Medicare data show gap in hospital performance, perception

From our international work on outcome measures, we would like to bring your attention to this (click to read the full article)  interesting study by USA today of Medicare data:

The focus on relevant outcome measures is a key part of improving health care delivery (see also Quality-based selection of hospitals for Transcatheter Heart Valve Interventions and the symposium we organized about the results of this study ). Process measures, structure measures, different types of cost measures, quality measures, medically relevant patient outcome measures, patient reported outcome measures, health economic measures and patient perception and satisfaction measures have all been  intertwined. This strongly obscures effective decision making in healthcare. In our work and with the collaborations with Prof Porter (Outcome Measures project ) and others the opion is that medically relevant patient outcomes should be the yard stick for decision making.

Whether patient perception and satisfaction measures (client measures) can be used as valid  indicators to get insight in the quality of health outcomes has been debated for some time now. The study of the Medicare data suggests at least to take extreme care in assuming a relationship.

Please feel free to contact us personally to discuss this topic and the possible opportunities for your organization.

ir. Maarten Koomans
Paul van der Nat
prof. dr. Fred van Eenennaam

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