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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.

Publication ,  Journal Article
Krumholz, HM; Keenan, PS; Brush, JE; Bufalino, VJ; Chernew, ME; Epstein, AJ; Heidenreich, PA; Ho, V; Masoudi, FA; Matchar, DB; Normand, S-LT ...
Published in: Circulation
October 28, 2008

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.

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Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

October 28, 2008

Volume

118

Issue

18

Start / End Page

1885 / 1893

Location

United States

Related Subject Headings

  • United States
  • Quality of Health Care
  • Public Health Informatics
  • Outcome Assessment, Health Care
  • Humans
  • Health Policy
  • Cardiovascular System & Hematology
  • Cardiology
  • American Heart Association
  • 4207 Sports science and exercise
 

Citation

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Krumholz, H. M., Keenan, P. S., Brush, J. E., Bufalino, V. J., Chernew, M. E., Epstein, A. J., … American College of Cardiology Foundation, . (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), 1885–1893. https://doi.org/10.1161/CIRCULATIONAHA.108.190500
Krumholz, Harlan M., Patricia S. Keenan, John E. Brush, Vincent J. Bufalino, Michael E. Chernew, Andrew J. Epstein, Paul A. Heidenreich, 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 118, no. 18 (October 28, 2008): 1885–93. https://doi.org/10.1161/CIRCULATIONAHA.108.190500.
Krumholz HM, Keenan PS, Brush JE, Bufalino VJ, Chernew ME, Epstein AJ, Heidenreich PA, Ho V, Masoudi FA, Matchar DB, Normand S-LT, Rumsfeld JS, Schuur JD, Smith SC, Spertus JA, Walsh MN, American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, American College of Cardiology Foundation. 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):1885–1893.

Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

October 28, 2008

Volume

118

Issue

18

Start / End Page

1885 / 1893

Location

United States

Related Subject Headings

  • United States
  • Quality of Health Care
  • Public Health Informatics
  • Outcome Assessment, Health Care
  • Humans
  • Health Policy
  • Cardiovascular System & Hematology
  • Cardiology
  • American Heart Association
  • 4207 Sports science and exercise