By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Continuing the Campaign for Increased Quality Measurement
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > Continuing the Campaign for Increased Quality Measurement
FinancePolicy & LawPublic Health

Continuing the Campaign for Increased Quality Measurement

KennethThorpe
KennethThorpe
Share
4 Min Read
increased quality measurement
SHARE

March 13, 2014

March 13, 2014

This month’s supplement edition of Medical Care is devoted to a critically important topic facing the US healthcare system: how to better care for the growing number of people suffering from multiple chronic conditions (MCC). Almost $2 out of every $3 spent on healthcare is directed toward care for the 27 percent of Americans with multiple chronic conditions.

increased quality measurementMedical Care highlights the challenges we face, including the daunting gaps in understanding how to help patients improve and maintain their health. The researchers also suggest some ways forward to building the evidence base needed and how to bridge the many evidence gaps in helping people with MCC.

More Read

Innovating Medicaid for Healthcare Reform
How To Get Rid Of Belly Fat: The Roles Diet, Stress, And Exercise Play In Belly Fat Reduction (Part 4)
Can Criminal Records Keep Immigrants from Getting Healthcare?
6 Important And Powerful Benefits Of Custom Foot Orthotics
Health Insurers’ Rate Increases Being More Scrutinized

The authors, researchers from the Multiple Chronic Conditions (MCC) Research Network funded by the Agency for Healthcare Research and Quality (AHRQ), tackle different aspects of the challenges, but common themes are apparent. One issue that persists and is particularly relevant to current Medicare reform debates is the lack of meaningful measures to evaluate the quality of care for the MCC population. As many as 65 percent of the Medicare population has multiple chronic conditions and more than half has five or more chronic conditions. Though Medicare reform is needed, not being able to evaluate quality effectively for the majority of beneficiaries is a critical gap in the pursuit of reforms that benefit those served.

The Center for Medicare and Medicaid Innovation (CMMI) is running several new care financing and delivery models for Medicare, and proposing more. Whether Accountable Care Organizations, bundled payment reforms, episode-based payment reforms, or others, all rely on the maintenance or improvement in the quality of care as a safeguard for patients. Judging the maintenance or improvement in quality depends on the strength of the measures themselves, but as the AHRQ researchers consistently concluded, at this point, there is still a great need for “the development of meaningful, patient-centered outcome measures.”

Currently, CMMI is seeking information to assist in the development of episode-based payments of specialists treating Medicare beneficiaries with chronic medical conditions. Among the list of questions, CMMI asks for suggestions as to which quality measures it should use. But, as the research in Medical Care and HHS’s ongoing Strategic Initiative on Multiple Chronic Conditions demonstrates, we do not have the evidence base to support best practices in the treatment of multiple chronic conditions much less to measure it. Also absent is the even more fundamental question of whether paying based on an “episode of care” encourages providers to consider a patient’s needs holistically over time or to address the acute problem at hand.

Delivery system reforms are critically needed, and we should pursue models of care that promote better outcomes for patients. Focusing on the financing methods instead of the care models themselves, however, runs the risk of putting patients at odds with their providers. Quality measures are supposed to be the protection against a focus on cost over results. The strength of that protection depends on the strength of the measures, and current quality metrics for people with multiple chronic conditions are weak and largely non-existent.

Achieving better outcomes and building support for quality improvements in new payment models can only happen if we have the tools in hand to more accurately assess care and outcomes. Having transparency and facilitating input from stakeholders in the development of new payment models will help raise these issues and assist in the development of models that truly enhance the quality of care.

(multiple chronic conditions / shutterstock)

TAGGED:MCCmultiple chronic conditions
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

a woman walking on the hallway
6 Easy Healthcare Ways to Sit Less and Move More Every Day
Health
September 9, 2025
Clinical Expertise
Healthcare at a Crossroads: Why Leadership Matters More Than Ever
Global Healthcare
September 9, 2025
travel nurse in north carolina
Balancing Speed and Scope: Choosing the Nursing Degree That Fits Your Goals
Nursing
September 1, 2025
intimacy
How to Keep Intimacy Comfortable as You Age
Relationship and Lifestyle Senior Care
September 1, 2025

You Might also Like

pioneer ACOs
BusinessFinanceHealth ReformHospital AdministrationPublic Health

Pioneer ACOs: Some Say Risk Not Worth Reward

August 12, 2013
Cost transparency
BusinessFinanceHealth ReformHospital Administration

New ACA Provision Calls for Cost Transparency in Hospitals

May 3, 2014

Will 2015 Be the Breakout Year for mHealth?

December 19, 2014
catastrophic injury lawsuits
Policy & Law

Get a Legal Settlement to Cover Catastrophic Healthcare Bills

May 6, 2024
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?