|The Need to Identify the Most Important Opportunities for Concerted National Action
- The NHQR and NHDR do not sufficiently direct readers on
what to focus quality improvement efforts.
- The reports may not use the most impactful measures for
bringing about quality improvement.
- Disparities elimination should not be considered as a separate
issue from quality improvement.
- The NHQR and NHDR passively report data rather than being
- Access to health care is not addressed as a quality issue in the
NHQR, only a disparities issue in the NHDR.
- Important measurement areas are missing in both the NHQR and
- Establish national priority areas and give guidance on setting a
hierarchy among measures.
- Make the measure selection criteria more explicit and the selection
process more transparent.
- Have one report rather than two reports or improve shared content
across the NHQR and NHDR.
- Establish goals for priority areas and provide benchmarks for
individual measures; tell a story by defining a problem, describing
through measurement, and providing examples of intervention;
integrate intervention activities in text and through online linkages;
highlight evidence-based policies that could accelerate progress.
- Consider access as part of the NHQR as well as the NHDR.
- Examine the current quality framework for continued applicability.
|The Need to Develop Measures and Data Sources to Support Monitoring of "High-Impact" Areas
- Measures used in the NHQR and NHDR reflect available data
sources, but additional measures and data sources are desirable.
- Data are inadequate to identify poor quality of health care within
and between all population groups.
- Improved measures and data may be available in some locales
rather than on a national basis.
- Identify or develop measures for areas with the greatest potential
quality improvement impact and identify or develop additional data
sources that satisfy those measures.
- Increase the availability of race, ethnicity, and language need data
along with health care quality data.
- Consider the use of additional subnational data in the NHQR and
|The Need to Increase Understanding and Visibility of Report Content in Both Print and Web-based Forms
- The presentation and content of the NHQR and NHDR do not
adequately serve the primary audience for these reports (i.e., Congress).
- Multiple audiences use the NHQR and NHDR and associated
online products but the needs of these audiences are different.
- Many pertinent parties that could be involved in implementation
or reporting activities do not know about the reports.
- The NHQR and NHDR draw the most attention when they are
first released but lose visibility thereafter.
- A great deal of data is available in the NHQR and NHDR but it
is difficult to find all of the pieces related to a specific topic.
- There is insufficient attention in the NHQR and NHDR to the
needs of priority populations.
- Graphic displays and summary measures in the NHQR
and NHDR do not always convey information in a readily
understandable manner—either for the key message each is
trying to provide to audiences or adequate statistical analytics
- A lot of data are available in the NHQR and NHDR, but some
users desire more detail and the ability to manipulate the primary
- Reorient the Highlights section of the NHQR and NHDR.
- Better align reports and products associated with the NHQR and
NHDR to serve the needs of multiple audiences.
- Market the NHQR and NHDR to additional audiences; optimize
online search strategies.
- Sustain interest over time through improved and targeted
dissemination; provide content in additional formats with more
easily digestible collections of information that could be more
widely distributed (e.g., fact sheets or topic-specific products with
more detailed analyses dedicated to specific populations, conditions,
and types of care or settings).
- Improve organization of print documents and improve content
access for the State Snapshots (e.g., best state performance) and
- Expand information on priority populations in reports to extent
feasible and provide additional, more detailed collections of
information for specific populations in special reports, fact sheets,
- Improve graphic displays in the NHQR and NHDR.
- Guide users of the NHQR and NHDR to more detailed datasets
underlying the reports, tools for analysis, and a guide on "how to"
apply data; provide links to additional complementary and expanded
data sources that are not necessarily reflected in the reports.