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Measuring Health Care Quality: Obstacles and Opportunities

The health market is highly fragmented in Europe, with different public health policies in Member States. To sustain the competitiveness of the health sector, it is necessary to improve the framework conditions for business to innovate 20 : creating the single EU Patent and a specialised Patent Court, harmonising the regulatory framework, improving access of SMEs to Intellectual Property Protection. In 2011 complementary actions are foreseen with an emphasis on valorisation of research results, as well as the networking of major research institutions participating in the Health Theme to coordinate dissemination actions. Furthermore, for health promotion and disease prevention, brokerage actions are. | 1 May 2004 Workgroup on Quality National Committee on Vital and Health Statistics Measuring Health Care Quality Obstacles and Opportunities Contents Executive Summary 2 Summary Matrix 5 1. Introduction 12 2. The Quality Workgroup Initiative 13 Project Goal and approach 13 Overview of findings 17 3. Specific Findings and Candidate Recommendations 24 Assessing health care and health outcomes 24 Reducing disparities in health and health care 33 Building the data and information infrastructure to support quality 35 Balancing patients interests in quality and confidentiality 41 4. Relevant Private and Public Sector Initiatives 43 5. Next Steps for the Quality Workgroup 51 Appendix Panel topics dates and panelists 2 EXECUTIVE SUMMARY Efforts to improve health care in the United States can succeed only when those working toward that goal are equipped with accurate complete and timely information on important health care processes and outcomes. This precondition of quality health care has been the focus of a lengthy study by the National Committee on Vital and Health Statistics NCVHS the statutory public advisory body on the information needs underlying health policy. The Committee offers the present report as a summary of its findings and candidate recommendations and as a platform for a new stage of consultation and collaboration in which it hopes to engage key stakeholders in determining how best to move forward. The Quality Workgroup Initiative The National Committee established the Quality Workgroup QWG in 1998 to take the lead in the Committee s work on health data issues affecting quality measurement and improvement. The Workgroup organized 17 panel presentations over a four-year period enabling the Committee to talk with more than 40 experts about the challenges of developing health care quality measures implementing quality measurement and improvement projects and using comparative performance data to drive quality improvement. This report is based on the .