291 lines
20 KiB
HTML
291 lines
20 KiB
HTML
<!doctype html>
|
|
<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7" lang="en"> <![endif]-->
|
|
<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8" lang="en"> <![endif]-->
|
|
<!--[if IE 8]> <html class="no-js lt-ie9" lang="en"> <![endif]-->
|
|
<!-- Consider adding a manifest.appcache: h5bp.com/d/Offline -->
|
|
<!--[if gt IE 8]><!--> <html class="no-js" lang="en"> <!--<![endif]-->
|
|
<head>
|
|
<meta charset="utf-8">
|
|
|
|
<meta name="perc_linkback" id="perc_linkback" content="FmFgYGJseAdjeAFjZ2x4BmZnYHgTYWBgYmI="/> <!-- Use the .htaccess and remove these lines to avoid edge case issues. More info: h5bp.com/i/378 -->
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
|
|
<title>National Healthcare Quality Report: Update. Fact Sheet | AHRQ Archive</title>
|
|
<meta name="title" content="National Healthcare Quality Report: Update. Fact Sheet | AHRQ Archive">
|
|
<meta name="description" content="The National Healthcare Disparities Report (NHDR) tracks disparities in both quality of and access to health care in the United States for both the general population and for AHRQ's congressionally designated priority populations. This is the text version of the NHDR 2008 slide presentation.">
|
|
|
|
<!-- Mobile viewport optimized: h5bp.com/viewport -->
|
|
<meta name="viewport" content="width=device-width">
|
|
<!-- link rel="stylesheet" href="/css/style.css" -->
|
|
|
|
<!-- More ideas for your <head> here: h5bp.com/d/head-Tips -->
|
|
<!-- All JavaScript at the bottom, except this Modernizr build.
|
|
Modernizr enables HTML5 elements & feature detects for optimal performance.
|
|
Create your own custom Modernizr build: www.modernizr.com/ -->
|
|
<script src="/js/libs/modernizr-2.5.3.min.js"></script>
|
|
|
|
<!-- "metadata" -->
|
|
<meta name="keywords" content="Agency for Health Care Policy and Research, Agency for Healthcare Research and Quality, AHRQ, AHCPR, access, adverse outcomes, ambulatory care, benchmark, best practices, blood clots, CAHPS, case studies, chronic care, complication, conditions, Consumer Assessment of Health Plans, disparities, error, HAI, health cost, hepatitis, hospital procedure, health care-associated infections, indicators, infection, insurance, measures, medical errors, methodology, nursing, patient care, patient safety, performance measure, quality, study, survey, thrombosis, treatment, urgent care" />
|
|
<meta name="creator" content="Agency for Healthcare Research and Quality (AHRQ)">
|
|
<meta name="datecreated" content="October 2002">
|
|
<meta name="datereviewed" content="October 2014">
|
|
<meta name="language" content="en-us">
|
|
<!-- end="metadata" -->
|
|
<link rel="stylesheet" href="/css/archive.css">
|
|
<link rel="stylesheet" href="/css/ahrqstyleprint_arch.css" media="print">
|
|
<script>
|
|
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
|
|
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
|
|
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
|
|
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
|
|
|
|
ga('create', 'UA-75759936-1', 'auto');
|
|
ga(' set', 'anonymizeIp', true);
|
|
|
|
ga('send', 'pageview');
|
|
|
|
</script></head>
|
|
<body><!-- Google Tag Manager -->
|
|
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
|
|
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
|
|
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
|
|
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
|
|
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
|
|
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
|
|
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
|
|
<!-- End Google Tag Manager -->
|
|
<!-- Prompt IE 6 users to install Chrome Frame. Remove this if you support IE 6.
