1577 lines
65 KiB
HTML
1577 lines
65 KiB
HTML
<!DOCTYPE html>
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<meta http-equiv="X-UA-Compatible" content="IE=edge" />
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<meta charset="utf-8" />
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<meta property="og:title" content="Why Numbers and Graphs Aren't Enough" />
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<meta name="description" content="Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary. Quality Information Is New Someday, consumers may look at information on health care quality in the same way that they now look at data on automobile safety and gas mileage: No one needs to explain that vehicles differ or why consumers should care about those differences." />
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<title>Why Aren't Numbers and Graphs Sufficient for a Quality Report? | Agency for Healthcare Research and Quality</title>
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<div class="search-label search-label-pad">Search all AHRQ sites</div>
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data-toggle="collapse" data-target="#megamenu-container">
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<div class="col-12 collapse width" id="megamenu-container">
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<div class="row mm-nav-bottom-border">
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<li class="nav-item menu-item--collapsed" rel="3">
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<a href="/data/index.html" title="" class="nav-link" data-drupal-link-system-path="node/226309">Data & Analytics</a>
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<a href="/cpi/index.html" class="nav-link" data-drupal-link-system-path="node/183934">About</a>
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<li><a href="/research/findings/making-healthcare-safer/index.html">Making Healthcare Safer Report</a></li>
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<li><a href="/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Reports</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="//www.ahrq.gov/research/findings/nhqrdr/index.html">National Healthcare Quality and Disparities Report</a></h2>
|
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<ul>
|
||
</ul>
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<p>Latest available findings on quality of and access to health care</p></div>
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</section>
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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/fund-opps/index.html">Notice of Funding Opportunities</a></h2>
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<ul>
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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/policies/index.html">Research Policies</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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<li><a href="/funding/policies/informedconsent/index.html">AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research</a></li>
|
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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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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/priorities-contacts/index.html">Funding Priorities</a></h2>
|
||
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<ul>
|
||
<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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<div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/funding/training-grants/index.html">Training & Education Funding</a></h2>
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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/study-section/index.html">Study Sections for Scientific Peer 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>
|
||
<li><a href="/funding/grant-mgmt/nces.html">No-Cost Extensions (NCEs)</a></li>
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</ul></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/contracts/index.html">Contracts</a></h2>
|
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<ul></ul></div>
|
||
|
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</div>
|
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</div>
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</section>
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</div>
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</div>
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<div class="subnav-3-cols">
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<div class="mm-feature-block hide-on-mobile block block-block-content block-block-content2c2c02c4-73b7-406f-87ad-d4955489b2fd" id="block-block-content-2c2c02c4-73b7-406f-87ad-d4955489b2fd">
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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/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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<span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Why Aren't Numbers and Graphs Sufficient for a Quality Report?</span>
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<p>Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary.</p>
|
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||
<h2>Quality Information Is New</h2>
|
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<p>Someday, consumers may look at information on health care quality in the same way that they now look at data on automobile safety and gas mileage: No one needs to explain that vehicles differ or why consumers should care about those differences.</p>
|
||
|
||
<p>Sponsors of reports on health care quality, on the other hand, face several challenges:</p>
|
||
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||
<ul>
|
||
<li><b>Low level of awareness.</b> Most consumers aren’t familiar with quality information. The 2008 survey by the Kaiser Family Foundation found that only about 30 percent of the public has heard of any kind of comparative quality report being available.<sup><a href="#_ftn1" id="_ftnref1">[1]</a></sup></li>
