This course will teach you about the significant advances that have been made in measuring and evaluating quality of care. We'll go over key concepts and methods. You will also learn how to compare the quality of healthcare providers using websites. The course content is intended for a wide range of participants, including people with a general interest in health-care quality, consumers looking for information on how to choose a provider for themselves or family members, and leaders of business organisations in charge of employee health-care benefits and provider networks.
By the end of this course, the learner should be able to:
- Describe key developments in how quality of care is measured and evaluated in the United States.
- Describe the fundamental framework for evaluating the quality of care outcomes, including the types of and criteria for selecting quality measures for evaluating and comparing providers.
- Discuss scientific issues and challenges in evaluating quality of care, as well as methods for overcoming these obstacles.
- Identify and use resources and tools for comparing provider quality of care.
1. Foundational Concepts for Evaluating Quality
- Course Introduction
- Introduction to Module 1
- Key Developments in the Measurement and Evaluation of Quality of Care
- Defining and Conceptualizing Quality of Care
- Framework for Measuring Quality of Care
- Data Sources for Measuring Quality of Care - Technical
- Data Sources for Measuring Quality of Care - Interpersonal
- Selection Criteria for Quality of Care Measures
- Reliability and Validity
- Process vs. Outcome Measures
2. Scientific Issues and Challenges for Comparing Quality of Care Among Providers
- Introduction to Module 2
- Goals for Comparing Providers' Quality of Care
- Key Challenges to Comparing Providers' Quality of Care
- Measurement Error
- Risk Adjustment
- Basic Procedures for Statistical Models
- Small Patient Samples
3. Resources and Tools for Evaluating Quality
- Introduction to Module 3
- Purpose of Consumer Report Cards
- Examples of Consumer Report Cards (Websites)
- Design Issues
- Unintended Consequences of Performance Measurement
4. Future Directions in Evaluating Quality of Care
- Introduction to Module 4
- Composite Measures
- Influence of Patient Socio-Economic Characteristics
- Concerns about the Widespread Use of Quality of Care Measures