Public health reporting: the United States perspective.
Semin Cardiothorac Vasc Anesth
; 12(3): 191-202, 2008 Sep.
Article
in En
| MEDLINE
| ID: mdl-18805854
The release of 2 landmark reports by the Institute of Medicine titled, "To Err Is Human: Building a Safer Health System" and "Crossing the Quality Chasm" were instrumental in the identification of safety and quality issues. Since their release, federal and state programs of public reporting of performance measures have attempted to close the quality gap of care that is inappropriate, not timely, or lacking an evidence base. Cardiac surgery has long been the focus of public scrutiny, and now, as we move from an era of managed care to public reporting, reimbursement for cardiac surgery procedures will be tied to performance. However, the question is whether public reporting and pay for performance will ultimately improve the quality of patient care, safety, and provide the consumer with enough information to make surgeon and institutional choices. Will the cost and focus of achieving perfection with performance standards overshadow any real improvement in clinical outcomes?
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Public Health
/
Cardiac Surgical Procedures
Type of study:
Guideline
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Semin Cardiothorac Vasc Anesth
Journal subject:
ANESTESIOLOGIA
Year:
2008
Document type:
Article
Affiliation country:
United States
Country of publication:
United States