Future Directions for the National Healthcare Quality and Disparities Reports
Chapter 3: Updating the Framework for the NHQR and NHDR (continued)
Table of Contents
The framework proposed by this committee can be viewed as a building block for AHRQ's national healthcare reports, as it provides a foundation on which to base the reporting of national health care performance. The additional quality components of access, efficiency, care coordination, and health systems infrastructure capabilities should be viewed as areas in which evidence has shown potential for improving quality care, and progress should be made in how to measure the impact of these components on the delivery system. The committee recognizes that some measures for these additional framework components are still in the developmental stage, but encourages AHRQ to foster measure development by highlighting gaps and promoting the research necessary to advance measurement and reporting endeavors. By choosing to identify new framework components for which there are often only developmental measure choices, the Future Directions committee has set a course for looking beyond data availability and encouraging the development of measures and data that may demonstrate greater effectiveness for improving the standard of care.
While the committee recognizes that the national healthcare reports are an inappropriate testbed for the creation of actual measures, it believes that AHRQ can play a role in identifying possible areas for future measure development. The committee encourages AHRQ and other entities to identify or develop impactful measures for each of the eight framework components. Areas of research could include establishing more targeted measures for efficiency, or evaluating the evidence of the quality impact of workforce trained in emerging models of care, such as the integrated systems promoted by the PCMH model. Such exploration could help the national healthcare reports be as responsive as possible to desired or developing areas of performance measurement and reporting.
The expanded portfolio of measures that may result from applying this proposed framework to the national healthcare reports should reflect the needs of a variety of stakeholders but should not be so large as to unduly tax AHRQ's resources. To streamline measure selection for the increased number of framework components, reporting on a measure should occur only after it has been subject to the measure selection process proposed by the committee in Chapter 4. The work required to transition the NHQR and NHDR to report on a potentially different set of measures, as dictated by a national set of priorities and the proposed strategies for measure selection, could be significant. To alleviate some of this burden, the committee recommends additional resources (go to Chapter 7).
Aetna. 2008. Aetna's high performance provider initiatives. Driving Improvement Opportunities: 2009 Update, November 13, 2009, New York. PowerPoint® Presentation.
Ahmed, S. M., J. P. Lemkau, N. Nealeigh, and B. Mann. 2001. Barriers to healthcare access in a non-elderly urban poor American population. Health & Social Care in the Community 9(6):445-453.
AHRQ (Agency for Healthcare Research and Quality). 2007. Closing the quality gap: A critical analysis of quality improvement strategies, volume—care coordination. Rockville, MD: Agency for Healthcare Research and Quality, DHHS.
—. 2009a. Appendix C: Measure specifications. In National Healthcare Quality and Disparities Reports, 2009. (accessed December 8, 2009).
—. 2009b. National Healthcare Disparities Report, 2008. Rockville, MD: Agency for Healthcare Research and Quality.
AMA (American Medical Association). 2009. Physician workforce planning. http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/international-medical-graduates/ama-working-imgs/physician-workforce-planning.shtml (accessed December 8, 2009).
American College of Physicians. 2010. What is the patient-centered medical home? http://www.acponline.org/advocacy/where_we_stand/medical_home/what.htm (accessed February 22, 2010).
AQA (Ambulatory Care Quality Alliance). 2009. AQA principles of "efficiency" measures. http://www.aqaalliance.org/files/PrinciplesofEfficiencyMeasurement.pdf [Plugin Software Help] (accessed September 21, 2009)
Arrow, K., A. Auerbach, J. Bertko, S. Brownlee, L. P. Casalino, J. Cooper, F. J. Crosson, A. Enthoven, E. Falcone, R. C. Feldman, V. R. Fuchs, A. M. Garber, M. R. Gold, D. Goldman, G. K. Hadfield, M. A. Hall, R. I. Horwitz, M. Hooven, P. D. Jacobson, T. S. Jost, L. J. Kotlikoff, J. Levin, S. Levine, R. Levy, K. Linscott, H. S. Luft, R. Mashal, D. McFadden, D. Mechanic, D. Meltzer, J. P. Newhouse, R. G. Noll, J. B. Pietzsch, P. Pizzo, R. D. Reischauer, S. Rosenbaum, W. Sage, L. D. Schaeffer, E. Sheen, B. M. Silber, J. Skinner, S. M. Shortell, S. O. Thier, S. Tunis, L. Wulsin, Jr., P. Yock, G. B. Nun, S. Bryan, O. Luxenburg, and W. P. van de Ven. 2009. Toward a 21st-century health care system: Recommendations for health care reform. Annals of Internal Medicine 150(7):493-495.
