Developing a Framework and Research Agenda for Overuse and Appropriateness Measur

制定过度使用和适当性衡量标准的框架和研究议程

• 批准号: 7713899
• 负责人: L Gregory PAWLSON
• 金额: $ 4.7万
• 依托单位: NATIONAL COMMITTEE FOR QUALITY ASSURANCE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7713899
• 关键词: Developing; Framework; Research; Agenda; Overuse

DESCRIPTION (PROVIDED BY APPLICANT): There is emerging consensus that measures of quality and resource use/cost are critical to efforts to improve the value of healthcare services. Amid the seemingly inexorable rise of health care costs, increasing attention is being focused on waste and inefficiency. In its seminal report, Crossing the Quality Chasm, the Institute of Medicine included efficiency as one of the six critical aims for the health care system. The IOM defined efficiency as benefit derived per unit of cost, or cost for a given level of benefit, and placed a strong focus on measuring and eliminating waste, overuse and misuse. More recently, the National Priorities Partnership (NPP), coordinated by the National Quality Forum (NQF), issued a very cogent and well articulated roadmap identifying overuse and waste as one of the most prominent and compelling measurement needs facing the health care system. The National Committee for Quality Assurance (NCQA), in collaboration with the American Medical Association (AMA)-convened Physician Consortium for Performance Improvement(r) (PCPI) and in consultation with others including NQF, proposes to convene a working meeting to address the measurement gaps in overuse and appropriateness of care. The goals of the meeting and related activities are: 1) To create a framework to guide the development and implementation of measures of overuse and appropriateness in practice settings for both internal quality improvement and external reporting in conjunction with other measures of quality. 2) To identify, using the NPP priorities as a starting point, specific content areas for initiation of measure development as well as potential sites or organizations for future testing and implementation of measures. This project will complements AHRQ's current interest areas related to health information technology (HIT), comparative effectiveness and prevention/management of complex patients. As a result of the conference, we will prepare an issue brief intended for publication that will outline a framework for measuring appropriateness of care and overuse, identify priorities for measure development, and suggesting solutions for overcoming implementation barriers. Additionally, the issue brief will highlight needs for future research. The proposed conference date is May 2009.

描述（由申请人提供）：有新兴的共识，即质量和资源使用/成本的度量对于提高医疗服务价值的努力至关重要。在卫生保健成本似乎无法避开的上升中，越来越多的关注集中在浪费和效率低下。在其开创性的报告中，跨越了质量的鸿沟，医学研究所将效率作为六个关键目标之一。 IOM将效率定义为每单位成本或给定收益水平的成本的收益，并强烈专注于衡量和消除废物，过度使用和滥用。最近，由国家质量论坛（NQF）协调的国家优先合作伙伴关系（NPP）发布了非常有力且明确的路线图，以确定过度使用和浪费是卫生保健系统面临的最杰出和最引人注目的测量需求之一。全国质量保证委员会（NCQA）与美国医学协会（AMA）的绩效改善（R）（PCPI）（PCPI）以及包括NQF在内的其他人协商的医师协会合作，建议召集一次工作会议，以解决过度使用和适应性的护理性测量差距。会议和相关活动的目标是： 1）创建一个框架，以指导和实施实践环境中过度使用和适当性的措施，以与其他质量衡量标准一起进行内部质量改进和外部报告。 2）要确定，使用NPP优先级作为起点，启动度量开发的特定内容领域以及潜在的站点或组织以将来测试和实施措施。 该项目将补充AHRQ与健康信息技术（HIT）有关的当前利益领域，复杂患者的比较有效性和预防/管理。会议的结果是，我们将准备一份旨在出版的问题摘要，该简介将概述衡量护理和过度使用的框架，确定衡量衡量标准的优先级，并建议解决实施障碍的解决方案。此外，问题摘要将突出未来研究的需求。拟议的会议日期是2009年5月。