Newsletter Sign-Up

Keep up to date with NPC news and events by signing up for our e-newsletter E.V.I.dently, and our CER Daily Newsfeed.

Subscribe POLICY

Minding the Gaps in Quality Measurement: A Conversation With Discern Health’s Dr. Tom Valuck

February 24, 2015

The U.S. Department of Health and Human Services (HHS) announced in January that its target is to have “30% of Medicare payments tied to quality or value through alternative payment models by the end of 2016, and 50% of payments by the end of 2018.” Accountable care organizations—in which health care providers are accountable for the quality and cost of the care they deliver to patients—are among the programs targeted for this value-based payment expansion, and their payments will likely be tied to quality measures.

Given the HHS mandate, it’s clear that measuring the quality and cost of health care is an integral part of accountable care, but it also will be important to shed light on gaps in measurement and missed opportunities to promote improvement in patient care and health systems. That’s why the National Pharmaceutical Council (NPC), working with Discern Health and health care thought leaders, undertook research to examine measurement gaps and offer solutions for addressing those gaps, particularly for specialty care and innovative treatment.

Discern Health Partner Dr. Tom Valuck outlines the key findings from that research, noting that an important step is to overcome barriers to the use of quality measures, such as finding data sources and efficiently collecting measure information, and using feedback loops to understand an organization’s progress. He also says that selecting the most impactful measures, such as clinical, cross-cutting and patient-reported outcomes, can improve measure sets for accountable care programs.

Dr. Valuck says that measures should be fit for purpose; using a layered approach to measurement, or one in which different, but related, measures are used at the population, system and provider levels can help to form a larger picture of quality for an organization.

It isn’t possible to accurately assess outcomes for certain types of patients, especially cancer patients who might have more individualized treatments that are not easily measured. In those situations, Dr. Valuck suggests using a modular approach to quality measurement, in which specific subpopulations would be identified to allow for a more granular view of quality and costs for that group.

Dr. Valuck emphasizes that simply adding more measures to fill quality gaps is not the solution. Instead, he encourages a more strategic, targeted approach toward addressing quality measurement challenges.

Dr. Valuck will join NPC on February 26 at 12:30 pm ET for a webinar, “Mind the Gap: Improving Quality Measurement in Accountable Care Systems,” to discuss the research and potential solutions to quality measure gaps. In addition, Dr. Kate Goodrich, director, Quality Measurement and Health Assessment Group, Centers for Medicare and Medicaid Services, will provide insight into how CMS identify priorities for measurement and work with stakeholders to address measure gaps, and Dr. Mark McClellan, director, Health Care Innovation of Value Initiative, Brookings Institution, will discuss how accountable care systems can use quality measures to balance financial incentives. Kimberly Westrich, vice president, health services research, NPC, will moderate the discussion.

Register for the free webinar on NPC’s website.

Blog Post

Medication Management in ACOs: Are They Ready?

Are accountable care organizations (ACOs) prepared to utilize medications to achieve the best patient health outcomes, while meeting their financial...
Blog Post

NQF’s Annual Conference Drives Conversation Around Quality Measures, Value-Based Care

As the health care system moves toward one emphasizing the value of care over the volume of care, quality measures play a key role in this shift to...
Blog Post

NPC’s Dr. Dubois Answers: Are ACOs Ready to Manage Medications?

NPC Chief Science Officer Robert Dubois, MD, PhD, will present recommendations on how to optimally use medications to achieve success in value-based...
Newsletter Volume

E.V.I.dently January 2016

MessageThe Importance of Evidence, Value, Access and Innovation in 2016In his annual health care outlook, NPC President Dan Leonard explains why...
Press Release

Study Offers Solutions for Filling Gaps in Accountable Care Measure Sets

(Washington, DC, October 13, 2015)—Measurement in accountable care programs is essential for promoting quality improvement and balancing financial...
Press Release

Improving Patient Outcomes and Costs in an ACO Through Comprehensive Medication Therapy Management

Washington, D.C. (December 4, 2014)—A case study published in the December 2014 issue of the Journal of Managed Care & Specialty Pharmacy...
Press Release

National Pharmaceutical Council, Discern Health Examine Accountable Care Measures for Specialty Care and Innovative Treatment

Washington, DC (October 28, 2014)— Measuring the quality and cost of health care is an integral part of accountable care, but new research from the...
Press Release

New Peer-Reviewed Study Shows Mixed Results in ACO Medication Readiness To Achieve Quality, Cost Goals

Washington, D.C.—As Accountable Care Organizations (ACOs) gain traction among both private and public payers, so do expectations that these networks...
Commentary and Testimony Page

Chain Drug Review – Commentary: “Health Care Outlook for 2015”

This commentary was originally published in the January 5, 2015 issue of Chain Drug Review.By: Dan Leonard, President, National Pharmaceutical...
Commentary and Testimony Page

Comparative Effectiveness Research and the Changing Health Care Landscape

This content appeared in the January 2, 2012 print edition of Chain Drug Review. In the span of just one year, the health care landscape has...
Commentary and Testimony Page

CER: Who Can Say What, and When Can They Say It?

With billions of dollars in comparative effectiveness research (CER) set for completion in coming years, there will be broader discussions about the...
Commentary and Testimony Page

Medicare Part D, Adherence, and the Value of Pharmaceuticals

Before enactment of the health care reform legislation two years ago, the most significant change in the health care landscape over the past decade...
YouTube Videos

NPCNow Podcast: Dr. Mark McClellan on Quality Measures & Engaging Patients

In this NPCNow podcast, Dr. Mark McClellan, director, Health Care Innovation and Value Initiative, Brookings Institution, discusses ways to address...
YouTube Videos

You Can't Manage What You Don't Measure

Cary Sennett, MD, PhD, president and CEO, Asthma and Allergy Foundation of America, explains that metrics are necessary to provide guidance to...
YouTube Videos

Quality Measures Benefit Patients in More Ways Than One

Cary Sennett, MD, PhD, president and CEO, Asthma and Allergy Foundation of America, explains that quality measures are important to patients not only...
YouTube Videos

Quality Measures: In Theory & In Practice

Cary Sennett, MD, PhD, president and CEO, Asthma and Allergy Foundation of America, explains, in theory, quality measures are important because they...
Blog Post

Medication Management in ACOs: Are They Ready?

Are accountable care organizations (ACOs) prepared to utilize medications to achieve the best patient health outcomes, while meeting their financial...
Blog Post

NQF’s Annual Conference Drives Conversation Around Quality Measures, Value-Based Care

As the health care system moves toward one emphasizing the value of care over the volume of care, quality measures play a key role in this shift to...
Blog Post

NPC’s Dr. Dubois Answers: Are ACOs Ready to Manage Medications?

NPC Chief Science Officer Robert Dubois, MD, PhD, will present recommendations on how to optimally use medications to achieve success in value-based...
Blog Post

CER Tweets of the Week: JCER Editorial on Treatment Sequences in Oncology; JNCCN Discusses CER Database Analyses (December 14-18, 2015)

What were comparative effectiveness research (CER) stakeholders talking about on Twitter this week? Popular topics included the Journal of...

Using an Electronic Medication Refill System to Improve Provider Productivity in an Accountable Care Setting

This case study highlights the critical components of Sharp Rees-Stealy Medical Group's electronic...

Solutions for Filling Gaps in Accountable Care Measure Sets

This peer-reviewed study, “Solutions for Filling Gaps in Accountable Care Measure Sets,” explores...

Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment

A peer-reviewed study, "Best Practices: An Electronic Drug Alert Program to Improve Patient Safety...
  •  
  • 1 of 4
  • >