Asch, S. M., E. A. Kerr, J. Keesey, J. L. Adams, C. M. Setodji, S. Malik, and E. A. McGlynn. 2006. Who is at greatest risk for receiving poor-quality health care? New England Journal of Medicine 354(11):1147-1156.
Ash, J. S., D. F. Sittig, E. G. Poon, K. Guappone, E. Campbell, and R. H. Dykstra. 2007. The extent and importance of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 14(4):415-423.
Baicker, K., A. Chandra, J. S. Skinner, and J. E. Wennberg. 2004. Who you are and where you live: How race and geography affect the treatment of Medicare beneficiaries. Health Affairs Web Exclusive: VAR33-VAR44.
Balfour, D. C., 3rd, S. Evans, J. Januska, H. Y. Lee, S. J. Lewis, S. R. Nolan, M. Noga, C. Stemple, and K. Thapar. 2009. Health information technology—results from a roundtable discussion. Journal of Managed Care Pharmacy 15(1 Suppl A):10-17.
Beal, A. C., M. M. Doty, S. E. Hernandez, K. K. Shea, and K. Davis. 2007. Closing the divide: How medical homes promote equity in health care. New York: The Commonwealth Fund.
Bentley, T. G. K., R. M. Effros, K. Palar, and E. B. Keeler. 2008. Waste in the U.S. health care system: A conceptual framework. Milbank Quarterly 86(4):629-659.
Betancourt, J. R., A. R. Green, J. Emilio Carrillo, and E. R. Park. 2005. Cultural competence and health care disparities: Key perspectives and trends. Health Affairs 24(2):499-505.
Blendon, R. J., D. E. Altman, J. M. Benson, and M. Brodie. 2004. Health care in the 2004 presidential election. New England Journal of Medicine 351(13):1314-1322.
Blendon, R. J., T. Buhr, E. F. Cassidy, D. J. Perez, K. A. Hunt, C. Fleischfresser, J. M. Benson, and M. J. Herrmann. 2007. Disparities in health: Perspectives of a multi-ethnic, multi-racial America. Health Affairs 26(5):1437-1447.
Blumenthal, D. 2009. Stimulating the adoption of health information technology. New England Journal of Medicine 360(15):1477-1479.
Bodenheimer, T. 2005. High and rising health care costs. Part 1: Seeking an explanation. Annals of Internal Medicine 142(10):847-854.
—. 2008. Coordinating care—a perilous journey through the health care system. New England Journal of Medicine 358(10):1064-1071.
Bodenheimer, T., and K. Grumbach. 2003. Electronic technology: A spark to revitalize primary care? Journal of the American Medical Association290(2):259-264.
Bodenheimer, T., E. H. Wagner, and K. Grumbach. 2002. Improving primary care for patients with chronic illness. Journal of the American Medical Association 288(14):1775-1779.
Bodenheimer, T., R. A. Berenson, and P. Rudolf. 2007. The primary care-specialty income gap: Why it matters. Annals of Internal Medicine 146(4):301-306.
Bodenheimer, T., K. Grumbach, and R. A. Berenson. 2009. A lifeline for primary care. New England Journal of Medicine 360(26):2693-2696.
Bradley, E. H., S. A. Roumanis, M. J. Radford, T. R. Webster, R. L. McNamara, J. A. Mattera, B. A. Barton, D. N. Berg, E. L. Portnay, H. Moscovitz, J. Parkosewich, E. S. Holmboe, M. Blaney, and H. M. Krumholz. 2005. Achieving door-to-balloon times that meet quality guidelines: How do successful hospitals do it? Journal of the American College of Cardiology 46:1236-1241.
