Measuring care continuity : A comparison of claims-based methods

Medical Care

Volumn 54, Issue 5, 2016, Pages e30-e34

  Pollack, Craig E ^a,b   Hussey, Peter S ^c   Rudin, Robert S ^c   Fox, D Steven ^c   Lai, Julie ^c   Schneider, Eric C ^c,d,e,f  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c RAND CORPORATION   (United States)

^d BRIGHAM AND WOMEN S HOSPITAL   (United States)

^e HARVARD MEDICAL SCHOOL   (United States)

^f HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Claims analysis; Continuity of care; Coordinated care

Indexed keywords

AGED; CHRONIC OBSTRUCTIVE LUNG DISEASE; CONFERENCE PAPER; CONGESTIVE HEART FAILURE; CORRELATION COEFFICIENT; DIABETES MELLITUS; FEMALE; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PRIMARY MEDICAL CARE; PRINCIPAL COMPONENT ANALYSIS; PRIORITY JOURNAL; SENSITIVITY ANALYSIS; HEART FAILURE; INSURANCE; ORGANIZATION AND MANAGEMENT; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDY; STANDARDS; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; DIABETES MELLITUS; FEMALE; HEART FAILURE; HUMANS; INSURANCE CLAIM REVIEW; MALE; PATIENT CARE MANAGEMENT; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; RETROSPECTIVE STUDIES;

EID: 84889030718     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0000000000000018     Document Type: Conference Paper

References (16)

1. National Priorities Partnership. National priorities and goals: aligning our efforts to transform America's healthcare, 2008. Available at: http://www.nationalprioritiespartnership.org/uploadedFiles/NPP/08-253-NQF %20ReportLo%5B6%5D.pdf. Accessed February. 24, 2010.
2. Institute of Medicine. Priority Areas for National Action: Transforming Health Care Quality. Washington, DC: National Academies Press; 2003.
3. Miller HD. From volume to value: better ways to pay for health care. Health Aff. 2009; 28: 1418-1428.
4. Rittenhouse DR, Shortell SM, Fisher ES. Primary care and accountable care-Two essential elements of delivery-system reform. N Engl J Med. 2009; 361: 2301-2303.
5. Fisher ES, McClellan MB, Bertko J, et al. Fostering accountable health care: moving forward in Medicare. Health Aff. 2009; 28: w219-w231.
6. Hussey PS, Sorbero ME, Mehrotra A, et al. Episode-based performance measurement and payment: making it a reality. Health Aff. 2009; 28: 1406-1417.
7. Rosenthal MB. Beyond pay for performance-emerging models of provider-payment reform. N Engl J Med. 2008; 359: 1197-1200.
8. Schneider EC, Hussey PS, Schnyer C. Payment Reform: Analysis of Models and Performance Measurement Implications. Santa Monica, CA: RAND; 2011.
9. McDonald K, Schultz E, Albin L, et al. Care Coordination Measures Atlas. Rockville, MD: Agency for Heathcare Research and Quality; 2010.
10. Van Walraven C, Oake N, Jennings A, et al. The association between continuity of care and outcomes: a systematic and critical review. J Eval Clin Pract. 2010; 16: 947-956.
11. Jee SH, Cabana MD. Indices for continuity of care: a systematic review of the literature. Med Care Res Rev. 2006; 63: 158.
12. Saultz JW. Defining and measuring interpersonal continuity of care. Ann Fam Med. 2003; 1: 134-143.
13. De Brantes F, Rastogi A, Painter M. Reducing potentially avoidable complications in patients with chronic diseases: the Prometheus Payment Approach. Health Serv Res. 2010; 45(pt 2): 1854-1871.
14. Bice TW, Boxerman SB A quantitative measure of continuity of care. Med Care. 1977; 15: 347-349.
15. Breslau N, Haug MR. Service delivery structure and continuity of care: a case study of a pediatric practice in process of reorganization. J Health Soc Behav. 1976; 17: 339-352.
16. Steinwachs DM. Measuring provider continuity in ambulatory care: an assessment of alternative approaches. Med Care. 1979; 17: 551-565.