Commentary: A call to leadership: the role of the academic medical center in driving sustainable health system improvement through performance measurement

Academic Medicine : Journal of the Association of American Medical Colleges
Susan M Nedza

Abstract

As the government attempts to address the high cost of health care in the United States, the issues being confronted include variations in the quality of care administered and the inconsistent application of scientifically proven treatments. To improve quality, methods of measurement and reporting with rewards or, eventually, penalties based on performance, must be developed. To date, well-intentioned national policy initiatives, such as value-based purchasing, have focused primarily on the measurement of discrete events and on attempts to construct incentives. While important, the current approach alone cannot improve quality, ensure equitability, decrease variability, and optimize value. Additional thought-leadership is required, both theoretical and applied. Academic medical centers' (AMCs') scholarly and practical participation is needed. Although quality cannot be sustainably improved without measurement, the existing measures alone do not ensure quality. There is not enough evidence to support strong measure development and, further, not enough insight regarding whether the existing measures have their intended effect of enhancing health care delivery that results in quality outcomes for patients. Perhaps the only way tha...Continue Reading

Citations

Dec 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Naama Neeman, Niraj L Sehgal
Jul 31, 2012·The American Journal of Medicine·Naama NeemanMark D Aronson
Feb 2, 2011·Journal of the American Academy of Dermatology·Wendy Smith BegolkaKarl R Beutner
Dec 17, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Naama Neeman, Niraj L Sehgal
Sep 17, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·John GaleGeorge Shaler

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