Table 1. Employer Purchasing Initiatives
|Whom Do They Target?
||What Do They Want to Know?
||Where Do They Get It?
||How Do They Communicate It?
|General Motors, Digital, GTE, Pacific Business Group on Health, Gateway Purchasing Assoc., Chicago Business Group on Health
||Patient satisfaction, incidence of early intervention, preventive care measures, health outcomes, accessibility of care
||HEDIS 2.5-3.0, consulting firms, NCQA accreditation, site visits, satisfaction surveys (will use CAHPS® when available), FACCT
||Report cards on plans (mainly satisfaction data), Internet
|Health care systems
|Buyer's Health Care Action Group(1) (Minneapolis-St. Paul), Community Health Purchasing Corporation (Central Iowa)
||Patient satisfaction, health outcomes, willingness to provide quality data
||Practice guidelines, FACCT, surveys
||Profiles of care systems accessible to consumers at kiosks in workplace, commercial settings; Internet
|Dallas-Ft. Worth Business Group on Health, Health Action Council of Northeastern Ohio (1), Health Care Cost Containment Council (PA)(1)
||Conformance with best practices, clinical outcomes (risk-adjusted mortality rates, readmission rates, complication rates)
||Critical pathways, JCAHO, system vendors (e.g., MediQual, Apache)
||Report cards on hospitals in Cleveland, St. Louis, Tampa, etc.; planned in Dallas-Ft. Worth
|Dallas-Ft. Worth Business Group on Health, Pacific Business Group on Health, Pacific Bell
|| Patient satisfaction, conformance with protocols, guidelines; experience, training; incidence/resolution of malpractice claims; clinical outcomes
||Physician value, check survey, TMQC accreditation, benchmarking, physician profiling reports from system vendors
||Limited activity to date
(1) Not profiled in this study.
Note: HEDIS=Health Plan Employer Data and Information Set, NCQA=National Committee for Quality Assurance, CAHPS®=Consumer Assessment of Health Plans, FACCT=Foundation for Accountability, JCAHO=Joint Commission on Accreditation of Healthcare Organizations, TMQC=The Medical Quality Commission.
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