Briesacher, B., D. Ross-Degnan, A. Adams, A. Wagner, J. Gurwitz, and S. Soumerai. 2009. A new measure of medication affordability. Social Work in Public Health 24(6):600-612.
Campbell, E. M., D. F. Sittig, J. S. Ash, K. P. Guappone, and R. H. Dykstra. 2006. Types of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 13(5):547-556.
Cantor, J. C., C. Schoen, D. Belloff, S. K. H. How, and D. McCarthy. 2007. Aiming higher: Results from a state scorecard on health system performance. Washington, DC: The Commonwealth Fund.
Care Transitions Program. 2009. The Care Transitions Program: Overview. http://www.caretransitions.org/overview.asp (accessed January 5, 2010).
CDC (Centers for Disease Control and Prevention). 2007. Characteristics of office-based physicians and their practices: United States, 2003-04. Hyattsville, MD: National Center for Health Statistics.
Chang, S. W. 2009. Health information technology as a tool, not an end: Comment on "An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care." Archives of Internal Medicine 169(16):1474-1475.
Chapin, R. 2009. Dental benefits improve access to oral care. Dental Clinics of North America 53(3):505-509.
Chin, M. H., and A. T. Chien. 2006. Reducing racial and ethnic disparities in health care: An integral part of quality improvement scholarship. Quality and Safety in Health Care 15(2):79-80.
Chin, M. H., A. E. Walters, S. C. Cook, and E. S. Huang. 2007. Interventions to reduce racial and ethnic disparities in health care. Medical Care Research and Review 64(5):7S-28S.
Choudhry, L., M. Douglass, J. Lewis, C. H. Olson, R. Osterman, and P. Shah. 2007. The impact of community health centers & community-affiliated health plans on emergency department use. Washington, DC: National Association of Community Health Centers, Inc. and Association for Community Affiliated Plans.
CMS (Centers for Medicare and Medicaid Services). 2008a. Roadmap for implementing value driven healthcare in the traditional Medicare fee-for-ser ice program. Baltimore, MD: Centers for Medicare and Medicaid Services.
—. 2008b. Roadmap for quality measurement in the traditional Medicare fee-for-ser ice program. Baltimore, MD: Centers for Medicare and Medicaid Services.
—. 2009a. CMS pilot project aims to reduce hospital readmissions. http://www.kaisernetwork.org/daily_reports/print_report.cfm?DR_ID=58056&dr_cat=3 (accessed April 16, 2009).
—. 2009b. Proposed rule: Medicare and Medicaid programs; electronic health record incentive program. Baltimore, MD: Centers for Medicare and Medicaid Services.
—. 2010. Historical national health expenditure data. http://www.cms.hhs.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp#TopOfPage (accessed January 6, 2010).
Coleman, E. A. 2006. Care transitions measure (CTM- ). http://www.caretransitions.org/documents/CTM-15.pdf [Plugin Software Help] (accessed September 29, 2009).
Coleman, E. A., C. Parry, S. A. Chalmers, A. Chugh, and E. Mahoney. 2007. The central role of performance measurement in improving the quality of transitional care. Home Health Care Ser ices Quarterly 26(4):93-104.
Coleman, K., B. T. Austin, C. Brach, and E. H. Wagner. 2009. Evidence on the chronic care model in the new millennium. Health Affairs 28(1):75-85.
Collins, S. R., J. L. Kriss, M. M. Doty, and S. D. Rustgi. 2008. Losing ground: How the loss of adequate health insurance is burdening working families—findings from The Commonwealth Fund biennial health insurance surveys, 2001-2007. New York: The Commonwealth Fund.
The Commonwealth Fund Commission on a High Performance Health System. 2006. Framework for a high performance health system for the United States. New York: The Commonwealth Fund.
—. 2008. Why not the best? Results from the national scorecard on U.S. health system performance, 2008. New York: The Commonwealth Fund.
