Felt-Lisk Suzanne, Barrett Allison, Nyman Rebecca
Mathematica Policy Research, Inc., USA.
Health Care Financ Rev. 2007 Spring;28(3):5-16.
Transparency through public reporting of quality data is key to achieving the Institute of Medicine's (IOM) vision for 21st century health care. This article reviews the status of States' voluntary public reporting of Medicaid managed care (MMC) quality data, and analyzes these data. Twenty-one States, including 17 of the 20 largest managed care States, have made plan-level data publicly available online, although the data are sometimes thin, with few measures reported, hard-to-access, and old. We conclude that CMS could better leverage the power of public reporting for quality improvement (QI) by increasing the visibility of health plan employer data and information set (HEDISV) data that States already collect.
通过公开报告质量数据实现透明化是达成医学研究所（IOM）对21世纪医疗保健愿景的关键。本文回顾了各州自愿公开报告医疗补助管理式医疗（MMC）质量数据的现状，并对这些数据进行了分析。包括20个最大的管理式医疗州中的17个在内的21个州已在网上公开了计划层面的数据，不过这些数据有时内容单薄，报告的指标较少，难以获取且陈旧过时。我们得出结论，医疗保险和医疗补助服务中心（CMS）可以通过提高各州已经收集的健康计划雇主数据和信息集（HEDISV）数据的可见性，更好地利用公开报告的力量来促进质量改进（QI）。
