Public Health

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Introduction

The Office of Disease Prevention and Health Promotion (ODPHP) and the Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS) were interested in surveying state, local, and tribal organizations about their uses of two federal initiatives aimed at improving the health of the U.S. popu

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Conclusions

Overall, awareness of the initiatives was high among the target user groups, but the survey’s findings identified subgroups, such as tribes and small health organizations, where awareness could be increased. Users saw value in both HealthierUS and HP2010, but would prefer greater integration of the two initiatives by HHS. Both users & non-us

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Results: HP2010

Overall, 83 percent of the respondent organizations were aware of the initiative. All of the responding states, 84 percent of the local health organizations, and 60 percent of the tribal health organizations reported awareness of the initiative. Tribes were statistically less likely to be aware of the initiative compared to both local and state he

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Results: HealthierUS

Overall, awareness of the HealthierUS initiative was high, especially given that the program is in the early stages of implementation. Fifty-three percent of the 235 respondents reported that they were aware of the HealthierUS program. Of those 124 organizations aware of the HealthierUS initiative, slightly less than half, or 47 percent, reported

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Methods

This assessment included one mailed self-administered questionnaire (SAQ), which was sent to 301 members of state, local, and tribal health organizations. The survey’s response rate was 78 percent, resulting in a final sample of 235. Survey results were then summarized within and across organization type. The survey was designed to ascertain how

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Background

The Office of Disease Prevention and Health Promotion (ODPHP) and the Office of the Assistant Secretary for Planning and Evaluation (ASPE), U.S. Department of Health and Human Services (HHS) were interested in surveying state, local, and tribal organizations about their uses of two federal initiatives aimed at improving the health of the U.S. popu

Assessment of the Uses and Users of Healthier US and Healthy People 2010. Executive Summary

Assessment of the Uses and Users of Healthier US and Healthy People 2010

Prepared by: National Opinion Research Center (NORC) at the University of Chicago 1350 Connecticut Avenue, N.W., Suite 500 Washington, D.C. 20036 (202) 223-6040 Prepared for: Office of the Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services (HHS)

HUS-HP Users Assessment 9-29-05 (3).pdf
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Appendix 1 - Healthy People Final Quex.pdf
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Performance Measurement in the Hospital Outpatient Setting. Footnotes

1.Public Law 109-432, See Section 1833(t) of the Social Security Act. (December 20, 2006). 2.The data file that RAND obtained from CMS for analysis contained 2005 utilization data and 2007 payment rates. Thus all financial analyses contained in this report apply 2007 payment rates against 2005 utilization experience, and as such cannot be dire

Performance Measurement in the Hospital Outpatient Setting. References

ACOVE Investigators. The ACOVE-3 Quality Measurement Set for Vulnerable Elders. Journal of the American Geriatrics Society. In press. AQA. Defining Cost of Care Measures . Draft working paper accessed online at http://www.aqaalliance.org/may30meeting/PerformanceMeasurement/DefiningCostofCareMeasuresDraftforAQAMeeting05302007.doc on July 2007.

Performance Measurement in the Hospital Outpatient Setting. Appendix E: Description of Primary Developers of Candidate Measures

AMA/PCPI is a consortium convened by the AMA and comprised of over 100 national medical specialty and state medical societies, the Council of Medical Specialty Societies, the American Board of Medical Specialties and its member-boards, experts in methodology and data collection, the Agency for Healthcare Research and Quality (AHRQ, and CMS. It

Performance Measurement in the Hospital Outpatient Setting. Appendix D: Measures Potentially Relevant to the Hospital Outpatient Setting and Emergency Department

Measure Specialties Source of Measure Included in PQRI as of 6/1/07 Prevention/Screening: Breast Cancer Screening*+ PC¹, OB/GYN CMS/NCQA, AMA/PCPI, ICSI, ACOVE² Colorectal Cancer Screening*+ PC, Gastroenterology NCQA, AMA/PCPI, ICSI, ACOVE

Performance Measurement in the Hospital Outpatient Setting. Appendix C: Diagnoses Associated with Visits to the Hospital Outpatient Setting and Emergency Departments by Medicare Beneficiaries, 2005

In the following table, the key clinical categories listed are organized alphabetically and represent 100 percent of the primary diagnoses associated with Evaluation & Management (E&M) visits in the Hospital Outpatient Setting and Emergency Departments. Within each clinical category, we present more detailed diagnostic groups that account

Performance Measurement in the Hospital Outpatient Setting. Appendix B: List of Organizations Included in Environmental Scan Discussions

Medical Specialty Societies American College of Surgeons American Society of Clinical Oncology American Academy of Orthopaedic Surgeons American Academy of Ophthalmology American College of Emergency Physicians American Gastroenterological Association American College of Cardiology American College of Radiology American College

Performance Measurement in the Hospital Outpatient Setting. Appendix A: Additional Measures Under Consideration for Inclusion in Hospital Outpatient Quality Data Reporting Program (HOP QRDP)

Number Measure Source 1 Type 1 or 2 Diabetes Mellitus: Low Density Lipoprotein Control NCQA 2 Type 1 or 2 Diabetes Mellitus: High Blood Pressure Control NCQA 3 Screening for Fall Risk AMA/PCPI 4 New Episode of Major Depression: Antidepressant Medication During Acute Phase NCQA 5

Performance Measurement in the Hospital Outpatient Setting. Next Steps for Consideration

Due to the limited resources for this project, the work completed here should be viewed as a preliminary assessment that requires follow-on work to fully flesh out how to apply existing performance measures in this setting and where the most important measurement gaps are for guiding the use of resources in the future. As measurement efforts in

Performance Measurement in the Hospital Outpatient Setting. Study Limitations and Considerations for Future Analysis and Measurement Development

This study constitutes an initial assessment of the hospital outpatient measurement landscape. We identify several limitations that could be addressed by additional analytic work to flesh out the best opportunities for performance measurement in the hospital outpatient setting:

Performance Measurement in the Hospital Outpatient Setting. V. Conclusions

The passage of the Tax Relief and Health Care Act of 2006 (TRHCA), which requires hospitals serving Medicare beneficiaries to report hospital outpatient quality data to secure their full Outpatient Prospective Payment System (OPPS) fee schedule update, has precipitated a need to identify performance measures applicable to the hospital outpatient s

Performance Measurement in the Hospital Outpatient Setting. Challenges in Performance Measurement

In addition to identifying the need for additional measures, our synthesis and gap analysis underscored several challenges related to the operational aspects of measurement from the vantage point of the hospital, including:

Performance Measurement in the Hospital Outpatient Setting. Timeliness

Measures are lacking to assess the turnaround times for the provision of care and for diagnostic tests being performed. As discussants noted, the OFMQ has developed ED measures that assess the timing of AMI care; more measures are needed that address the timing of care related to other diagnoses in the ED, as well as in the HOPS.

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