Performance Measurement in the Hospital Outpatient Setting. Equity


Although there is widespread awareness of health disparities by population subgroups, our review did not identify any specific measures of equity. However, many existing measures could be applied and the results stratified by various sub-populations to determine where disparities are occurring and to focus attention on closing these gaps provided subgroup identifiers are in the data. The IOM has identified equity as a priority area for measure development (IOM, 2005), and the Robert Wood Johnson Foundation has issued a call for proposals in an effort to improve the understanding of how to measure equity and its role in promoting quality. Additionally, the National Academy of Social Insurance has made recommendation to CMS of ways in which it could strengthen its capacity to assess and address disparities (Vladeck et al, 2006).

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