Development of clinical indicators for performance measurement and improvement: an HMO/purchaser collaborative effort.
This article describes a collaborative effort between a major health care purchaser, three area health maintenance organizations, and a state Medicaid agency to develop clinical indicators as the basis for a comparison database. Some of the difficulties in developing a "common yardstick" of quality and value are candidly discussed.
Bloomberg
M A
MA
Tufts Health Plans, Inc., Waltham, MA 02254-9112.
Jordan
H S
HS
Angel
K O
KO
Bailit
M H
MH
Goonan
K J
KJ
Straus
J
J
D003625:Data Collection; D003953:Diagnosis-Related Groups; D005544:Forecasting; D006264:Health Benefit Plans, Employee / Q000458:organization & administration / Q000592:standards*; D006265:Health Care Coalitions; D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000592:standards*; D008404:Massachusetts; D008484:Medicaid / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care / Q000639:trends; D014481:United States