Prepared by Adams Dudley, M.D., M.B.A., University of California, San Francisco; Judith Hibbard, Dr.P.H., University of Oregon; Shoshanna Sofaer, Dr.P.H., Baruch College; and Dale Shaller, M.P.A., Shaller Consulting Group, with
assistance from Michelle Ferrari, M.P.H., Shaller Consulting Group; Jennifer Kuo, M.H.S., and Dana Stelmokas, The
Lewin Group; and Edie Wade, Ph.D., University of California, San Francisco.
This guide provides an illustrative menu of public report elements from health care provider performance reports from around the country. The example Web pages highlighted in the Sampler span five core Web pages (landing page, presentation of measure ratings, consumer engagement tools, place for consumer input on Web site design, and other resources) that constitute a public report and are present on nearly all public reporting Web sites. Additional examples illustrate functional possibilities of Web sites (such as sorting by performance) and demonstrate how to facilitate use by consumers and how to engage consumers in their care.
Note: Some URLs provided in this Sampler take users to a Web page other than the one shown in the example (e.g., the home page, a search screen). Users may need to follow instructions to search sites or select a button or other options in order to find the exact page shown.
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Invitation to Readers of Sampler To Suggest Additional
Model Report Elements
Introduction and Purpose
I. Early Strategic Decisions: Options and Examples
of Providers and Measures
B. Separate Information for Consumer vs. Provider
II. Five Basic Elements (Web Pages) of a Public Report:
Options and Examples
Page or Information Accessible From Landing Page
of Measure Ratings
for Consumer Input on Web Site Design
III. Functionality and Layout
To Narrow Selection of Providers Based on Consumer Preferences
To Sort Providers Based on Performance
authors gratefully acknowledge the valuable comments provided by the following
Chartered Value Exchange (CVE) representatives, who generously contributed their time and expertise to the
development and review of this report.
Minnesota Community Measurement
Minnesota Healthcare Value Exchange
SMC Partners, LLC
Kansas/Missouri—Kansas City Quality Improvement Consortium
Oakland Southfield Physicians, PC
Michigan—Greater Detroit Area Health
Center for Healthcare Decisions
California Chartered Value
Procter & Gamble
Improvement Collaborative of Greater Cincinnati
Kentucky—Greater Louisville Value Exchange
Colorado Business Group on Health
Colorado Value Exchange
Maine Health Management Coalition
Maine Chartered Value Exchange Alliance
St. Mary's Regional Medical Center
Nevada Partnership for Value-driven Health Care
Stollenwerk & Associates
Formerly of Washington—Puget Sound Health Alliance
Consumer Health Coalition
Pennsylvania—Pittsburgh Regional Health Initiative
Report Workgroup Facilitators:
AHRQ CVE Learning Network
Agency for Healthcare Research and Quality (AHRQ)
Department of Health and Human Services
The views expressed in
this report are those of the authors. No official endorsement by the Agency for
Healthcare Research and Quality or the U.S. Department of Health and Human
Services is intended or should be inferred.
This document is in the public domain and may be used
and reprinted without permission. AHRQ appreciates citation as to source. The suggested format follows: Dudley RA, Hibbard JH, Shaller D, Sofaer S. Model Public Report Elements: A Sampler. Rockville, MD:
Agency for Healthcare Research and Quality; 2010 (updated November 2011). AHRQ Publication No. 10-0088.
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state of the art and science of public report design is rapidly evolving. We invite readers of this Sampler to E-mail
us with other model report elements, which we will post in this section of the
Sampler. E-mail model elements you come
across to Jan De La Mare at Jan.DeLaMare@ahrq.hhs.gov, including
the following information:
Name of Public Report:
URL of specific report Web
page that features the model element:
Check the relevant report element or
functionality being featured:
__Presentation of measure ratings
__Consumer engagement tools
__Place for consumer input on Web site design
__Functionality (e.g., capacity to narrow
selection, sort providers, E-mail content)
Discussion of why you like this specific
Your E-mail address:
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Introduction and Purpose
The purpose of this guide,
Model Public Report Elements: A Sampler
(Sampler), is to provide an illustrative menu of public report elements from
health care provider performance reports from around the country. The example Web pages highlighted in the
Sampler span five core Web pages (landing page, presentation of measure ratings,
consumer engagement tools, place for consumer input on Web site design, and
other resources) that constitute a public report and are present on nearly all
public reporting Web sites. Additional examples
illustrate functional possibilities of Web sites (such as sorting by
performance) and demonstrate how to facilitate use by consumers and how to
engage consumers in their care.
