title: Development of clinical indicators for performance measurement and improvement: an HMO/purchaser collaborative effort.
abstract: 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.
authors.affiliation: Tufts Health Plans, Inc., Waltham, MA 02254-9112.
authors.forename: M A
authors.initials: MA
authors.lastname: Bloomberg
authors.forename: H S
authors.initials: HS
authors.lastname: Jordan
authors.forename: K O
authors.initials: KO
authors.lastname: Angel
authors.forename: M H
authors.initials: MH
authors.lastname: Bailit
authors.forename: K J
authors.initials: KJ
authors.lastname: Goonan
authors.forename: J
authors.initials: J
authors.lastname: Straus
mesh_terms: 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