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quality-of-care measures

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Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 761–796.
Published: 01 August 2015
... the effects on populations with disproportionate health care needs. As the focus of quality initiatives may change from year to year, measures should be periodically revisited to ensure continued improvement and sustainability. Finally, we suggest quality measures that regulators could use prior to...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1982) 7 (1): 254–270.
Published: 01 February 1982
...: Cost Control Measures Versus Imperatives for Expansion Bernard J. Redly, Widener University and Jerome S. Legge, Jr., University of Georgia Abstract. As the costs of the American health care system escalate, there is a tendency to identify the biggest cost item and attempt to...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1994) 19 (3): 555–582.
Published: 01 June 1994
... Assessment Index (QAI) for Measuring Nursing Home Quality. Health Services Research 25 : 97 -128. Harrington , C. , and J. H. Swan. 1987 . The Impact of State Medicaid Nursing Home Policies on Utilization and Expenditures. Inquiry 24 : 157 -72. HCFA (Health Care Financing Administration...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2006) 31 (3): 473–496.
Published: 01 June 2006
...Peter J. Hammer The American health care system embodies a complex amalgamation of fractured and conflicting parts. As such, any call to enhance quality or competition necessarily presupposes some ability to introduce greater harmony and coordination. But how does one make a complicated system work...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2009) 34 (4): 649–670.
Published: 01 August 2009
... together is to form coalitions, such as the Leapfrog Group, a consortium of large employers that have joined together to promote improvements in health care quality. Leapfrog measures hospital performance on five measures of quality and has begun a program in which members are allowed to reward...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2006) 31 (4): 773–810.
Published: 01 August 2006
...David G. Stevenson Publicizing quality information has been used as a quality improvement strategy in the acute care sector for more than a decade. Despite research showing mixed results of these efforts, publicly reporting quality measures is currently being pursued as a quality improvement...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 675–696.
Published: 01 August 2016
... that such surveys are reliable, valid, correlated across individuals and settings with other quality indicators, and predictive of better outcomes. Patient experiences are now routinely measured, and substantial effort is being devoted to providing high-quality patient-centered care. Providing patient...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2004) 29 (1): 11–42.
Published: 01 February 2004
... process, some contend litigation merely causes quality problems by diverting financial resources away from patient care, and some argue that litigation is duplicating the efforts of the inspection process. Given that the relationship between litigation and inspection-oriented measures of quality is not...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1989) 14 (3): 523–547.
Published: 01 June 1989
... system was successful in shifting nursing home service away from light-care and toward heavy-care patients. Furthermore, the shift occurred without inducing readily measurable declines in quality of care and with little additional administrative cost (partly because the state built its case-mix system on...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 595–631.
Published: 01 April 1997
... managed care into Medicare, and reviews evidence from the program’s experience with HMOs on financial savings, benefit coverage, and quality of care. This evidence raises concerns regarding the ability of HMOs to provide adequate care for chronically ill Medicare patients. Moreover, there is considerable...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1990) 15 (2): 357–385.
Published: 01 April 1990
... addicts seeking care. Low salary levels have limited the quality of public treatment services, and the absence of resources has hindered the development of programs that respond to new technical developments and drug abuse problems, such as the crack epidemic. Despite severe resource...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 147–184.
Published: 01 February 1997
... information on quality of care (Arrow 1963; Epstein 1995). Consequently, there are significant ongoing efforts, such as the efforts by the NCQA and FACCT, to develop objective quality measures and to combine this with price information in a report card or a Consumer Reports–type evaluation (Epstein 1995...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2016) 41 (5): 1033–1045.
Published: 01 October 2016
...-based purchasing (VBP) is a widely favored strategy for improving the US health care system. VBP takes a variety of forms, but its underlying logic holds that payers should do more than pay for services. Rather, they should distinguish high-quality from low-quality services and reward purveyors of the...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 717–742.
Published: 01 August 2016
... pressures, payment reforms, and changing organizational arrangements for medical care, policy makers have grown less attentive to the topic, focusing instead on the measurable—evidence-based performance metrics, pay for performance, selective contracting, and public reporting of quality metrics—to induce...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2008) 33 (5): 861–881.
Published: 01 October 2008
... measure the relative racial access to nursing-home care, the segregation index measures the degree of persis- tence of racial separation of homes providing care to African Americans and Caucasians, and our quality measures assess the effect of this separa- tion on the receipt of unequal care. We...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 353–378.
Published: 01 June 2002
..., may be giving a misleading picture of the relative quality of care pro- vided to HMO and non-HMO enrollees. Measures Table 4 lists the ten subjective assessments of health care and health care providers we investigated. Survey respondents answered these questions using five-point ratings...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 561–593.
Published: 01 August 2007
..., F. Gesten, and K. Shure. 2006 . Quality Measurement in Medicaid Managed Care and Fee-for-Service: The New York State Experience. American Journal of Medical Quality 21 : 185 -191. Rothman, D. J. 1991 . Strangers at the Bedside: A History of How Law and Bioethics Transformed Medical...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1989) 14 (4): 797–816.
Published: 01 August 1989
... general distinction can be made. Quality of care is usually associated with the “medical model” of nursing homes as health care institutions similar to hos- pitals. Measures of quality of care generally focus on the availability and training level of the caretakers, the technical expertise with...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2008) 33 (2): 249–279.
Published: 01 April 2008
... begin examining and changing their current practices to reduce the occurrence of undesirable clinical events, increase the rate of functional improvement, and improve quality of life. So far the range of measures of care quality has been limited to those obtained from the clinical information...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 697–716.
Published: 01 August 2016
... demonstration, and fourteen conventional care settings. David Mechanic was an important member of the national advisory committee, contributing invaluable advice to the study, design, and measure of patient and family quality of life. After a three-year study in which thousands of dying cancer patients...