America's Health Insurance Plans, Washington, DC, USA.
Health Aff (Millwood). 2011 Apr;30(4):673-81. doi: 10.1377/hlthaff.2011.0070.
Quality measurement and reporting have emerged as important tools that providers, health plans, and other stakeholders can use to identify gaps in quality and focus resources on improving care. Yet identifying, measuring, and evaluating the care that physicians and other health care providers deliver is complicated by limited data, privacy concerns, and the challenge of trying to compare data from diverse sources. This article describes an effort to pilot-test in Florida and Colorado a consistent approach to individual physician performance measurement using data compiled from multiple health plans. Our approach could be used as the basis for making comparable performance information available nationwide. Additional efforts are needed to address key issues, including ways to effectively engage providers in the use of performance information.
质量测量和报告已经成为重要的工具，提供者、健康计划和其他利益相关者可以使用这些工具来识别质量差距，并集中资源改善护理。然而，由于数据有限、隐私问题以及试图比较来自不同来源的数据的挑战，确定、衡量和评估医生和其他医疗保健提供者提供的护理服务变得复杂。本文描述了在佛罗里达州和科罗拉多州使用来自多个健康计划的数据试点测试一种一致的个体医生绩效衡量方法的努力。我们的方法可以作为在全国范围内提供可比绩效信息的基础。需要进一步努力解决关键问题，包括如何有效地让提供者参与使用绩效信息。
