The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

3216.0: Monday, November 17, 2003 - 1:32 PM

Abstract #70134

National Healthcare Quality Report: Challenges in the Use of Diverse Data Sources

Beth Kosiak, PhD and Edward Kelley, PhD. Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, 6011 Executive Blvd., Suite 200, Rockville, MD 20852, 301-594-1783, bkosiak@ahrq.gov

The National Healthcare Quality Report (NHQR) is a congressionally mandated annual report on the state of the nation's health care quality, due to Congress in September 2003. The Report relies on a broad set of existing performance measures to provide policymakers, providers, and the general public information about the nation's progress towards improved quality of care, help establish national benchmarks, and identify areas in need of improvement.

In conformance with a conceptual framework provided by the Institute of Medicine (IOM), national and state estimates have been produced from existing databases for over 140 measures in 9 condition areas (cancer, diabetes, heart disease, chronic kidney disease, HIV/AIDS, mental health-depression, maternal and child health, respiratory illness, and frailty in old age(nursing home and home health)) as well as in patient safety, patient-centeredness, timeliness, resource consumption, and overall health. In the course of producing these estimates, a number of issues related to the use of diverse data sources has arisen. These include the methods of data collection, the comparability of related measures within a condition, and the resultant challenges in the interpretation of results. Such concerns affect the assessment of state variation in performance on specific indicators within and across conditions, the variation in state and national estimates, and the determination of what is both clinically important and statistically significant. Because the report is embargoed until its September 2003 release to Congress, detailed data cannot yet be shared in this abstract, but will be in the public domain in time for the annual meeting in November.

Learning Objectives:

Keywords: Quality of Care, Quality Improvement

Related Web page: www.ahrq.gov

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Agency for Healthcare Research and Quality, Department of Health and Human Services, federal government
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

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The 131st Annual Meeting (November 15-19, 2003) of APHA