1585 lines
64 KiB
HTML
1585 lines
64 KiB
HTML
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<meta name="description" content="The general public may not have a clear “mental model” of healthcare quality, which can make it hard for them to understand your comparative report. To overcome these common barriers, you can provide a simple framework that will help people understand what your report addresses while deepening their understanding of quality. (Note about terminology: Health care professionals commonly refer to the “domains” of quality, but that’s not a term with meaning for consumers.)" />
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<title>Provide a Framework for Understanding Healthcare Quality | Agency for Healthcare Research and Quality</title>
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="//www.ahrq.gov/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Report</a></h2>
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<ul>
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||
</ul>
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<p>Latest available findings on quality of and access to health care</p></div>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/fund-opps/index.html">Notice of Funding Opportunities</a></h2>
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<ul>
|
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<li><a href="/funding/policies/nofoguidance/index.html">Notice of Funding Opportunity Guidance</a></li>
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|
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<li><a href="/funding/policies/hhspolicy/index.html">HHS Grants Policy Statement</a></li>
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<div class="content">
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<ul>
|
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<li><a href="/funding/priorities-contacts/special-emphasis-notices/index.html">Special Emphasis Notices</a></li>
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<li><a href="/funding/priorities-contacts/contacts/index.html">Staff Contacts</a></li>
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<div class="content">
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<ul></ul></div>
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</section>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/process/index.html">Grant Application, Review & Award Process</a></h2>
|
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<ul>
|
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<li><a href="/funding/process/grant-app-basics/index.html">Grant Application Basics</a></li>
|
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|
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<li><a href="/funding/process/dates/index.html">Application Deadlines & Important Dates</a></li>
|
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<li><a href="/funding/process/grant-app-basics/apptips.html">AHRQ Tips for Grant Applicants</a></li>
|
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<li><a href="/funding/process/mechanisms/index.html">Grant Mechanisms & Descriptions</a></li>
|
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<li><a href="/funding/process/review/index.html">Application Receipt & Review</a></li>
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<li><a href="/funding/process/award-process/index.html">Award Process</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/index.html">Post-Award Grant Management</a></h2>
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<ul>
|
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<li><a href="/funding/grantee-profiles/index.html">AHRQ Grantee Profiles</a></li>
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<li><a href="/funding/grant-mgmt/recognition_ahrq-funded_study.html">Getting Recognition for Your AHRQ-Funded Study</a></li>
|
||
<li><a href="/funding/grant-mgmt/grants-by-state.html">Grants by State</a></li>
|
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<li><a href="/funding/grant-mgmt/nces.html">No-Cost Extensions (NCEs)</a></li>
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<div class="content">
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/contracts/index.html">Contracts</a></h2>
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<ul></ul></div>
|
||
|
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</div>
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</section>
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</div>
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<div class="subnav-3-cols">
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<div class="content">
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|
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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/grant-mgmt/grants-by-state.html">AHRQ Grants by State</a></h2>
|
||
|
||
<ul>
|
||
</ul>
|
||
|
||
<p>Searchable database of AHRQ Grants</p></div>
|
||
|
||
</div>
|
||
</div>
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<h1 class="node__title">
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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Provide a Framework for Understanding Healthcare Quality</span>
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<div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p class="paragraph">The general public may not have a clear “mental model” of healthcare quality, which can make it hard for them to understand your comparative report. To overcome these common barriers, you can provide a simple framework that will help people understand what your report addresses while deepening their understanding of quality. (<strong>Note about terminology:</strong> Health care professionals commonly refer to the “domains” of quality, but that’s not a term with meaning for consumers.)</p>
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<h2>The Institute of Medicine (IOM) Framework</h2>
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<p class="paragraph">Many health professionals have adopted the IOM framework for health care quality, which refers to six “aims:” safety, effectiveness, timeliness, patient-centeredness, equity, and efficiency.<sup><a href="#_ftn1" id="_ftnref1">[1]</a></sup> This model is widely accepted as covering the issues that should be addressed in a comprehensive set of quality measures.</p>
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<h2>A Simplified Framework</h2>
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<p class="paragraph">Healthcare researchers have explored whether consumers are able to “map” various quality measures onto this framework. They are finding that it is a bit difficult unless the number of “aspects” is reduced and the language is simplified.</p>
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<p class="paragraph">Consumers seem to understand the following three phrases, which address virtually all of the measures likely to be included in a quality report:<sup><a href="#_ftn2" id="_ftnref2">[2]</a></sup></p>
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<ul class="tq_boxlist">
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<li>Care that protects patients from medical errors and does not cause harm (maps to safety).</li>
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<li>Care that is proven to work (maps to effectiveness, timeliness, and in some cases to efficiency).</li>
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<li>Care that is responsive to a patient’s needs and preferences (maps to patient-centeredness and equity).</li>
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</ul>
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<p class="paragraph">If your report includes measures in each of these areas, consider using this framework as an organizing principle for the report, and reporting your indicators within each of the categories. Ultimately, it would be desirable for consumers to expect and look for performance information within these three categories of quality.</p>
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<p class="paragraph">Even if your report does not include measures in each category, you can still use this framework. Your reporting program may expand and change over time, so an overarching framework that incorporates issues you may address in the future can be helpful for both your partners and users of the report.</p>
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<div class="tq_footnotes"><a href="#_ftnref1" id="_ftn1"><sup>[1]</sup></a> Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. To access this report online or to order a print copy, visit the Web site of the Institute of Medicine at <a href=" https://www.ncbi.nlm.nih.gov/books/NBK222278/"> https://www.ncbi.nlm.nih.gov/books/NBK222278/</a>.<br>
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<a href="#_ftnref2" id="_ftn2"><sup>[2]</sup></a> Hibbard J, Sofaer S. Best practices in public reporting: how to effectively present health care performance data to consumers. Rockville, MD: Agency for Healthcare Research and Quality. 2008.</div>
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<hr class="yellowhr">
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<h3>Also in "Communicating Key Information Upfront"</h3>
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<ul class="tq_boxlist_relatedlinks">
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<li><a href="/talkingquality/explain/communicate/reason.html">Give People a Reason To Look at the Report</a></li>
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<li><b>Provide a Framework for Understanding Quality</b></li>
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<li><a href="/talkingquality/explain/communicate/trust.html">Build Trust in the Report Sponsor</a></li>
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<li><a href="/talkingquality/explain/communicate/introduce.html">Introduce the Report Contents</a></li>
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<li><a href="/talkingquality/explain/communicate/get-people.html">Get People to the Data as Soon as Possible</a></li>
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<li><a href="/talkingquality/explain/communicate/story.html">Tell a Story To Engage Users</a></li>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed December 2022 </div>
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<div id="page-created" class="body-copy-italic">Page originally created February 2015</div>
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<span class="citation-hdr">Internet Citation:</span> Provide a Framework for Understanding Healthcare Quality. Content last reviewed December 2022. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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