Information System Concepts for Quality Measurement

BACKGROUND: Health care information systems in use today frequently fall short of what is needed to meet the demands for data and reporting on performance. Many observers believe substantial improvements in information systems will be necessary if the potential of a national quality measurement and reporting system (NQMRS) is to be realized. A shared vision will facilitate progress in improving information systems. OBJECTIVES: To articulate a set of guiding principles and operational steps for the development of functional information systems in health care. RESEARCH DESIGN: Experience in building such systems for one health care delivery system was used to develop an approach. This was discussed with Strategic Framework Board members and integrated with other considerations for going from a local system to one that could accumulate information for national purposes. FINDINGS: The key elements of a functional information system include provisions that (1) data should be collected once, (2) aggregation of data for higher-level reports should be anticipated, (3) issues related to privacy and confidentiality must be addressed, and (4) measurement systems should include an audit standard. A seven-step process for developing a functional information system is outlined. CONCLUSIONS: A shared national measurement framework is essential because the data systems that health care delivery organizations use are not static. A long-term vision can guide the growth of a data system over time. An NQMRS can be the vehicle that provides the needed vision

Data science · Epistemology · Information retrieval · Quality (philosophy) · Computer Science · Electronic Health Records Systems · Medical Coding and Health Information · Philosophy · Trade Secret Protection Methods

• Introduction and Overview of the Conceptual Framework for a National Quality Measurement and Reporting System

  ELIZABETH A MCGLYNN•Medical Care•2003

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• A Research Agenda to Advance Quality Measurement and Improvement

  Sheila Leatherman, Sheila T Leatherman et al.•Medical Care•2003

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• Opportunities and Challenges for Comparative Effectiveness Research (CER) With Electronic Clinical Data

  Open Access•Erin Holve, Courtney Segal et al.•Medical Care•2012

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• Connections Between Quality Measurement and Improvement

  Donald M Berwick, Brent James et al.•Medical Care•2003

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• Information Technology as a Tool to Improve the Quality of American Indian Health Care

  Thomas D Sequist, Theresa Cullen et al.•American Journal of Public Health•2005

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• Connections Between Quality Measurement and Improvement

  Donald M Berwick, Brent James et al.•Medical Care•2003

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• Selecting Common Measures of Quality and System Performance

  ELIZABETH A MCGLYNN•Medical Care•2003

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• The Measurement of Quality of Care in the Veterans Health Administration

  JAY HALPERN•Medical Care•1996

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