Who Is the Audience?
collaboratives—such as Chartered Value Exchanges (CVEs)—and organizations
hosting or beginning development of a public report on health care provider
What Kinds of Web Sites
Are We Highlighting?
Those that convey
provider-specific quality scores to an audience of consumers, although certain
collaboratives may want to reach multiple audiences, including consumers,
providers, health plans, and employers and other purchasers, such as labor
What Is Meant by a
addresses important topics in creating a public reporting Web site, with the
goal of facilitating Web site design or improvement by community quality
collaboratives or other report sponsors. It should be noted that examples included are "better practices" or "common
practices." It is not yet possible to
delineate best practices in the area of public reporting. Such programs are relatively novel and
evaluative data regarding both their impact and our understanding of how to
maximize this practice are still evolving. Any Web site included in the Sampler may have some features that are
good and other features that could be improved. The red arrows on the screenshots identify the specific better practice
elements being featured.
evidence about best practices, it is likely that the most effective public
reporting Web sites will be those that are, at least for a while, continually
in a state of growth. These are sites
that are actively reevaluating, refining, and enhancing their offerings.
What Other Tools
Related to Public Reporting Are Available From AHRQ?
In addition to this Sampler,
AHRQ has seven other resources related to public report design:
- Selecting Quality
and Resource Use Measures: A Decision Guide for Community Quality
Collaboratives: Expert answers to 26 questions posed by community quality
collaboratives on data and measures (quality and efficiency) selection
issues. The resource includes examples
from community quality collaboratives.
- White Paper: Methodological
Considerations in Generating Provider Performance Scores for Use in Public
Reporting: A set of 20 key methodological decisions associated with producing
provider (e.g., hospital, physician, physician group) performance scores for
use in public reporting. It includes an explanation
of the practical importance of each decision, a review of alternative decision
paths, and a discussion of the pros and cons of each option. The resource includes examples from community
- TalkingQuality Web site (rerelease): A
comprehensive, interactive Web site to guide planning, producing, and
evaluating a comparative report on health care quality for consumers. The Web site includes the Report Card
Compendium, which provides links to more than 200 consumer reports.
- Public Report Design: A Decision Guide for Community
Quality Collaboratives: Expert answers to 25-30 questions posed by community
quality collaboratives on public report design and sustainability. The resource includes examples from community
- Lead author: Adams Dudley.
- Expected: 2012.
- How to access: CVE and AHRQ Web sites and AHRQ Clearinghouse.
Practices in Public Reporting No. 1: How To Effectively Present Health Care
Performance Data to Consumers: A
report that provides practical strategies to designing public reports that make
health care performance information clear, meaningful, and usable by
consumers. The report focuses on the
challenges involved in designing a public report card so that the performance
information is easily understood by consumers. It also describes strategies to make it easier for consumers to
understand and use comparative health care quality reports.
Practices in Public Reporting No. 2: Maximizing Consumer Understanding of
Public Comparative Quality Reports: Effective Use of Explanatory Information:
A report that provides practical strategies to designing public reports that
make health care performance information clear, meaningful, and usable by
consumers. The report focuses on the explanatory information in public reports,
beyond the performance data, that helps to accurately communicate quality
ratings to consumers and motivate them to use the ratings in making informed
health care decisions.
- Best Practices in Public Reporting No. 3: How To
Maximize Public Awareness and Use of Comparative Quality Reports Through
Effective Promotion and Dissemination Strategies: A report that
provides practical strategies to designing public reports that make health care
performance information clear, meaningful, and usable by consumers. The
report applies social marketing and other principles to explore how to target
reports to specific audiences, develop messages to promote the report with key
audiences, engage consumer advocacy and community groups in promoting reports
and helping people use them, disseminate reports through trusted channels, and
ensure that consumers see and use comparative quality reports.
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