Med.Care Res.Rev., Vol. 41, No. 1 Suppl. (January 2003), pp. I48-I60.
BACKGROUND: Performance measures and reporting have not been adopted throughout the US health care system despite their central role in encouraging increased participation by consumers in decision-making. Understanding whether the failure of measurement and reporting to diffuse throughout the health system can be overcome is critical for determining future policy in this area. OBJECTIVES: To create a conceptual framework for analyzing the current rate of adoption and evaluating alternatives for accelerating adoption, and to recommend a set of concrete steps that can be taken to increase the use of performance measurement and reporting. RESEARCH DESIGN: Review of three theoretic models (Rogers, Prochaska/DiClemente, Gladwell), examination of the literature on previous experiences with quality measurement and reporting, and interviews with select stakeholders. FINDINGS: The three theoretic models provide a valuable framework for understanding why the use of performance measures is stalled ("the circle of unaccountability") and for generating ideas about concrete steps that could be taken to accelerate adoption. Six steps are recommended: (1) raise public awareness, (2) redesign measures and reports, (3) make the delivery of information timely, (4) require public reporting, (5) develop and implement systems to reward quality, and (6) actively court leaders. CONCLUSIONS: The recommended six steps are interconnected; action on all will be required to drive significant acceleration in rates of adoption of performance measurement and reporting. Leadership and coordination are necessary to ensure these steps are taken and that they work in concert with one another
RS Galvin, EA McGlynn
Using performance measurement to drive improvement: a road map for change
Medicaid News, Syndicated
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Mar 012011
Med.Care Res.Rev., Vol. 41, No. 1 Suppl. (January 2003), pp. I48-I60.
For the more than 39 million people currently on Medicare and the million plus who join each year, navigating the murky rules and regulations of health care coverage can be a full-time job. Not anymore. For ten years, Joan Harkins Conklin has guided people through the Medicare maze, and in this straightforward, comprehensive manual, she’ll show you how to sail through the Medicare bureaucracy to access the benefits you need and deserve. Getting doctor bills and hospital accounts paid quickly, making important decisions, knowing your rights, demanding refunds — it’s all here in the only reference that outlines the steps you and your family can take to optimize the program to your benefit. Written by an expert who fully understands the real-life difficulties in dealing with the health care system, Medicare for the Clueless debunks the myths, lays out the facts, and provides clear, efficient steps that put the power of Medicare in your own hands.
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There was strong advertising both for and against Carilion's new health plan. Carilion Clinic signed up 258 people for its new Medicare health plan, significantly fewer than the health system's initial enrollment goal. Carilion introduced the new insurance plan under the federal government's Medicare Advantage program in the fall with the initial hope of enrolling about 3,000 patients. But even ...
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