Measuring and reporting managed care performance : Lessons learned and new initiatives.
Regenstrief Conference. Marshall, IN, USA, 1996/09/04.
Performance measurement has become increasingly popular in the health care delivery system of the United States.
Until recently, the hospital was the most commonly scrutinized setting.
With the expansion of managed care and the resulting compilation of large administrative databases, interest in performance measurement beyond the hospital setting has increased considerably.
In particular, the performance of health maintenance organizations is now being assessed and reported publicly.
The performance of individual physicians is also garnering considerable attention.
This paper summarizes some of the many developments in performance measurement in managed care.
The Health Plan Employer Data and Information Set (HEDIS) is described in the context of the national Report Card Pilot Project and with respect to local report card projects emerging around the United States.
The lessons learned are identified, particularly with respect to external auditing of HEDIS data.
Finally, the new initiatives of physician profiling and outcomes reporting are discussed.
Mots-clés Pascal : Soin intégré, Critère performance, Compte rendu, Carte contrôle, Audit, Echantillon censuré, Communication information, Expérience professionnelle, Relation médecin malade, Profilométrie, Article synthèse, Homme, Organisation santé, Informatique
Mots-clés Pascal anglais : Managed care, Performance requirement, Report, Control chart, Audit, Censored sample, Information communication, Professional experience, Physician patient relation, Profilometry, Review, Human, Public health organization, Computer science
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0053503
Code Inist : 002B30A04D. Création : 14/05/1998.