Performance Improvement 2004. Leadership by Example: Coordinating Government Roles in Improving Health Care Quality


The final report, Leadership by Example: Coordinating Government Roles in Improving Health Care,” focuses on six government programs: Medicare, Medicaid, the State Children’s Health Insurance Program, the Department of Defense’s TRICARE and TRICARE for Life Programs (considered as one program), the Veteran’s Health Administration, and the Indian Health Service. The report finds many opportunities for improvement within and across these major health delivery programs. Current quality improvement efforts are hampered by a lack of consistency in performance measurement requirements within and across programs, the burden which the absence of standardized measures puts on providers, the lack of  a conceptual framework for selecting performance measures, a lack of computerized clinical data, the lack of a strong commitment to transparency and the availability of data in the public domain, and the  absence of a systematic approach to assessing the impact of quality improvement efforts. Its recommendations set forth an ambitious agenda which is characterized by a high degree of cross- department coordination. It stresses the importance of using a coordinating body such as the already existing Quality Interagency Task Force as a vehicle for coordination within the Federal Government and for collaboration with private sector groups such as the National Quality Forum, the Leapfrog Group, the National Committee for Quality Assurance, the Joint Commission on Accreditation of Healthcare Organizations, and the Foundation for Accountability.

PIC ID: 7894
Agency Sponsor: ASPE-OHP, Office of Health Policy 
Federal Contact: Taplin, Caroline, 202- 690-7906
Performer: Institute of Medicine, Washington, DC

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"pi_2004.pdf" (pdf, 713.01Kb)

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