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By Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Quality Measures for the Healthy People Leading Health Indicators

"The Institute of drugs (IOM) Committee on caliber Measures for the fit humans prime well-being signs was once charged by means of the workplace of the Assistant Secretary for overall healthiness to spot measures of caliber for the 12 major wellbeing and fitness Indicator (LHI) subject matters and 26 top future health symptoms in fit humans 2020 (HP2020), the present model of the dept of well-being and Human prone (HHS) 10-year time table for  Read more...

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Sample text

The committee focused on intermediate and ultimate outcomes because the specific process measures are too numerous and are dependent on the interventions actually implemented. Although the topic of health disparities is not explicitly identified in the logic model, the committee notes that inequities at the level of conditions that influence health are linked with disparities in health outcomes. In response to the part of the charge requesting a discussion of alignment between the “the aims for improvement of quality in public health” (also known as “characteristics to guide public health practices”) and the measures of quality, the committee found that the characteristics of quality cannot be conceptually aligned with specific measures, since they describe the system as a whole, and refer to the public health system or interventions rather than quality measures per se.

That a pediatrician working in a HEDIS-compliant practice setting is not merely working to improve care, but may also be contributing to improving health outcomes at a level far beyond the individual patient. The advantage offered by having an endorsing entity with an accepted endorsing process is that organizations that want to use measures of quality in their work can simply look to the endorsed sets and select appropriate measures. An endorsement process is one of the first steps in improving measurement and is a prerequisite to the use of standardized measures and measure sets.

The committee’s review included the National Quality Forum’s criteria for evaluating measures, the Institute for Healthcare Improvement’s key measurement principles that apply to the Triple Aim, the HHS Secretary’s Advisory Committee on Health Promotion and Disease Prevention Objectives for 2020 operational criteria for selection of LHIs, the 2003 IOM report Priority Areas for National Action: Transforming Health Care Quality and the 2010 IOM report Future Directions for the National Healthcare Quality and Disparities Reports.

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