Cooper, R. A. 2009a. States with more health care spending have better-quality health care: Lessons about Medicare. Health Affairs 28(1): w103-w115.
—. 2009b. States with more physicians have better-quality health care. Health Affairs 28(1):w91-w102.
Cunningham, P. J., and L. E. Felland. 2008. Falling behind: Americans' access to medical care deteriorates, 2003- 2007. Washington, DC: Center for Studying Health System Change.
Cummingham, P. J., C. Miller, and A. Cassil. 2008. on the edge: Health care expenses strain family budgets. Washington, DC: Center for Studying Health System Change.Living
DeVoe, J. E., G. E. Fryer, R. Phillips, and L. Green. 2003. Receipt of preventive care among adults: Insurance status and usual source of care. American Journal of Public Health 93(5):786-791.
Disparities Solution Center. 2009. Welcome. http://www2.massgeneral.org/disparitiessolutions/ (accessed November 23, 2009).
Doescher, M. P., B. G. Saver, K. Fiscella, and P. Franks. 2001. Racial/ethnic inequities in continuity and site of care: Location, location, location. Health Ser ices Research 36(6 Pt 2):78-89.
Edelstein, B. L., and C. H. Chinn. 2009. Update on disparities in oral health and access to dental care for America's children. Academic Pediatrics 9(6):415-419.
Enthoven, A. C. 2009. Integrated delivery systems: The cure for fragmentation. American Journal of Managed Care 15(10 Suppl):S284-S290.
Epstein, A. M. 2009. Revisiting readmissions—changing the incentives for shared accountability. New England Journal of Medicine 360(14):1457-1459.
Epstein, A. M., J. S. Weissman, E. C. Schneider, C. Gatsonis, L. L. Leape, and R. N. Piana. 2003. Race and gender disparities in rates of cardiac
revascularization: Do they reflect appropriate use of procedures or problems in quality of care? Medical Care 41(11):1240-1255.
Fiscella, K. 2007. Eliminating disparities in healthcare through quality improvement. In Eliminating healthcare disparities in America: Beyond the IOM report, edited by R. A. Williams. Totowa, NJ: Humana Press Inc. Pp. 141-178.
Fiscella, K., P. Franks, M. R. Gold, and C. M. Clancy. 2000. Inequality in quality: Addressing socioeconomic, racial, and ethnic disparities in health care. Journal of the American Medical Association 283(19):2579-2584.
Fisher, E. S., D. E. Wennberg, T. A. Stukel, D. J. Gottlieb, F. L. Lucas, and Ã. L. Pinder. 2003. The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Annals of Internal Medicine 138(4):273-287.
Foy, R., S. Hempel, L. Rubestein, M. Suttorp, M. Seelig, R. Shanman, and P. G. Shekelle. 2010. Meta-analysis: Effect of interactive communication between collaborating primary care physicians and specialists. Annals of Internal Medicine 152:247-258.
Frist, W. H. 2005. Overcoming disparities in U.S. health care. Health Affairs 24(2):445-451.
Gabel, J. R., R. McDevitt, R. Lore, J. Pickreign, H. Whitmore, and T. Ding. 2009. Trends in underinsurance and the affordability of employer coverage, 2004-2007. Health Affairs 28(4):w595-w606.
Gallup Consulting. 2009. Americans cite affordability as biggest healthcare problem. http://www.gallup.com/video/123152/health-care-wed.aspx (accessed November 9, 2009).
Gerson, J., T. Oliver, C. Gutierrez, and U. Ranji. 2005. Addressing the nursing shortage. Washington, DC: Kaiser Family Foundation.
Ginsburg, J. A., R. B. Doherty, J. F. Ralston, and N. Senkeeto. 2008. Achieving a high-performance health care system with universal access: What the United States can learn from other countries. Annals of Internal Medicine 148(1):55-75.
Goldman, D. P., and E. A. McGlynn. 2005. U.S. health care: Facts about cost, access, and quality. Santa Monica, CA: The RAND Corporation.
