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Vital Signs Core Metrics for Health and Health Care Progress (2015) / Chapter Skim
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Appendix C: Existing Data Sources
Pages 247-258

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From page 247...
... POPULATION HEALTH Data on the health of populations come from a variety of sources: • individual-level social data (e.g., social and economic status; demo graphics; access to social and economic services, child and family services, elderly services, and home health services) ; • population surveys (e.g., National Health Interview Survey [Cen sus Bureau and Centers for Disease Control and Prevention]
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From page 248...
... ; and • operational and financial data for health care organizations. Care quality measures traditionally have been calculated from administrative data, such as claims, which remain the most common source for quality measurement today (Damberg et al., 2011)
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From page 249...
... An additional barrier to deriving accurate measures from claims data is that individual clinician experience for patients with a given condition (especially rare conditions) is limited by health plan enrollment.
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From page 250...
... One key consideration is that many of the existing technical specifications for measures fail to take advantage of the capabilities of new digital infrastructure, as the measures were designed for other data sources. One study found that measures designed for claims data can be adapted to be calculated from digital records, but the adapted measures do not take full advantage of the new data source, and information may be lost in the transition.
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From page 251...
... . Data on health care costs also are collected through routine surveys, including the AHA Annual Survey of Hospitals with IT supplement, the Medical Expenditure Panel Survey, and the Medicare Current Beneficiary Survey.
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From page 252...
... A conceptual challenge with assessing the extent to which the health care system aligns with patients' needs and values is uncertainty in how to measure the patient perspective, as well as how to assess patient involvement in health and health care. Multiple terms are used to describe this goal -- including patient satisfaction, patient experience, patient perception, and patient ratings -- with each term describing different but overlapping concepts.
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From page 253...
... While the domains of individual and community engagement includes priority areas such as shared decision making, self-care, and patient satisfaction, the perspective of the individual patient -- which includes all members of the public at some point in their lives -- was central to the Committee's selection of core measures across all four of the domains. In this way, the measure set is intended to frame measurement and improvement efforts around what matters most for the health of individuals, communities, and the nation.
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From page 254...
... The following list consolidates overarching themes from the literature on patient views of health care quality, along with specific descriptive concepts for each theme (Sofaer and Firminger, 2005)
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From page 255...
... People's Perspectives on Cost, Quality, and Value While views on health care quality vary significantly from patient to patient, surveys suggest that at the individual level, patients tend to view all health care organizations and clinicians as offering similar-quality care, or they believe that all care meets some minimum standard. This belief is due in part to a lack of transparency, the release of information that is difficult to understand, and the lack of standardization of measures.
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From page 256...
... 2012. Feasibility of evaluating the CHIPRA care quality measures in electronic health record data.
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From page 257...
... 2013. All-payer claims databases -- health cost containment.
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From page 258...
... 2007. Comparison of methodologies for calculating quality measures based on administrative data versus clini cal data from an electronic health record system: Implications for performance measures.
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Key Terms

  • claims data
  • health records
  • patient satisfaction
  • care quality
  • study found

  • population health
  • health record
  • care organizations
  • cost data
  • claims databases

  • quality measures
  • care data
  • care costs
  • care survey
  • care services

  • clinical care
  • care cost
  • administrative data
  • data source
  • patient views

  • record data
  • american journal
  • medicare current
  • beneficiary survey
  • quality measurement

  • current beneficiary
  • care health
  • own health
  • define health
  • health data


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