This two year project is an important
first step to fully understanding measurement for performance
improvement in medical groups. This exploratory research is
expected to set the stage for informing future research and policy
discussions, both of which could ultimately have a more direct
impact on providers, payers, and patients. As a critical first
step, however, this research breaks new ground in an important area
of health care research by looking at what the current landscape is
to better understand how medical groups are using measurement
internally to improve performance and what that means to them, and
how internal measurement relates to external measurement
obligations, and identifying where the gaps are. Project success
for this exploratory work will be seen in a more complete
understanding of the current landscape of performance measurement,
gleaned through an environmental scan, expert input, and
qualitative data collection. Ultimately, success will be measured
by our ability to answer the research questions stated below that
are guiding this research project. The overall goal of AHRQ’s
Measurement for Performance Improvement in Physician Practices
project is to identify the current gaps in our knowledge about how
practices are using data, if at all, for performance improvement.
AHRQ has developed this project to address the lack of current
evidence on internal performance measurement in medical groups,
identifying the following research questions: • What gaps exist in
the research literature regarding management for performance
improvement in medical groups? • What factors, both internal and
external, drive efforts to use measurement to improve medical group
performance? • How are measures used to support internal management
and improvement processes? • What additional activities support use
of internal performance measures? • How are internal performance
measures derived and reported? What specific measures, benchmarks,
and comparisons are used? • How have physicians responded to these
measurement processes? • What are the perceived benefits of
internal measurement activities? What types of costs and other
burdens are directly associated with internal measurement? How
feasible is it to specify actual costs of reporting? • What
implications does evidence on internal measurement for performance
improvement have for payers, policy makers, executives in delivery
systems, and clinical leaders?
US Code:
42 USC Sec. 299 Name of Law: Healthcare Research and Quality
Act of 1999
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