Performance Measurement in the Hospital Outpatient Setting. III. Findings from the Environmental Scan


In the discussion that follows, we summarize the results from our analysis of 2005 Medicare facility data for services paid through the hospital OPPS. The analyses were conducted to determine the most common reasons for visits in this setting, the most frequent and the most costly services/procedures rendered, as well as the drugs and biologicals that represented the largest share of costs in this setting. This analysis is a first step in determining which conditions and services/procedures might be suitable for measurement, given that they represent high volume or high costs to the Medicare program. We then present the results of our scan of existing measures, identifying those that could potentially be applied to the care delivered in the hospital outpatient setting. The discussion draws upon findings from our discussions with medical specialty societies and hospital associations.

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