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The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
Simultaneously, the National Cancer Policy Board and the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry published similar reports. [ 1 ] After the positive response to To Err Is Human , which focused purely on patient safety, IOM decided to publish a second, more comprehensive report focused on ...
Benchmarking is the practice of comparing business processes and performance metrics to industry bests and best practices from other companies. Dimensions typically measured are quality, time and cost .
This is an accepted version of this page This is the latest accepted revision, reviewed on 9 December 2024. Economic sector focused on health An insurance form with pills The healthcare industry (also called the medical industry or health economy) is an aggregation and integration of sectors within the economic system that provides goods and services to treat patients with curative, preventive ...
In medicine and medical statistics, the gold standard, criterion standard, [1] or reference standard [2] is the diagnostic test or benchmark that is the best available under reasonable conditions. [3] It is the test against which new tests are compared to gauge their validity, and it is used to evaluate the efficacy of treatments. [1]
In the healthcare industry, pay for performance (P4P), also known as "value-based purchasing", is a payment model that offers financial incentives to physicians, hospitals, medical groups, and other healthcare providers for meeting certain performance measures. Clinical outcomes, such as longer survival, are difficult to measure, so pay for ...
Benchmarking is sometimes referred to as 'post-stratification' because of its similarities to stratified sampling.The difference between the two is that in stratified sampling, we decide in advance how many units will be sampled from each stratum (equivalent to benchmarking cells); in benchmarking, we select units from the broader population, and the number chosen from each cell is a matter of ...
Health services research (HSR) became a burgeoning field in North America in the 1960s, when scientific information and policy deliberation began to coalesce. [1] Sometimes also referred to as health systems research or health policy and systems research (HPSR), HSR is a multidisciplinary scientific field that examines how people get access to health care practitioners and health care services ...