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High-Value Health Care Project

Getting to Higher Quality and Value in Health Care: The High-Value Health Care Project

Major gaps exist between the health care that people should receive and the care they actually receive. On average, Americans only receive recommended care a little over 50 percent of the time. But, despite more than three decades of documenting these gaps, and despite many efforts by various stakeholders, we have been unable to close most of them. Research also shows that health care quality and costs and patient outcomes differ significantly depending on where patients live, which doctors and hospitals provide their health care, and their racial/ethnic status.

Consistent information is needed so that better decisions can be made. Such information about the performance of doctors, hospitals and other health care providers, and health care results can help individuals, providers, and payers better evaluate and choose where to get care, how to improve it, and how to pay for it.

Through the High-Value Health Care Project (HVHC), the Engelberg Center is working to make sure consistent information becomes widely available to consumers, providers, and public and private payers of health care. Partner support is critical to this effort. HVHC is funded by the Robert Wood Johnson Foundation, and the Center is also working with America’s Health Insurance Plans’ Foundation and the American Board of Medical Specialties Research and Education Foundation in carrying out the work of the project.

HVHC worked to develop solutions to support the goals and objectives defined in the QASC strategic plan, or “roadmap,” including technologically sound, consensus-based, and efficient health care data aggregation and integration approaches that are aligned between the public and private sectors. Based on these approaches and coordination by the QASC, it is expected that nationally-consistent performance results will become more widely available and distributed as of 2010. The HVHC project also addressed measures costs and efficiency associated with 12 high-priority clinical conditions that consume a large share of health care resources. Finally, the project is focused on advancing equity in health care quality by developing recommendations for consistently collecting and using standard race/ethnicity identifiers to document and improve care for all racial and ethnic groups.