|
|
chromium.org/developers/how-tos/chrome-frame-getting-started -->
|
|
<!--[if lt IE 7]><p class=chromeframe>Your browser is <em>ancient!</em> <a href="http://browsehappy.com/">Upgrade to a different browser</a> or <a href="http://www.google.com/chromeframe/?redirect=true">install Google Chrome Frame</a> to experience this site.</p><![endif]-->
|
|
|
|
<!-- Add your site or application content here -->
|
|
<noscript>Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.</noscript>
|
|
<!-- Page Header v2.0 --><!--Begin Banner CodeS-->
|
|
<div id="ahrqbanner">
|
|
<div class="hhsportion" id="top" name="top">
|
|
<a class="skipnav" href="#h1">Skip Navigation</a>
|
|
<a title="Archive: U.S. Department of Health and Human Services" href="http://archive.hhs.gov/"><img border="0" alt="Archive: U.S. Department of Health and Human Services" src="/images/hhs_banner_arch.gif" width="376" height="49"></a>
|
|
<a class="hhsright" title="U.S. Department of Health and Human Services" href="http://www.hhs.gov/"><img alt="U.S. Department of Health and Human Services" src="/images/hhs_link_arch.gif" width="127" height="41"></a>
|
|
</div>
|
|
<div class="ahrqportion">
|
|
<a title="Archive: Agency for Healthcare Research Quality" href="/"><img border="0" alt="Archive: Agency for Healthcare Research Quality" src="/images/ahrq_banner_arch.jpg" width="566" height="69"></a>
|
|
<form id="banner_searchform" method="get" name="searchForm" action="https://search.ahrq.gov/search">
|
|
<label style="Z-INDEX: -1; POSITION: relative; FONT-SIZE: 0px; MARGIN-RIGHT: -65px" for="search">Search</label>
|
|
<input id="search" class="gotext" onfocus="this.value='';" value=" Search Archive" size="11" type="text" name="q" label="Search archive"/>
|
|
<input type="hidden" name="siteDomain" value="archive.ahrq.gov">
|
|
<input class="gobtn" onclick="javascript:document.searchForm.submit();" alt="Search" src="/images/topbn_GoButton.gif" type="image" name="Submit"/>
|
|
</form><a class="ahrqright" title="AHRQ Home—Live Site" href="http://www.ahrq.gov">www.ahrq.gov</a>
|
|
</div>
|
|
<div class="ahrqlinks">
|
|
<a href="https://www.ahrq.gov/">AHRQ Home—Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a>
|
|
</div>
|
|
</div>
|
|
<div id="PrintBanner"><img alt="Archival print banner" src="/images/printbanner_arch.jpg"/></div><a id="h1" name="h1"></a><!-- End of Page header -->
|
|
<!-- Content Body -->
|
|
<div id="mainContent">
|
|
<!-- Main Content -->
|
|
<!-- Center Content section -->
|
|
<table border="0" cellpadding="0" cellspacing="0" width="100%">
|
|
<tbody><tr valign="top">
|
|
<td width="70%">
|
|
<!-- Center Content section -->
|
|
<table style="margin-left: 10px; margin-right: 10px; margin-top: 5px;" summary="This table gives the layout format of the bread crumb area and the center content area." border="0" cellpadding="0" cellspacing="0" width="100%">
|
|
<!--DWLayoutTable-->
|
|
<tbody><tr>
|
|
<td class="crumb_link"><div id="crumbContent">
|
|
</span></p>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<div id="centerContent">
|
|
<div class="headnote">
|
|
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information.</p>
|
|
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p>
|
|
</div>
|
|
<!-- T:ahrqPgPublication -->
|
|
<div role="main" id="page-container">
|
|
<div id="breadcrumb-container">
|
|
<div id="breadcrumbs" class="container_12">
|
|
<!-- T:SnBreadcrumbs -->
|
|
|
|
|
|
|
|
</div>
|
|
</div>
|
|
<div id="toolbar-container">
|
|
<div id="pub-toolbar" class="container_12">
|
|
<div id="prev-next-buttons">
|
|
<span>Page 1 of 1</span>
|
|
</div>
|
|
<div id="pub-utility-buttons">
|
|
<ul id="utility-groups">
|
|
</ul>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div id="page-backdrop" class="container_12">
|
|
<div class="page">
|
|
<div id="left-col" class="alpha grid_3">
|
|
<nav id="left"><!-- T:SnleftNav -->
|
|
</nav> </div>
|
|
<!--<div id="content-col" class="grid_9">-->
|
|
<article class="grid_9">
|
|
<!-- Right Rail -->
|
|
<aside class="three-col">
|
|
<div id="pub-nums">
|
|
<ul>
|
|
<li>Publication # 03-P004</li> <li>Previous Publication # 02-P028</li> </ul>
|
|
</div>
|
|
<ul id="pub-buttons">
|
|
<li id="all-pubs-button"><a href="https://ahrqpubs.ahrq.gov/"></a></li>
|
|
</ul>
|
|
</aside>
|
|
<!-- Center Rail -->
|
|
<h1>National Healthcare Quality Report: Update. Fact Sheet</h1>
|
|
<div id="basic-modal"><!-- start: Basic Modal -->
|
|
|
|
<h2>Update on Current Status</h2>
|
|
|
|
<hr />
|
|
<p>Congress has given the Agency for Healthcare Research and Quality (AHRQ) a mandate to report annually to the Nation about health care quality. This fact sheet summarizes the design phase of the project and outlines the conceptual framework, quality measures, data sources, and audience research for the report.</p>
|
|
|
|
<p>Select for <a href="/research/findings/nhqrdr/nhqr02/premeasures.html">Preliminary Measure Set</a> / <a href="/research/findings/nhqrdr/nhqr02/nhqrprelim.html">Background on Preliminary Measures</a></p>
|
|
|
|
<hr />
|
|
<p>As part of P.L.106-129, the Agency for Healthcare Research and Quality (AHRQ) received a congressional mandate to produce an annual report to the Nation on health care quality. This National Healthcare Quality Report (NHQR) will include a broad set of performance measures that will be used to monitor the Nation's progress toward improved health care quality.</p>
|
|
|
|
<p>The NHQR is intended to serve a number of purposes, such as:</p>
|
|
|
|
<ul>
|
|
<li>Demonstrating the validity (or lack thereof ) of concerns about quality.</li>
|
|
|
|
<li>Documenting whether health care quality is stable, improving, or declining over time.</li>
|
|
|
|
<li>Providing national benchmarks against which specific States, health plans, and providers can compare their performance.</li>
