What's Wrong With Healthcare Quality Measures? Part I
Here's Part 1 of my list.
1. There are too many rating systems.
There are too many types, methods, and brands of measurement systems. They're confusing the public and the providers who get scored. Some rating systems have evolved to a masterful marketing strategy that hospitals pay dearly for, and fail to explain to patients what it all means. Exactly what gets measured is often complicated and/or opaque:
- Truven Health Analytics' Top 100 Hospitals
- The Joint Commission's Top Performers
- U.S. News & World Report'sBest Hospitals
- Leapfrog Group's Safety Score
- Leapfrog Group's Survey
- Healthgrades' America's Best Hospitals
- Consumer Reports' Hospital Safety Ratings
- Hospital Compare
I have my favorites, but then I know what I'm looking for based on my likelihood of needing acute care. Hey, you know what, I changed my mind: The more the merrier. But these rating systems should make it much more clear what it is that they are measuring.
2. Ratings are often inaccurate.
Administrative data based on diagnostic codes for billing purposes, often called "claims" data, is what many measures within Medicare's reporting system are based on. But it's awfully inaccurate.
- Providers Lag as Consumers Set Agenda
- Look Beyond Nurse-Patient Ratios
- Esther Dyson Launches Population Health Challenge
- Reform Puts Vise Grips on Physicians
- Crisis Spurs Healthcare Payment Reform in Arkansas
- Hospital Groups Back NQF Report on Patient Sociodemographics
- ICD-10 Delay Alters Provider, Vendor Prep
- NPP Demand Rising Under Value-Based Care Models
- Medicare Opt-Out a Viable Physician Strategy
- Reduce Readmissions by Activating Patients to Do 'Self-Care'