Table 3.1. Developers of Quality Indicators and Comparison with AHRQ QIs

Developer Indicators Similarities to AHRQ QIs Differences from AHRQ QIs

JCAHO
CMS
HQA

  • Core Measures
  • Hospital Quality Indicators
  • National standard
  • Process measures
  • Clinical data
  • Implemented through licensed vendors
The Leapfrog Group
  • Leapfrog Leaps
  • National standard
  • Some outcomes indicators
  • Collected through survey
  • Mostly structure and process measures
Institute for Healthcare Improvement
  • Hospital Standardized Mortality Ratios
  • Outcomes indicator (risk-adjusted mortality)
  • Mortality not condition-specific
  • Used in conjunction with specific quality improvement program
States (e.g., PA and CA)
  • PA Health Care Cost Containment Council Hospital Performance Report Indicators
  • CA Healthcare Quality and Analysis Division Indicators
  • Outcomes indicators
  • Administrative data
  • Uses data elements not available in administrative data in most states
Vendors
  • Various
  • Administrative data
  • Some outcomes indicators
  • Methodology often not transparent

Source: RAND analysis of environmental scan results.
Note: Indicators were judged to be a "national standard" if they were described that way by any of the study's interviewees.

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