Gonzales, R., J. F. Steiner, and M. A. Sande. 1997. Antibiotic prescribing for adults with colds, upper respiratory tract infections, and bronchitis by ambulatory care physicians. Journal of the American Medical Association 278(11):901-904.
Gordon, S., J. Buchanan, and T. Bretherton. 2008. Safety in numbers: Nurse-to-patient ratios and the future of health care. Ithaca, NY: Cornell University Press.
Grumbach, K. 2003. Chronic illness, comorbidities, and the need for medical generalism. Annals of Family Medicine 1(1):4-7. Grumbach, K., and T. Bodenheimer. 2004. Can health care teams improve primary care practice? Journal of the American Medical Association 291(10):1246-1251.
Grumbach, K., and J. W. Mold. 2009. A health care cooperative extension service: Transforming primary care and community health. Journal of the American Medical Association 301(24):2589-2591.
Hadley, J. 2002. Sicker and poorer: The consequences of being uninsured. A review of the research on the relationship between health insurance, health, work, income and education. Washington, DC: Kaiser Commission on Medicaid and the Uninsured.
Hall, A. G., C. H. Lemak, H. Steingraber, and S. Schaffer. 2008. Expanding the definition of access: It isn't just about health insurance. Journal of Health Care for the Poor and Underserved 19(2):625-638.
Herzer, K., and M. Seshamani. 2009. A success story in American health care: Using health information technology to patient care in a community health center in Washington. http://healthreform.gov/reports/ruralsuccess/index.html (accessed January 4, 2010).
HHS (U.S. Department of Health and Human Services). 2009. Value-driven health care home. http://www.hhs.gov/valuedriven/ (accessed December 10, 2009).
Himmelstein, D. U., D. Thorne, E. Warren, and S. Woolhandler. 2009. Medical bankruptcy in the United States, 2007: Results of a national study. American Journal of Medicine 122(8):741-746.
HRSA (Health Resources and Services Administration ). 2007. Community health worker national workforce study. Washington, DC: DHHS, Health Resources and Services Administration.
—. 2009. Shortage designation: HPSAs, MUAs & MUPs. http://bhpr.hrsa.gov/shortage/ (accessed December 8, 2009).
—. 2010. Designated health professional shortage areas (HPSA) statistics. http://ersrs.hrsa.gov/ReportServer?/HGDW_Reports/BCD_HPSA/BCD_HPSA_SCR50_Smry&rs:Format=HTML3.2 (accessed January 6, 2010).
Hudson River HealthCare. 2009. Hudson River HealthCare quality improvement plan 2009. Peekskill, NY: Hudson River HealthCare, Inc.
Hussey, P. S., and E. A. McGlynn. 2009. Why are there no efficiency measures in the national quality measures clearinghouse? http://www.qualitymeasures.ahrq.gov/expert/commentary.aspx?file=Efficiency.inc (accessed November 24, 2009).
Improving Chronic Care Illness. 2010. The Chronic Care Model. http://www.improvingchroniccare.org/index.php?p=Model_Elements&s=18 (accessed February 22, 2010).
IOM (Institute of Medicine). 1993. Access to health care in America. Washington, DC: National Academy Press.
—. 1998. America's children: Health insurance and access to care. Washington, DC: National Academy Press.
—. 2001a. Crossing the quality chasm: A new health system for the st century. Washington, DC: National Academy Press.
—. 2001b. Envisioning the National Healthcare Quality Report. Washington, DC: National Academy Press.
—. 2002. Guidance for the National Healthcare Disparities Report. Washington, DC: The National Academies Press.
—. 2003a. Priority areas for national action: Transforming health care quality. Washington, DC: The National Academies Press.
—. 2003b. Unequal treatment: Confronting racial and ethnic disparities in healthcare. Washington, DC: The National Academies Press.
—. 2006. Performance measurement: Accelerating improvement. Washington, DC: The National Academies Press.
—. 2008. Retooling for an aging America: Building the health care workforce. Washington, DC: The National Academies Press.
—. 2009. America's uninsured crisis: Consequences for health and health care. Washington, DC: The National Academies Press.
