Jun 28, 2018
Trying to propel the
U.S. health care system beyond measuring good technical quality of care, the
National Committee for Quality Assurance (NCQA) is launching a $2.1 million
initiative to measure person-centered outcomes.
“The future of quality
will be more outcomes-oriented,” says Bruce Chernof, M.D., president and CEO of
the SCAN Foundation — which, together with The John A. Hartford Foundation, is
funding NCQA’s ambitious project. “These quality metrics really are going to
underpin how we think about measuring quality in a value-based purchasing
environment.”
NCQA’s demonstration,
called the Person-Driven Outcomes Measures Project, is focusing on older adults
with complex care needs. NCQA-developed approaches will be used to collect
outcomes through a combination of person-reported outcome measures that will
frame goal parameters, track progress and perhaps revise goals over time.
The quality initiative
will run over the next three years. Information is being collected by case
managers in the demo’s first year using a digital application and via a web
portal — generating reports for patients and providers, along with summaries
for the medical record.
Overall, NCQA says the
demo will include 800-plus participants and roughly 30 clinicians across four
organizations, including Medstar Good Samaritan Hospital Center in Baltimore,
Priority Health in Grand Rapids, Mich., Kaiser Permanente Northwest in
Portland, Ore., and Community Health Plan of Washington.
“We do hope the
application could be used more broadly as a clinical tool to help improve
care,” says Erin Giovannetti, the project’s principal investigator and a senior
research scientist at NCQA. “In the future we hope the quality measures that we
calculate from using this approach…will become part of NCQA’s evaluation
products which could include HEDIS [Healthcare Effectiveness Data and
Information Set] or PCMH [Patient-Centered Medical Home] or another evaluation
program.”
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