Key Issues in Choosing a Quality
Measurement Strategy
In her discussion of quality measurement at the September 1998 SCHIP Workshop, presenter Lisa
Simpson reviewed key issues in choosing a quality measurement strategy, which are
summarized below.
There are three basic dimensions to consider in choosing a quality measurement
strategy:
- Accountability. Who is responsible for quality?— the health plans?
the providers?
| |
Provider |
Health Plan |
State/Community |
| Structure |
· % weekend hrs,
· days wait for WCC |
· # pediatricians
· health plan stability |
· % plans accredited
· educational campaigns |
| Process |
· % immunized
· treated w/respect |
· % immunized
· asthma care
· lead screening
· % injury counseling |
· % immunized
· EPSDT rates
· HIV education
· care for CSHN
· lead screening |
| Outcome |
|
· preventable hospitalizations |
· school absenteeism
· injury rate
· % LBW |
- Time frame. Short- versus long-term. Will quality measurements be used
for year-to-year monitoring or to plan longer term improvements?
- Method. Standardization versus innovation. Although standardization
facilitates comparison across States, differences between States and their SCHIP
populations may necessitate innovative quality measures.
Related
Questions
Give me an overall
context
Give me more details
Show me some lessons
learned
Show me other SCHIP
Workshop presenter-suggested strategies
Who presented this material?
|
Monitoring/Eval 