—. 2010. Value in health care: Accounting for cost, quality, safety, outcomes, and innovation. Washington, DC: The National Academies Press.
Jha, A. K., C. M. DesRoches, E. G. Campbell, K. Donelan, S. R. Rao, T. G. Ferris, A. Shields, S. Rosenbaum, and D. Blumenthal. 2009. Use of electronic health records in U.S. hospitals. New England Journal of Medicine 360(16):1628-1638.
Kane, R. L., T. Shamliyan, C. Mueller, S. Duval, and T. J. Wilt. 2007. Nurse staffing and quality of patient care. Evidence report/technology assessment. Rockville, MD: Agency for Healthcare Research and Quality.
Keehan, S., A. Sisko, C. Truffer, S. Smith, C. Cowan, J. Poisal, M. K. Clemens, and the National Health Expenditure Accounts Projections Team. 2008. Health spending projections through 2017: The baby-boom generation is coming to Medicare. Health Affairs 27(2):w145-w155.
Keenan, C. R., H. H. Nguyen, and M. Srinivasan. 2006. Electronic medical records and their impact on resident and medical student education. Academic Psychiatry 30(6):522-527.
Keyhani, S., P. L. Hebert, J. S. Ross, A. Federman, C. W. Zhu, and A. L. Siu. 2008. Electronic health record components and the quality of care. Medical Care 46(12):1267-1272.
Kogan, M., M. Overpeck, H. Hoffman, and M. Casselbrant. 2000. Factors associated with tympanostomy tube insertion among preschool-aged children in the United States. American Journal of Public Health 90(2):245-250.
Krumholz, H. M., P. S. Keenan, J. E. Brush, Jr., V. J. Bufalino, M. E. Chernew, A. J. Epstein, P. A. Heidenreich, V. Ho, F. A. Masoudi, D. B. Matchar, S.-L. T. Normand, J. S. Rumsfeld, J. D. Schuur, S. C. Smith, Jr., J. A. Spertus, and M. N. Walsh. 2008. Standards for measures used for public reporting of efficiency in health care: A scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research and the American College of Cardiology Foundation. Circulation 118(18):1885-1893.
LaVeist, T. A., D. J. Gaskin, and P. Richard. 2009. The economic burden of health inequalities in the United States. Washington, DC: Joint Center for Political and Economic Studies.
McGlynn, E. A. 2008. Identifying, categorizing, and evaluating health care efficiency measures. AHRQ Publication No. 08-0030. Rockville, MD: Agency for Healthcare Research and Quality.
Monheit, A. C. 2003. Persistence in health expenditures in the short run: Prevalence and consequences. Medical Care 41(7 Suppl):III53-III64.
Moreno G., D.M. Tarn, and L.S. Morales. 2009. Impact of interpreters on the receipt of new prescription medication information among Spanish-speaking Latinos. Medical Care 47(12):1201-1208.
Moy, E. 2009. Lessons learned in de eloping NHQR and NHDR. Agency for Healthcare Research and Quality. Presentation to the IOM Committee on Future Directions for the National Healthcare Quality and Disparities Reports, February 9, 2009. Washington, DC. PowerPoint
Naylor, M. D., D. A. Brooten, R. L. Campbell, G. Maislin, K. M. McCauley, and J. S. Schwartz. 2004. Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial. Journal of the American Geriatrics Society 52(5):675-684.
NCQA (National Committee for Quality Assurance). 2009. HEDIS 2010 summary table of measures, product lines and changes. http://www.ncqa.org/Portals/0/HEDISQM/HEDIS2010/2010_Measures.pdf [Plugin Software Help] (accessed October 7, 2009).
Needleman, J., P. Buerhaus, S. Mattke, M. Stewart, and K. Zelevinsky. 2002. Nurse-staffing levels and the quality of care in hospitals. New England Journal of Medicine 346(22):1715-1722.
Neumeyer-Gromen, A., T. Lampert, K. Stark, and G. Kallischnigg. 2004. Disease management programs for depression: A systematic review and meta-analysis of randomized controlled trials. Medical Care 42(12):1211-1221.