|
||
<li><b>Low level of familiarity.</b> Of the 30 percent of people who were aware of this kind of information, only half of them had looked at it.</li>
|
||
<li><b>Limited understanding of the benefits.</b> Many consumers don't fully appreciate how objective, comparative information on health care quality can help them make better decisions for themselves and their families. Rather, they are accustomed to getting the information they think they need from people they trust, including family members, friends, and physicians. The job of report sponsors is not to replace these trusted sources, but to add new information to the decision-making mix.</li>
|
||
<li><b>Skepticism.</b> Many consumers are skeptical about the source of this kind of information, wondering whether it is just another form of advertising.</li>
|
||
</ul>
|
||
|
||
<h2>Quality Varies and Can Be Poor</h2>
|
||
|
||
<p>While many Americans are aware of problems in health care, more tend to focus on concerns about the costs of insurance and services, and difficulties in accessing care, rather than issues of quality and safety. Many continue to believe that we have “the best health care in the world.” Few are aware that nearly half the time, people don’t get the care that evidence indicates is best for their condition<sup><a href="#_ftn2" id="_ftnref2">[2]</a></sup> or that safety problems are so pervasive.<sup><a href="#_ftn3" id="_ftnref3">[3]</a></sup></p>
|
||
|
||
<p>This false optimism limits the motivation to look at quality reports. If everyone is doing a great job, why bother? Sadly, not everyone is doing a great job, and there are potentially serious consequences when people choose hospitals, physicians and other providers who are not. You need to highlight the variation in quality in order to encourage people to actually look at your report.</p>
|
||
|
||
<h2>Quality Information Is Complex</h2>
|
||
|
||
<p>Even in its simplest form, health care quality information is hard to comprehend and even harder to use. When you present quality data, you are asking readers to:</p>
|
||
|
||
<ul>
|
||
<li>Interpret a measure (often a numerical formula like a rate).</li>
|
||
<li>Understand what it says about a health care organization.</li>
|
||
<li>Recognize how it relates to quality.</li>
|
||
<li>Appreciate what it implies about the quality of care <b>they</b> may receive at a particular facility.</li>
|
||
</ul>
|
||
|
||
<p>Then they must repeat that stream of tasks for multiple measures across multiple organizations and make accurate comparisons across organizations. This is not easy to do—and it's even harder in the absence of material that offers a context for what they are doing.</p>
|
||
|
||
<p>Part of the problem is that the “mental model” that many consumers and patients have about quality is different from the “mental model” of health professionals. For example, while it is easy for the public to recognize the link between provider-patient communication and the quality of their experience of health care, it is hard for them to recognize the importance of using evidence-based clinical process measures as an aspect of quality that influences the outcomes they are likely to experience.</p>
|
||
|
||
<h2>Integrating and Applying Quality Information Can Be Difficult</h2>
|
||
|
||
<p>Even if someone understands each of your data displays, putting the scores from multiple measures together is a daunting cognitive task. This step requires recognizing patterns in the data: Who does best overall? Who does best on the things I care about most? These patterns are often hard to see, even by report sponsors and health care organizations.</p>
|
||
|
||
<p>Yet, this step is critical to making a choice. You have to help report users make decisions based on the information you provide or it is unlikely to be used even if it is understood.</p>
|
||
|
||
<p><a href="#_ftnref1" id="_ftn1"><sup>[1]</sup></a> Kaiser Family Foundation. 2008 update on consumers' views of patient safety and quality information. 2008 October 15. Available at: <a href="http://www.kff.org/kaiserpolls/posr101508pkg.cfm">http://www.kff.org/kaiserpolls/posr101508pkg.cfm</a>.<br>
|
||
<a href="#_ftnref2" id="_ftn2"><sup>[2]</sup></a> McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003 Jun 26;348(26):2635-45.<br>
|
||
<a href="#_ftnref3" id="_ftn3"><sup>[3]</sup></a> Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: building a safer health system. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academy Press; 1999. Available at <a href="http://books.nap.edu/openbook.php?record_id=9728">http://books.nap.edu/openbook.php?record_id=9728</a>.</p>
|
||
<hr>
|
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<h3>Also in "Explain and Motivate"</h3>
|
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|
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<ul>
|
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<li><b>Why Numbers and Graphs Aren’t Enough</b></li>
|
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<li><a href="/talkingquality/explain/communicate/index.html">Communicating Key Information Upfront</a></li>
|
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<li><a href="/talkingquality/explain/details.html">Providing Detail for Those Who Want It</a></li>
|
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<li><a href="/talkingquality/explain/share-info/index.html">Taking Advantage of the “Teachable Moment”</a></li>
|
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<li><a href="/talkingquality/explain/support/index.html">Supporting Consumers in Using the Information</a></li>
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<div id="page-reviewed" class="body-copy-italic">Page last reviewed November 2018 </div>
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<span class="citation-hdr">Internet Citation:</span> Why Aren't Numbers and Graphs Sufficient for a Quality Report?. Content last reviewed November 2018. Agency for Healthcare Research and Quality, Rockville, MD.<br>
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