/Measures-Displayed.aspx
    • (2013) Measures displayed on Hospital Compare [Internet]
  • 27
    • 84857799243 scopus 로고    scopus 로고
    • CMS.gov., Baltimore (MD): Centers for Medicare and Medicaid Services;[last modified 2013 May 31; cited Jun 27]. Available from
    • CMS.gov. Physician Quality Reporting System [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services;[last modified 2013 May 31; cited 2013 Jun 27]. Available from: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/pqri/
    • (2013) Physician Quality Reporting System [Internet]
  • 28
    • 84873338915 scopus 로고    scopus 로고
    • Medicare program; revisions to payment policies under the physician fee schedule, DME face-toface encounters, elimination of the requirement for termination of nonrandom prepayment complex medical review and other revisions to Part B for CY 2013; final rule
    • Centers for Medicare and Medicaid Services
    • Centers for Medicare and Medicaid Services. Medicare program; revisions to payment policies under the physician fee schedule, DME face-toface encounters, elimination of the requirement for termination of nonrandom prepayment complex medical review and other revisions to Part B for CY 2013; final rule. Fed Regist. 2012;77(222):68891-9380.
    • (2012) Fed Regist , vol.77 , Issue.222 , pp. 68891-69380
  • 29
    • 84884223983 scopus 로고    scopus 로고
    • Agency for Healthcare Quality and Research, Rockville (MD): AHRQ; [updated Aug; cited 2013 Jun 27]. Available from
    • Agency for Healthcare Quality and Research. Module 2: data-understanding the foundation of quality improvement [Internet]. Rockville (MD): AHRQ; [updated 2008 Aug; cited 2013 Jun 27]. Available from: http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/diabguide/diabqguidemod2.html
    • (2008) Module 2: data-understanding the foundation of quality improvement [Internet]
  • 30
    • 84884253294 scopus 로고    scopus 로고
    • Quality Alliance Steering Committee, September 15, [Internet], Washington (DC): QASC; 2010 Sep [cited 2013 Jul 8]. Available from
    • Quality Alliance Steering Committee. Quarterly meeting: September 15, 2010 [Internet]. Washington (DC): QASC; 2010 Sep [cited 2013 Jul 8]. Available from: http://www.healthqualityalliance.org/userfiles/QASC%20Meeting%20Materials%209%2015%2010.pdf
    • (2010) Quarterly meeting:
  • 31
    • 79955599979 scopus 로고    scopus 로고
    • Measuring the performance of individual physicians by collecting data from multiple health plans: the results of a two-state test
    • Higgins A, Zeddies T, Pearson SD. Measuring the performance of individual physicians by collecting data from multiple health plans: the results of a two-state test. Health Aff(Millwood). 2011;30(4):673-81.
    • (2011) Health Aff(Millwood). , vol.30 , Issue.4 , pp. 673-681
    • Higgins, A.1    Zeddies, T.2    Pearson, S.D.3
  • 32
    • 84871914557 scopus 로고    scopus 로고
    • Posing a framework to guide government's role in payment and delivery system reform
    • Sood N, Higgins A. Posing a framework to guide government's role in payment and delivery system reform. Health Aff(Millwood). 2012;31(9): 2043-50.
    • (2012) Health Aff(Millwood). , vol.31 , Issue.9 , pp. 2043-2050
    • Sood, N.1    Higgins, A.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.