NPP (National Priorities Partnership). 2008. National priorities and goals: Aligning our efforts to transform America's healthcare. Washington, DC: National Quality Forum.
NQF (National Quality Forum). 2006. NQF-endorsed definition and framework for measuring care coordination. Washington, DC: The National Quality Forum.
—. 2009. Care coordination practices and measures. http://www.qualityforum.org/projects/care_coordination.aspx (accessed November 10, 2009).
O'Connell, R. T., C. Cho, N. Shah, K. Brown, and R. N. Shiffman. 2004. Take note(s): Differential EHR satisfaction with two implementations under one roof. Journal of the American Medical Informatics Association 11(1):43-49.
Parry, C., E. Mahoney, S. A. Chalmers, and E. A. Coleman. 2008. Assessing the quality of transitional care: Further applications of the care transitions measure. Medical Care 46(3):317-322.
The Patient-Centered Primary Care Collaborative. 2007. Joint principles of the patient centered medical home. http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home (accessed January 4, 2010).
Patrick, H. C. 2009. Value-driven health care: Implications for hospitals and hospitalists. Journal of Hospital Medicine 4(8):507-511.
Peikes, D., A. Chen, J. Schore, and R. Brown. 2009. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. Journal of the American Medical Association 301(6):603-618.
Pomerantz, A., B. H. Cole, B. V. Watts, and W. B. Weeks. 2008. Improving efficiency and access to mental health care: Combining integrated care and advanced access. General Hospital Psychiatry 30(6):546-551.
Porter, M. E. 2009. A strategy for health care reform—toward a value-based system. New England Journal of Medicine 361(2):109-112.
Ro, M. J., H. M. Treadwell, and M. Northridge. 2003. Community health workers and community voices: Promoting good health. Atlanta, GA: Community Voices, National Center for Primary Care, Morehouse School of Medicine.
Roski, J., S. Turbyville, D. Dunn, M. Krushat, and S. H. Scholle. 2008. Resource use and associated care effectiveness results for people with diabetes in managed care organizations. American Journal of Medical Quality 23(5):365-374.
Ross, J. S., E. H. Bradley, and S. H. Busch. 2006. Use of health care services by lower-income and higher-income uninsured adults. Journal of the American Medical Association 295(17):2027-2036.
RWJF (Robert Wood Johnson Foundation). 2002. From coverage to care: Exploring links between health insurance, a usual source of care, and access. http://www.rwjf.org/pr/synthesis/reports_and_briefs/pdf/no1_policybrief.pdf [Plugin Software Help] (accessed October 10, 2009).
—. 2010. Quality/equality. http://www.rwjf.org/qualityequality/ (accessed February 21, 2010). RWJF (Robert Wood Johnson Foundation), George Washington University Medical Center, and Institute for Health Policy. 2008. Health information technology in the United States: Where we stand, 2008. Princeton, NJ, Washington, DC, and Boston, MA: Robert Wood Johnson Foundation, The George Washington University Medical Center, and Massachusetts General Hospital.
Sack, K. 2008. In Massachusetts, universal coverage strains care. http://www.nytimes.com/2008/04/05/us/05doctors.html (accessed November 20, 2009).
Safavi, K. 2006. Paying for efficiency. Journal of Healthcare Management 51(2):77-80.
Schoen, C., S. R. Collins, J. L. Kriss, and M. M. Doty. 2008. How many are underinsured? Trends among U.S. adults, 2003 and 2007. Health Affairs 27(4):w298-w309.
Scholle, S. H., R. Mardon, S. C. Shih, and L. G. Pawlson. 2005. The relationship between quality and utilization in managed care. American Journal of Managed Care 11(8):521-527.
Shavers, V. L., L. C. Harlan, M. Jackson, and J. Robinson. 2009. Racial/ethnic patterns of care for pancreatic cancer. Journal of Palliative Medicine 12(7):623-630.
