Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs's Books

Performance Measurement

Accelerating Improvement

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Performance Measurement

Accelerating Improvement

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

Performance Measurement is the first in a new series of an ongoing effort by the Institute of Medicine (IOM) to improve health care quality. Performance Measurement offers a comprehensive review of available measures and introduces a new framework to examine these measures against the six aims of the health care system: health care should be safe, effective, patient-centered, timely, efficient, and equitable. This new book also addresses the gaps in performance measurement and introduces the need for measures that are longitudinal, comprehensive, population-based, and patient-centered. This book is directed toward all concerned with improving the quality and performance of the nation's health care system in its multiple dimensions and in both the public and private sectors.

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383

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National Academies Press

Published Date

ISBN 10

0309100070

ISBN 13

9780309100076

Medicare's Quality Improvement Organization Program

Maximizing Potential

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Medicare's Quality Improvement Organization Program

Maximizing Potential

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

Medicare's Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement Organization (QIO) program and its potential to promote quality improvement within a changing health care delivery environment that includes standardized performance measures and new data collection and reporting requirements. This book carefully examines the QIOs that serve every state as well as the national program that guides and supports them. In addition, it highlights the important roles that a national program with private organizations in each state can play in promoting higher quality care. Medicare's Quality Improvement Organization Program looks closely at the technical assistance role of the QIO program and the need to encourage and support providers to improve their performance. By providing an in-depth assessment of the federal experience with quality improvement and recommendations for program improvement, this book helps point the way for those who strive to create higher quality and better value in health care. Intended for multiple audiences, Medicare's Quality Improvement Organization Program is essential reading for members of Congress, the federal executive branch, the QIOs, health care providers and clinicians, and stakeholder groups.

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542

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National Academies Press

Published Date

ISBN 10

0309133696

ISBN 13

9780309133692

Rewarding Provider Performance

Aligning Incentives in Medicare

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Rewarding Provider Performance

Aligning Incentives in Medicare

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

The third installment in the Pathways to Quality Health Care series, Rewarding Provider Performance: Aligning Incentives in Medicare, continues to address the timely topic of the quality of health care in America. Each volume in the series effectively evaluates specific policy approaches within the context of improving the current operational framework of the health care system. The theme of this particular book is the staged introduction of pay for performance into Medicare. Pay for performance is a strategy that financially rewards health care providers for delivering high-quality care. Building on the findings and recommendations described in the two companion editions, Performance Measurement and Medicare's Quality Improvement Organization Program, this book offers options for implementing payment incentives to provide better value for America's health care investments. This book features conclusions and recommendations that will be useful to all stakeholders concerned with improving the quality and performance of the nation's health care system in both the public and private sectors.

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273

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National Academies Press

Published Date

ISBN 10

0309102162

ISBN 13

9780309102162

Accounting for Social Risk Factors in Medicare Payment

Criteria, Factors, and Methods

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Accounting for Socioeconomic Status in Medicare Payment Programs

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Accounting for Social Risk Factors in Medicare Payment

Criteria, Factors, and Methods

Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver. Accounting For Social Risk Factors in Medicare Payment: Criteria, Factors, and Methods is the third in a series of five brief reports that aim to inform ASPE analyses that account for social risk factors in Medicare payment programs mandated through the IMPACT Act. This report builds on the conceptual relationships and empirical associations between social risk factors and performance indicators used in value-based payment identified in the first report to provide guidance on which factors could be considered for Medicare accounting purposes, criteria to identify these factors, and methods to do so in ways that can improve care and promote greater health equity for socially at-risk patients.

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125

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National Academies Press

Published Date

ISBN 10

0309442931

ISBN 13

9780309442930

Accounting for Social Risk Factors in Medicare Payment

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Accounting for Social Risk Factors in Medicare Payment

Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver. Accounting For Social Risk Factors in Medicare Payment is the fifth and final report in a series of brief reports that aim to inform ASPE analyses that account for social risk factors in Medicare payment programs mandated through the IMPACT Act. This report aims to put the entire series in context and offers additional thoughts about how to best consider the various methods for accounting for social risk factors, as well as next steps.

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581

Publisher

National Academies Press

Published Date

ISBN 10

0309449200

ISBN 13

9780309449205

Performance Measurement

Accelerating Improvement

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Performance Measurement

Accelerating Improvement

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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383

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National Academies Press

Published Date

ISBN 10

0309100070

ISBN 13

9780309100076

Rewarding Provider Performance

Aligning Incentives in Medicare

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Rewarding Provider Performance

Aligning Incentives in Medicare

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Page Count

273

Publisher

National Academies Press

Published Date

ISBN 10

0309102162

ISBN 13

9780309102162

Medicare's Quality Improvement Organization Program

Maximizing Potential

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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Medicare's Quality Improvement Organization Program

Maximizing Potential

By: Institute of Medicine,Board on Health Care Services,Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

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542

Publisher

National Academies Press

Published Date

ISBN 10

0309133696

ISBN 13

9780309133692

For the Public's Health

Revitalizing Law and Policy to Meet New Challenges

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Public Health Strategies to Improve Health

