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Performance measures that address the time­liness, effectiveness, and appropriateness of care often focus on clinical processes rather than clinical outcomes. This is because neces­sary sources of clinical data – such as electronic reports of laboratory, radiology, and pathology findings – have not been readily accessible for performance measurement.

OVERVIEW: Health care equity is key to health care quality. It is well documented that racial and ethnic minorities suffer disproportionately from increased rates of disease and poor health status in the United States. They are also subject to disparities in the quality of treatment they receive, even when insurance coverage and socioeconomic status are similiar. 

Integrating lab results with other sources of data, such as claims and other contextual, clinical patient health information, has the potential to significantly increase the data’s usefulness with regard to decision-support and care management improvement, and performance and population health management. Such integration could allow for better care planning and management, and produce useful feedback for physicians to improve care.

OVERVIEW: Poor health care quality impacts employers financially in two major areas — direct costs of health care and indirect costs related to absenteeism, turnover, and reduced productivity. Also, studies have also shown that members of racial/ethnic minority groups disproportionately experience lower-quality health care than Whites. Identifying these gaps in quality and disparities in care and designing appropriate interventions should lead to both short- and long-term savings for employers.

OVERVIEW:  The Massachusetts Health Care Quality and Cost Council last year was faced with the challenge of implementing a state requirement for race/ethnicity data reporting by health plans. The Engelberg Center provided technical support for this effort by developing consistent data collection and reporting protocols for all plans in the state.

The Montgomery County Hospital Care Equity Initiative recently partnered with the Summit Health Institute for Research and Education, Inc. (SHIRE) to develop a community engagement report examining several issues related to race/ethnicity data collection and disparities reporting among area hospitals and community organizations. A final report - available in mid-October - will serve as a tool to Montgomery County hospitals and the surrounding community striving to develop effective interventions for health and health care disparities.

Performance measurement and public reporting have been identified as potential levers to improve health care quality and reduce costs.

It is a well-known fact that the United States spends more on health care each year than any other nation — a stunning $2.4 trillion.  While much of this care has important benefits for health, Americans generally do not receive the highest quality care possible, often leading to significantly worse health and preventable costs.  According to the 2008 National Healthcare Quality Report from the Agency for Healthcare Research and Quality, “despite promising improvement in select areas, the health care system is not achieving the more substantial strides needed to close

By the year 2050, racial and ethnic minorities are projected to comprise a majority of the U.S. population; however, health and health care disparities are also increasing between majority and minority populations. In order to stem this trend, accurate data collection methods must advance in order for health care equity to ultimately increase across all race/ethnicity groups. Read More

The QASC appoints work groups to carry out assignments or projects with specific deliverables and milestones that support the goals of the QASC, and three work groups are currently focusing on a wide array of issues.