From the Quality Measurement Advisory Service (Messrs Shaller and Sharpe) and the Foundation for Health Care Quality (Mr Rubin), Seattle, Wash.
Concerted national action is needed to meet the growing demand for health
care quality information among all health care stakeholders. We propose a
coordinated national network of independent, public-private quality measurement
alliances established through strong purchaser and consumer leadership at
the state, regional, or local levels. These independent alliances could assume
a variety of organizational forms, but all would undertake specific quality
measurement and consumer information projects to meet local health care market
needs by drawing on various combinations of the emerging national standardized
quality measures. Local implementation of quality measures based on national
standards will facilitate cross-market benchmarking and multistate comparisons
useful not only to state and local market constituencies, but to national
employers, health plans, provider organizations, and the federal government
as well. Successful models of such alliances already exist that demonstrate
the feasibility of this national strategy, but concerted national leadership
and federal matching funding will be needed to meet the scope of implementation
required in markets across the country.
Shaller DV, Sharpe RS, Rubin RD. A National Action Plan to Meet Health Care Quality Information Needs in the Age of Managed Care. JAMA. 1998;279(16):1254–1258. doi:10.1001/jama.279.16.1254
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