What Type of Quality Information do Consumers Want in a Health Care Report Card?

Hibbard, Judith H.; Jewett, Jacquelyn J.

doi:10.1177/107755879605300102

Cited by 121 publications

(84 citation statements)

References 6 publications

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“…The data could help ombudspersons learn about systemic problems; assist regulatory agencies in performing oversight; aid accrediting organizations in evaluating health maintenance organizations; and help individuals select their health plans. 14 …”

Section: Limitations Of Independent Reviewsmentioning

confidence: 99%

New Standards For Medical Review Organizations: Holding Them And Health Plans Accountable For Their Decisions

Rodwin

2011

Health Affairs

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Most states have laws that allow patients to appeal to an independent review organization when their health plan or insurer deems a service unnecessary or experimental and denies coverage. The Affordable Care Act requires the Department of Health and Human Services to develop standards for these independent review organizations. The standards can help hold review organizations and health plans accountable for their decisions and also can facilitate the evaluation of emerging therapies and technologies as well as coverage policy. To this end, the department should require health plans and independent review organizations to report basic information, including what medical issues and contested therapies were the subject of appeals, and the grounds for their decisions.

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Section: Limitations Of Independent Reviewsmentioning

confidence: 99%

New Standards For Medical Review Organizations: Holding Them And Health Plans Accountable For Their Decisions

Rodwin

2011

Health Affairs

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“…Survey data indicate that consumers want wide choice among doctors and hospitals, low cost, and unimpeded access to their caregivers; they do not ask for information about quality, health outcomes, or rates of errors. 30 Neither public nor private purchasers of care have used their purchasing power to demand high quality, preferring to focus their efforts on obtaining low prices. Some voices from the purchaser community (such as the Leapfrog Group) are calling for greater attention to quality.…”

Section: Barriers To Changementioning

confidence: 99%

Improving Quality, Minimizing Error: Making It Happen

Becher¹,

Chassin²

2001

Health Affairs

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Medical errors and the quality problems to which they lead harm millions of Americans each year. If we are to reduce errors and improve quality substantially, we must create systems and care processes that anticipate inevitable human errors and either prevent them or compensate for them before they cause harm. Formidable barriers now stand in the way of progress. Success will require a multifaceted strategy, including public education, government investment and regulation, payment system restructuring, and leadership from within the delivery system. C onc er n a b ou t m ed ic al er r or s is running high in the wake of an Institute of Medicine (IOM) report. Print and electronic media have sustained coverage; state and federal lawmakers have debated proposed legislation; and the Clinton administration took executive action to mobilize federal health programs to respond to the problem.1 However, As Lawrence Altman put it in the New York Times, "Doctors have amputated the wrong leg...for centuries."2 Quality has been a major focus of concern in health care for several decades. How should we fit the recent discourse about medical errors into the larger issue of health care quality? How big a problem is the harm done by medical errors? In this paper we explore these questions, consider how health care would have to change for errors to occur far less often, discuss the barriers to such change, and identify five directions for policies that might accelerate it.

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“…12,13 Consumers are perceived as seeking information regarding health care quality. [14][15][16] Measures of quality are neither uniformly accepted nor universally available. [17][18][19] Health care providers have been shown to provide incomplete or inaccurate quality information.…”

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confidence: 99%

Information superhighway or billboards by the roadside? An analysis of hospital web sites

Zingmond¹

2001

Western Journal of Medicine

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ⅷ Objectives To determine the prevalence of hospital web sites, the types of information provided within these sites, and the relationship of information to institutional characteristics. ⅷ Design Online search of hospital web sites over a 6-week period in late 1999. Web sites were abstracted for content. Bivariate comparisons were made of hospital profit status and ownership or operation by a multihospital network. ⅷ Participants California acute care hospitals and their web sites. ⅷ Main outcome measures Operation of web sites and web site content. ⅷ Results Among 390 California hospitals, 242 (62%) had easily identifiable web sites, 59 (15%) had no web sites, and 89 (23%) had sites identified only after telephone follow-up. Hospitals without sites were more likely not-for-profit, small, rural, or unaffiliated. The presentation of information was inconsistent, although most (93%) provided basic contact information. Many hospitals provided health content information (70%) or mentioned health classes (65%), but few guaranteed the quality of this information. Patient care features (online health profiles, risk identification, e-mail) were infrequent (13%) and rudimentary. Product advertising was frequent (54%) but was often nonhealth-related and unobtrusive. Of the 36% of hospitals that reported information on quality, few of the designated measures were valid and reliable measures of quality. Overall, 21% of hospitals reported accreditation (Joint Commission on Accreditation of Healthcare Organizations) status, and for-profit hospital web sites were more likely to report this accreditation. ⅷ Conclusion Consumers should be aware of current limitations in using information on hospital web sites. In the future, hospitals may better realize the potential of web sites for the delivery of health care information and patient care.

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What Type of Quality Information do Consumers Want in a Health Care Report Card?

Cited by 121 publications

References 6 publications

New Standards For Medical Review Organizations: Holding Them And Health Plans Accountable For Their Decisions

New Standards For Medical Review Organizations: Holding Them And Health Plans Accountable For Their Decisions

Improving Quality, Minimizing Error: Making It Happen

Information superhighway or billboards by the roadside? An analysis of hospital web sites

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