Clinical quality measures should evolve into more broad-based, patient-centered assessments, according to an article by National Coordinator for Health IT Farzad Mostashari and two other HHS officials, <A href="http://www.fiercehealthit.com/story/mostashari-clinical–quality-measurement-system-needs-evolve/2013-06-06″ target=”_blank”>FierceHealthIT reports.
The article was published in the Journal of the American Medical Association (Durben Hirsch, FierceHealthIT, 6/6).Details of New Measures
Mostashari and his co-authors — CMS Chief Medical Officer Patrick Conway and Agency for Healthcare Research and Quality Director Carolyn Clancy — wrote that the new framework should be developed by “identify[ing] important [existing] measures” and “discontinu[ing] those of little value” (Brino, Government Health IT, 6/7).
The authors said that new quality measures should be:Based on population; Reoriented around patient-centered outcomes; and Realigned at individual, group or facility, and population levels, with feedback at each level.
The authors added that health IT would help facilitate such a framework (FierceHealthIT, 6/6).Priority Areas for New Framework
The authors said that the new framework should be established according to six priority areas identified in the Affordable Care Act-directed National Quality Strategy:Clinical care; Patient experience and engagement; Population and community health; Safety; Coordination; and Cost and efficiency (Government Health IT, 6/7).