Setting standards at the forefront of delivery system reform: aligning care coordination quality measures for multiple chronic conditions.
J Healthc Qual
; 35(5): 58-69, 2013.
Article
in En
| MEDLINE
| ID: mdl-24004040
ABSTRACT
The primary study objective is to assess how three major health reform care coordination initiatives (Accountable Care Organizations, Independence at Home, and Community-Based Care Transitions) measure concepts critical to care coordination for people with multiple chronic conditions. We find that there are major differences in quality measurement across these three large and politically important programs. Quality measures currently used or proposed for these new health reform-related programs addressing care coordination primarily capture continuity of care. Other key areas of care coordination, such as care transitions, patient-centeredness, and cross-cutting care across multiple conditions are infrequently addressed. The lack of a comprehensive and consistent measure set for care coordination will pose challenges for healthcare providers and policy makers who seek, respectively, to provide and reward well-coordinated care. In addition, this heterogeneity in measuring care coordination quality will generate new information, but will inhibit comparisons between these care coordination programs.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Chronic Disease
/
Health Care Reform
/
Delivery of Health Care, Integrated
/
Quality Indicators, Health Care
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Healthc Qual
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
Year:
2013
Document type:
Article
Affiliation country:
United States