Shortell, S. M., J. A. Marsteller, M. Lin, M. L. Pearson, S.-Y. Wu, P. Mendel, S. Cretin, and M. Rosen. 2004. The role of perceived team effectiveness in improving chronic illness care. Santa Monica, CA: RAND Corporation.
Singer, S. J., A. Falwell, D. M. Gaba, M. Meterko, A. Rosen, C. W. Hartmann, and L. Baker. 2009. Identifying organizational cultures that promote patient safety. Health Care Management review 34(4):300-311.
Smith, S. M., S. Allwright, and T. O'Dowd. 2007. Effectiveness of shared care across the interface between primary and specialty care in chronic disease management. Cochrane Database of Systematic reviews (3):Art. No.: CD004910.
Solberg, L. I., C. A. Lyles, A. D. Shore, K. W. Lemke, and J. P. Weiner. 2002. Is quality free? The relationship between cost and quality across 18 provider groups. American Journal of Managed Care 8(5):413-422.
Starfield, B., and L. Shi. 2002. Policy relevant determinants of health: An international perspective. Health Policy 60(3):201-218.
—. 2004. The medical home, access to care, and insurance: A review of evidence. Pediatrics 113(5):1493-1498.
—. 2007. The impact of primary care and what states can do. North Carolina Medical Journal 68(3):204-207. Starfield, B., K. W. Lemke, T. Bernhardt, S. S. Foldes, C. B. Forrest, and J. P. Weiner. 2003. Comorbidity: Implications for the importance of primary care in 'case' management. Annals of Family Medicine 1(1):8-14.
U.S. Census Bureau. 2008. Table 6: Percent of the projected population by race and Hispanic origin for the United States: 2010 to 2050. Washington, DC: U.S. Census Bureau.
—. 2009a. Income, poverty, and health insurance coverage in the United States: 2008. Washington, DC: U.S. Census Bureau. http://www.census.gov/hhes/www/hlthins/hlthin08.html (accessed November 9, 2009).
—. 2009b. Table 7: People without health insurance coverage by selected characteristics: 2007 and 2008, in Income, Poverty, and Health Insurance Coverage in the United States: 2008. Washington, DC: U.S. Census Bureau.
—. 2009c. Table 8: People without health insurance coverage by race and Hispanic origin using 2- and 3-year averages: 2005-2006 and 2007-2008, in Income, Poverty, and Health Insurance Coverage in the United States: 2008. Washington, DC: U.S. Census Bureau.
Wadhwa, S., and R. Lavizzo-Mourey. 1999. Tools, methods, and strategies. Do innovative models of health care delivery improve quality of care for selected vulnerable populations? A systematic review. Joint Commission Journal on Quality improvement25(8):408-433.
Waidmann, T. 2009. Estimating the cost of racial and ethnic health disparities. Washington, DC: Urban Institute.
Wang, C. J., K. N. Conroy, and B. Zuckerman. 2009. Payment reform for safety-net institutions—improving quality and outcomes. New England Journal of Medicine 361(19):1821-1823.
Watson, S. D. 2005. Equity measures and systems reform as tools for reducing racial and ethnic disparities in health care. Washington, DC: The Commonwealth Fund.
Weinstein, M. C., and J. A. Skinner. 2010. Comparative effectiveness and health care spending—implications for reform. New England Journal of Medicine 362(5):460-465.
Wharam, J. F., and D. Sulmasy. 2009. Improving the quality of health care: Who is responsible for what? Journal of the American Medical Association 301(2):215-217.
Whitehead, M. 1990. The concepts and principles of equity in health. Copenhagen, Denmark: Regional Office for Europe, World Health Organization.
WHO (World Health Organization). 2008. The world health report 2008: Primary health care, now more than ever. Geneva, Switzerland: World Health Organization.
Wolff, J. L., B. Starfield, and G. Anderson. 2002. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of Internal Medicine 162(20):2269-2276.
Wong, J. B., C. Mulrow, and H. C. Sox. 2009. Health policy and cost-effectiveness analysis: Yes we can. Yes we must. Annals of Internal Medicine 150(4):274-275.
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