|
|
</ul>
|
|
|
|
<p>The first report is due to Congress in fiscal year 2003, and subsequent reports will be delivered annually thereafter.</p>
|
|
|
|
<p>The project is being led by AHRQ with collaboration from the National Center for Health Statistics. An interagency work group will develop the final content and design of the report. Other members of the work group include the Office of the Assistant Secretary for Planning and Evaluation, the Centers for Disease Control and Prevention, the Centers for Medicare & Medicaid Services, the National Institutes of Health, and the Substance Abuse and Mental Health Services Administration.</p>
|
|
|
|
<p>AHRQ is currently in the design phase of the initiative. To date, work on the NHQR has proceeded in four areas:</p>
|
|
|
|
<ul>
|
|
<li>Developing a conceptual framework for reporting.</li>
|
|
|
|
<li>Identifying potential measures to populate the framework.</li>
|
|
|
|
<li>Identifying data sources for potential measures.</li>
|
|
|
|
<li>Initiating audience research on format and design options for the report.</li>
|
|
</ul>
|
|
|
|
<h2>Conceptual Framework</h2>
|
|
|
|
<p>AHRQ commissioned the Institute of Medicine (IOM) to develop a conceptual framework for the NHQR. The IOM formed a 14-member committee of leading experts in quality and quality measurement, chaired by Drs. William Roper and Arnold Epstein. The committee heard testimony from a wide variety of groups, including the National Forum for Healthcare Quality Measurement and Reporting, Foundation for Accountability, National Committee for Quality Assurance, Joint Commission on Accreditation of Healthcare Organizations, leading academic researchers, and international experts.</p>
|
|
|
|
<p>The committee has completed its work and recommended a conceptual framework that includes both dimensions of care (e.g., safety, effectiveness, patient-centeredness, timeliness, equity) and patient needs (e.g., staying healthy, getting better, living with illness or disability, coping with the end of life). The quality monitoring system developed for the NHQR will be organized around this framework.</p>
|
|
|
|
<h2>Measures</h2>
|
|
|
|
<p>AHRQ has formed an interagency work group to identify candidate measures for the report. This work group developed a "call for measures" that was sent to all relevant Federal agencies. The IOM initiated a complementary call for measures to the private sector. Measures identified through the work group's call to Federal agencies have been combined with measures identified by the IOM's call to the private sector to form a pool of candidate measures for the first report. The IOM identified criteria to evaluate candidate measures, which include importance, scientific soundness, and feasibility.</p>
|
|
|
|
<p>The work group is evaluating candidate measures using these criteria, with the aim of populating the reporting framework developed by the IOM. AHRQ anticipates that there will be adequate measures for some dimensions of the framework but that measures will be sparse for others. Areas where measures are sparse will help define AHRQ's future research agenda in quality measurement.</p>
|
|
|
|
<h2>Data Sources</h2>
|
|
|
|
<p>Existing data sources that might be used to support the NHQR are being identified. Potential sources fall into several categories, including population-based data collection efforts, establishment/provider-based data collection efforts, administrative/regulatory data collection efforts, vital statistics, and surveillance activities. Existing data sources are also being modified to better support the NHQR. For example, AHRQ is enhancing the <a href="/data/mepsix.htm">Medical Expenditure Panel Survey</a> by increasing the size and geographic spread of the sample and adding quality-related content. The first NHQR is expected to rely heavily on existing Federal databases. As time goes on, private data sources will likely take on added importance. AHRQ has begun a project looking at private-sector data that may be appropriate for the report.</p>
|
|
|
|
<h2>Audience Research</h2>
|
|
|
|
<p>AHRQ is conducting research to identify the needs of potential audiences for the report and to develop a report designed to meet those needs. There will be several rounds of research, including testing the general design, report organization, and presentation format.</p>
|
|
|
|
<p>AHRQ has also carried out a project to review existing reporting systems to inform the development of the NHQR. The purpose of the effort was to conduct a comprehensive literature search for information on quality reporting programs in the United States and internationally.</p>
|
|
|
|
<p>The information will be analyzed to see if there are common themes or best practices among other reporting entities. This input will be used to help design the NHQR prototypes that undergo audience testing. The focus of initial market research for the NHQR is on written products (a short report to Congress that highlights important findings and longer technical appendices that give detailed tables, the specifics of methodology, etc.). As time goes on, AHRQ plans to develop a Web-based product that will allow users to move down from national-level data to obtain detail on quality performance measures for population subgroups and smaller geographic areas (e.g., regions, States).</p>
|
|
|
|
<h2>For Further Information</h2>
|
|
|
|
<p>Please contact Dr. Ernest Moy, at (301) 427-1329, or by Email at <a href="mailto:Ernest.Moy@ahrq.hhs.gov">Ernest.Moy@ahrq.hhs.gov</a>.</p>
|
|
|
|
|
|
</div><!-- end: Basic Modal -->
|
|
<div class="current-as-of">Current as of October 2002</div>
|
|
<div class="citation">
|
|
<span>Internet Citation: National Healthcare Quality Report: Update. Fact Sheet.
