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Standards for measures used for public reporting of efficiency in health care: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation.
Circulation 2008; 118(18):1885-93Circ

Abstract

The assessment of medical practice is evolving rapidly in the United States. An initial focus on structure and process performance measures assessing the quality of medical care is now being supplemented with efficiency measures to quantify the "value" of healthcare delivery. This statement, building on prior work that articulated standards for publicly reported outcomes measures, identifies preferred attributes for measures used to assess efficiency in the allocation of healthcare resources. The attributes identified in this document combined with the previously published standards are intended to serve as criteria for assessing the suitability of efficiency measures for public reporting. This statement identifies the following attributes to be considered for publicly reported efficiency measures: integration of the quality and cost; valid cost measurement and analysis; minimal incentive to provide poor quality care; and proper attribution of the measure. The attributes described in this statement are relevant to a wide range of efforts to profile the efficiency of various healthcare providers, including hospitals, healthcare systems, managed-care organizations, physicians, group practices, and others that deliver coordinated care.

Authors

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Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

18838567

Citation

Krumholz, Harlan M., et al. "Standards for Measures Used for Public Reporting of Efficiency in Health Care: a Scientific Statement From the American Heart Association Interdisciplinary Council On Quality of Care and Outcomes Research and the American College of Cardiology Foundation." Circulation, vol. 118, no. 18, 2008, pp. 1885-93.
Krumholz HM, Keenan PS, Brush JE, et al. Standards for measures used for public reporting of efficiency in health care: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation. Circulation. 2008;118(18):1885-93.
Krumholz, H. M., Keenan, P. S., Brush, J. E., Bufalino, V. J., Chernew, M. E., Epstein, A. J., ... Walsh, M. N. (2008). Standards for measures used for public reporting of efficiency in health care: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation. Circulation, 118(18), pp. 1885-93. doi:10.1161/CIRCULATIONAHA.108.190500.
Krumholz HM, et al. Standards for Measures Used for Public Reporting of Efficiency in Health Care: a Scientific Statement From the American Heart Association Interdisciplinary Council On Quality of Care and Outcomes Research and the American College of Cardiology Foundation. Circulation. 2008 Oct 28;118(18):1885-93. PubMed PMID: 18838567.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Standards for measures used for public reporting of efficiency in health care: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation. AU - Krumholz,Harlan M, AU - Keenan,Patricia S, AU - Brush,John E,Jr AU - Bufalino,Vincent J, AU - Chernew,Michael E, AU - Epstein,Andrew J, AU - Heidenreich,Paul A, AU - Ho,Vivian, AU - Masoudi,Frederick A, AU - Matchar,David B, AU - Normand,Sharon-Lise T, AU - Rumsfeld,John S, AU - Schuur,Jeremiah D, AU - Smith,Sidney C,Jr AU - Spertus,John A, AU - Walsh,Mary Norine, AU - ,, AU - ,, Y1 - 2008/10/06/ PY - 2008/10/8/pubmed PY - 2008/12/17/medline PY - 2008/10/8/entrez SP - 1885 EP - 93 JF - Circulation JO - Circulation VL - 118 IS - 18 N2 - The assessment of medical practice is evolving rapidly in the United States. An initial focus on structure and process performance measures assessing the quality of medical care is now being supplemented with efficiency measures to quantify the "value" of healthcare delivery. This statement, building on prior work that articulated standards for publicly reported outcomes measures, identifies preferred attributes for measures used to assess efficiency in the allocation of healthcare resources. The attributes identified in this document combined with the previously published standards are intended to serve as criteria for assessing the suitability of efficiency measures for public reporting. This statement identifies the following attributes to be considered for publicly reported efficiency measures: integration of the quality and cost; valid cost measurement and analysis; minimal incentive to provide poor quality care; and proper attribution of the measure. The attributes described in this statement are relevant to a wide range of efforts to profile the efficiency of various healthcare providers, including hospitals, healthcare systems, managed-care organizations, physicians, group practices, and others that deliver coordinated care. SN - 1524-4539 UR - https://www.unboundmedicine.com/medline/citation/18838567/Standards_for_measures_used_for_public_reporting_of_efficiency_in_health_care:_a_scientific_statement_from_the_American_Heart_Association_Interdisciplinary_Council_on_Quality_of_Care_and_Outcomes_Research_and_the_American_College_of_Cardiology_Foundation_ L2 - http://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.108.190500?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -