An Evidence-Based National Quality Measurement and Reporting System
Medical CarePublished 1 January 2003
Elizabeth A. McGlynn
Citations43
SJR quartileQ1
SJR score1.57
SNIP1.38
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
How evidence serves as a foundation for a national quality measurement and reporting system (NQMRS) and to consider the different types of evidence that will be used are described and the role of the NQM RS in adding to the evidence base is explored.
Abstract
An evidence-based NQMRS will require substantial leadership from government and private entities. The gains from a greater focus on evidence are expected to be found in accelerating QI. Reliance on evidence-based approaches should not be used to stifle innovation.
Keywords
Social SciencesMedicine
BMJEvidence based medicine: what it is and what it isn't
15,683 Citations1996David L. Sackett, William Rosenberg +3 more
As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is andWhat it is not.
BMJCrossing the Quality Chasm: A New Health System for the 21st Century
10,744 Citations2001Alexi Baker
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
New England Journal of MedicineThe Effect of Spironolactone on Morbidity and Mortality in Patients with Severe Heart Failure
8,985 Citations1999Bertram Pitt, Faı̈ez Zannad +6 more
Blockade of aldosterone receptors by spironolactone, in addition to standard therapy, substantially reduces the risk of both morbidity and death among patients with severe heart failure.
Survey of AnesthesiologyThe Effect of Spironolactone on Morbidity and Mortality in Patients with Severe Heart Failure
2,936 Citations2000Bertram Pitt, Faı̈ez Zannad +6 more
JAMAThe Public Release of Performance Data
835 Citations2000Martin Marshall, Paul G Shekelle +2 more
There are several potential gains from the public disclosure of performance data, but use of the information by provider organizations for quality improvement may be the most productive area for further research.
Medical CareConnections Between Quality Measurement and Improvement
566 Citations2003Donald M. Berwick, Brent C. James +1 more
The barriers to the use of information to motivate change include the lack of skill, knowledge, and motivation on the part of those who could drive change by using data to choose from among competing providers, and the deficiencies in organizational and professional capacity in health care to lead change and improvement itself.
National Academies Press eBooksEnvisioning the National Health Care Quality Report
349 Citations2001Margarita P. Hurtado
JAMAWhen Is It Cost-effective to Change the Behavior of Health Professionals?
212 Citations2001James Mason
PEDIATRICSQuality Improvement Methods in Clinical Medicine
203 Citations1999Paul E. Plsek
How clinicians can use basic methods of quality improvement to impact the clinical practice of medicine are described and four habits are believed to be essential for health care organizations and individual clinicians to adopt to bring about real improvement in the clinicalpractice of medicine.
Health Services ResearchStrategies for Reporting Health Plan Performance Information to Consumers: Evidence from Controlled Studies
186 Citations2002Judith H. Hibbard, Paul Slovic +2 more
Presenting quality data in a more evaluable format increases the weight it carries in consumer decisions, indicating that every change made in the presentation of comparative data has the potential to influence decisions.
Medical CareSelecting Common Measures of Quality and System Performance
117 Citations2003Elizabeth A. McGlynn
Focusing attention on the information necessary to stimulate progress on national goals provides a compelling framework for the choice of a common set of measures.
Medical Care Research and ReviewWhat Cognitive Science Tells Us about the Design of Reports for Consumers
107 Citations2002Mary E. Vaiana, Elizabeth A. McGlynn
Based on their review, the authors develop some general principles for presenting information and demonstrate their utility by assessing three Web sites that report performance data.
International Journal of Technology Assessment in Health CareFormat and Conduct of Consensus Development Conferences
99 Citations1990Elizabeth A. McGlynn, Jacqueline Kosecoff +1 more
It is concluded that improvements in the process by which consensus conferences are conducted may be warranted and more scientific methods for synthesizing literature, such as meta-analysis, should be used in developing inputs for the conference panel.
Medical CareIntroduction and Overview of the Conceptual Framework for a National Quality Measurement and Reporting System
75 Citations2003Elizabeth A. McGlynn
An NQMRS is essential for the nation to make improvements in quality and the work here presents a first step in designing such a system.
Medical CareEstablishing National Goals for Quality Improvement
39 Citations2003Elizabeth A. McGlynn, Christine K. Cassel +3 more
Developing a set of national goals for quality improvement is a key activity for a national quality measurement and reporting system to undertake and the steps outlined here represent a feasible and productive method for accomplishing this objective.
Medical CareA Research Agenda to Advance Quality Measurement and Improvement
27 Citations2003Sheila Leatherman, Judith H. Hibbard +1 more
To achieve a sustainable research agenda, three strategic issues will have to be addressed: the policy rationale for theResearch agenda, adequate levels of public-sector funding, and sustainability in a rapidly changing environment.