|
|
October 2002. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr/factsheet.html</span>
|
|
<div class="citation-flag"></div>
|
|
</div>
|
|
</article>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<p> </p>
|
|
<div class="footnote">
|
|
<p> The information on this page is archived and provided for reference purposes only.</p>
|
|
</div>
|
|
<p> </p>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
</div><!-- End of Content Body -->
|
|
<!-- Footer graphic 1.2-->
|
|
<table border="0" cellSpacing="0" cellPadding="0" width="100%">
|
|
<tbody>
|
|
<tr>
|
|
<td background="/images/bottom_ahrq_bkg.jpg" width="125">
|
|
<img alt="AHRQ" src="/images/bottom_ahrq_1.jpg" width="125">
|
|
</td>
|
|
<td background="/images/bottom_ahrq_bkg.jpg" width="100%">
|
|
<img alt="" src="/images/bottom_ahrq_bkg.jpg" width="10" height="34">
|
|
</td>
|
|
<td background="/images/bottom_ahrq_bkg.jpg" width="310">
|
|
<img alt="Advancing Excellence in Health Care" src="/images/bottom_ahrq_2.gif" width="310" height="34">
|
|
</td>
|
|
</tr>
|
|
</tbody>
|
|
</table>
|
|
<!-- Footer links section -->
|
|
<div id="banner_Footer2">
|
|
<p>
|
|
<a href="https://www.ahrq.gov/">AHRQ Home</a> |
|
|
<a class="footer_navlink" href="https://info.ahrq.gov/cgi-bin/ahrq.cfg/php/enduser/std_alp.php">Questions?</a> |
|
|
<a class="footer_navlink" href="https://www.ahrq.gov/contact/index.html">Contact AHRQ</a> |
|
|
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/accessibility/index.html">Accessibility</a> |
|
|
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/privacy/index.html">Privacy Policy</a> |
|
|
<a class="footer_navlink" href="https://www.ahrq.gov/news/foia.htm">Freedom of Information Act</a> |
|
|
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html">Disclaimers</a> |
|
|
<a class="footer_navlink" href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html">Plain Writing Act</a>
|
|
<br/>
|
|
<a class="footer_navlink" href="http://www.hhs.gov">U.S. Department of Health & Human Services</a> |
|
|
<a class="footer_navlink" href="http://www.whitehouse.gov">The White House</a> |
|
|
<a class="footer_navlink" href="http://www.usa.gov">USA.gov: The U.S. Government's Official Web Portal</a>
|
|
</p>
|
|
</div>
|
|
<div id="banner_Footeraddress">
|
|
<p>
|
|
Agency for Healthcare Research and Quality <img alt="" src="/images/bottom_dot.gif"> 5600 Fishers Lane Rockville, MD 20857 <img alt="" src="/images/bottom_dot.gif">
|
|
Telephone: (301) 427-1364
|
|
</p>
|
|
</div>
|
|
<!-- End of Footer links section -->
|
|
|
|
<!-- JavaScript at the bottom for fast page loading: http://developer.yahoo.com/performance/rules.html#js_bottom -->
|
|
<!-- Grab Google CDN's jQuery, with a protocol relative URL; fall back to local if offline -->
|
|
<script src="//ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
|
|
<script>window.jQuery || document.write('<script src="js/libs/jquery-1.7.2.min.js"><\/script>')</script>
|
|
|
|
<!-- scripts concatenated and minified via build script -->
|
|
<script src="/js/plugins.js"></script>
|
|
<script src="/js/script.js"></script>
|
|
<script src="/scripts/javascript.js"></script>
|
|
<!-- end scripts -->
|
|
</body>
|
|
</html>
|