Acknowledgments
During the course of the study, the committee and study staff were assisted by many individuals and groups who generously shared their valuable expertise. The Agency for Healthcare Research and Quality (AHRQ) made this study possible through both financial support and the technical assistance it provided. Many people at AHRQ facilitated our efforts including Nancy Foster, Project Officer and Coordinator of Quality Activities; Gregg Meyer, Director, Center for Quality Measurement and Improvement; Tom Reilly, Director, National Quality Report; Eileen Hogan, Program Analyst; Steve Cohen, Director, Division of Statistical Research and Methods; Steven Clauser, Director, Quality Measurement and Assessment Group; and, Doris Lefkowitz, Director, Division of Survey Operations, Center for Cost and Financing. Additional information and insights came from Irma Arispe, Associate Director for Science, National Center for Health Statistics; Edward Sondik, Director, National Center for Health Statistics; other members of the federal intragency working group on the National Quality Report; and the others at the Department of Health and Human Services, the Health Care Financing Administration, and other agencies and organizations who responded to our inquiries.
The committee also wants to acknowledge the participants at the workshop on "Envisioning a National Quality Report on Health Care" held on May 22 and 23, 2000, in Washington, D.C. Their important contributions greatly facilitated the committee's thinking on the subject and helped to guide the committee's work. They included Irma Arispe, National Center for Health Statistics; David Bates, Brigham and Women's Hospital; Christina Bethell, Foundation for Accountability; Cybelle Bjorklund, Senate Committee on Health, Education, Labor, and Pensions; Robert Brook, The RAND Corporation; Peggy Carr, National Center for Education Statistics; John M. Colmers, Maryland Health Care Commission; Suzanne Delbanco, Leapfrog Group; Claes Fornell, University of Michigan School of Business Administration; Nancy Foster, Agency for Healthcare Research and Quality; Marsha Gold, Mathematica Policy Research; Jessie Gruman, Center for the Advancement of Health; Sherrie Kaplan, Tufts University School of Medicine; Jason Lee, House Committee on Commerce; Mark McClellan, Stanford University; Elizabeth McGlynn, The RAND Corporation; Gregg Meyer, Agency for Healthcare Research and Quality; Michael Millenson, William M. Mercer, Inc; R. Healther Palmer, Harvard School of Public Health; Lee Partridge, American Human Services Association; Robert Rubin, Lewin Group; Barbara Starfield, The Johns Hopkins University; Ora Strickland, Neil Hodgson Woodruff School of Nursing, Emory University; Jack E. Triplett, Brookings Institution; John Ware, Jr., QualityMetric, Inc.; John E. Wennberg, Dartmouth Medical School; David Williams, University of Michigan; and Donald Young, Health Insurance Association of America.
The committee would also like to recognize the authors of the four commissioned papers: Christina Bethell on measures of patient centeredness; Marsha Gold on potential data sources for the National Health Care Quality Report; Mark McClellan on measures of efficiency; and Elizabeth A. McGlynn, Robert H. Brook, and Paul Shekelle on measuring effectiveness and appropriateness of care. Their input was extremely valuable to the committee's deliberations.
The committee benefited as well from the expert testimony of individuals and representatives from a variety of organizations experienced in quality measurement. Special thanks are extended to Donald M. Berwick, Institute for Healthcare Improvement; Christina Bethell, Foundation for Accountability; Robert J. Blendon, Harvard School of Public Health and the John F. Kennedy School of Government; Maria Hewitt, National Cancer Policy Board; Kenneth W. Kizer, National Quality Forum; Jeffrey Koshel, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services; Peggy O'Kane, National Committee for Quality Assurance; Paul Schyve, Joint Commission on Accreditation of Healthcare Organizations; and Reed Tuckson, formerly of the American Medical Association. Those who responded to the committee's call for measures on quality of care also provided very valuable input on potential measures for the Quality Report (see Appendix C).
The committee and study staff would like to thank colleagues at the Institute of Medicine for their support throughout this project. Janet Corrigan, Director, Board on Health Care Services, provided guidance throughout the study. We are also grateful for the assistance of Linda Kilroy, Office of Contracts and Grants; Jennifer Cangco and Kay Harris, Office of Finance and Administration; Claudia Carl, Mike Edington, and Jennifer Otten, Office of Reports and Communications; and Sally Stanfield and Dawn Eichenlaub, National Academy Press. We would also like to thank Christine Coussens, Andrea Kalfoglou, and Tracy McKay for their assistance.
Support for this study was provided by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Additional support was provided by the Commonwealth Fund, a New York City-based private, independent foundation.
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