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For the Public's Health

Revitalizing Law and Policy to Meet New Challenges

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Public Health Strategies to Improve Health

The Robert Wood Johnson Foundation asked the Institute of Medicine (IOM) to examine three topics in relation to public health: measurement, the law, and funding. IOM prepared a three book series-one book on each topic-that contain actionable recommendations for public health agencies and other stakeholders that have roles in the health of the U.S population. For the Public's Health: Revitalizing Law and Policy to Meet New Challenges is the second in the For the Public Health's Series, and reflects on legal and public policy reform on three levels: first, laws that establish the structure, duties, and authorities of public health departments; second, the use of legal and policy tools to improve the public's health; and third, the health effects of laws and policies from other sectors in and outside government. The book recommends that states enact legislation with appropriate funding to ensure that all public health departments have the mandate and the capacity to effectively deliver the Ten Essential Public Health Services. The book also recommends that states revise their laws to require public health accreditation for state and local health departments through the Public Health Accreditation Board accreditation process. The book urges government agencies to familiarize themselves with the public health and policy interventions at their disposal that can influence behavior and more importantly change conditions-social, economic, and environmental-to improve health. Lastly, the IOM encourages government and private-sector stakeholders to consider health in a wide range of policies (a health in all policies approach) and to evaluate the health effects and costs of major legislation. This book, as well as the other two books in the series, is intended to inform and help federal, state, and local governments, public health agencies, clinical care organizations, the private sector, and community-based organizations.

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140

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National Academies Press

Published Date

ISBN 10

0309305713

ISBN 13

9780309305716

Accounting for Social Risk Factors in Medicare Payment

Identifying Social Risk Factors

By: National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Accounting for Socioeconomic Status in Medicare Payment Programs

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Accounting for Social Risk Factors in Medicare Payment

Identifying Social Risk Factors

Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver. Accounting for Social Risk Factors in Medicare Payment: Identifying Social Risk Factors is the first in a series of five reports commissioned to provide input into whether socioeconomic status (SES) and other social risk factors could be accounted for in Medicare payment and quality programs. This report focuses on defining SES and other social factors for the purposes of application to Medicare quality measurement and payment programs.

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111

Publisher

National Academies Press

Published Date

ISBN 10

0309381274

ISBN 13

9780309381277

Child and Adolescent Health and Health Care Quality

Measuring What Matters

By: National Research Council,Institute of Medicine,Board on Health Care Services,Board on Children, Youth, and Families,Committee on Pediatric Health and Health Care Quality Measures

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Child and Adolescent Health and Health Care Quality

Measuring What Matters

By: National Research Council,Institute of Medicine,Board on Health Care Services,Board on Children, Youth, and Families,Committee on Pediatric Health and Health Care Quality Measures

Increasing public investments in health care services for low-income and special needs children and adolescents in the United States have raised questions about whether these efforts improve their health outcomes. Yet it is difficult to assess the general health status and health care quality for younger populations, especially those at risk of poor health outcomes, because the United States has no national information system that can provide timely, comprehensive, and reliable indicators in these areas for children and adolescents. Without such a system in place, it is difficult to know whether and how selected health care initiatives and programs contribute to children's health status. Child and Adolescent Health and Health Care Quality identifies key advances in the development of pediatric health and health care quality measures, examines the capacity of existing federal data sets to support these measures, and considers related research activities focused on the development of new measures to address current gaps. This book posits the need for a comprehensive strategy to make better use of existing data, to integrate different data sources, and to develop new data sources and collection methods for unique populations. Child and Adolescent Health and Health Care Quality looks closely at three areas: the nature, scope, and quality of existing data sources; gaps in measurement areas; and methodological areas that deserve attention. Child and Adolescent Health and Health Care Quality makes recommendations for improving and strengthening the timeliness, quality, public transparency, and accessibility of information on child health and health care quality. This book will be a vital resource for health officials at the local, state, and national levels, as well as private and public health care organizations and researchers.

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Page Count

281

Publisher

National Academies Press

Published Date

ISBN 10

0309225116

ISBN 13

9780309225113

Book's by Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs

Performance Measurement

Performance Measurement

Medicare's Quality Improvement Organization Program

Medicare's Quality Improvement Organization Program

Rewarding Provider Performance

Rewarding Provider Performance

Accounting for Social Risk Factors in Medicare Payment

Accounting for Social Risk Factors in Medicare Payment

Accounting for Social Risk Factors in Medicare Payment

Accounting for Social Risk Factors in Medicare Payment

Performance Measurement

Performance Measurement

Rewarding Provider Performance

Rewarding Provider Performance

Medicare's Quality Improvement Organization Program

Medicare's Quality Improvement Organization Program

For the Public's Health

For the Public's Health

Accounting for Social Risk Factors in Medicare Payment

Accounting for Social Risk Factors in Medicare Payment

Child and Adolescent Health and Health Care Quality

Child and Adolescent Health and Health Care Quality

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