Titre :
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Enhancing performance measurement : NCQA's road map for a health information framework. (1999)
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Auteurs :
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E.C. Schneider ;
S. COURTE-WIENECKE ;
D.M. EDDY ;
V. RIEHL ;
C. SENNETT ;
National Committee for Quality Assurance. Washington DC. USA
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Type de document :
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Article
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Dans :
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JAMA - Journal of the american medical association (vol. 282, n° 12, 1999)
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Pagination :
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1184-1190
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Langues:
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Anglais
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Mots-clés :
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Qualité
;
Soins santé primaire
;
Etats Unis
;
Amérique
;
Performance
;
Amélioration
;
Homme
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST n6mMR0x5. Diffusion soumise à autorisation]. Measuring the quality of health care delivery is one of the most critical challenges facing US health care. Performance measurement can be used to track the quality of care that health plans and medical groups deliver, but effective performance measurement requires timely access to detailed and accurate data. In 1996, the National Committee for Quality Assurance (NCQA) commissioned a report to learn what actions would improve health plans'capacity to electronically report performance data for the Health Plan Employer Data and Information Set (HEDIS). Tracking clinical performance will require not just clinical data stored in information systems, but an integrated health information framework. Seven features are essential to this framework : (1) it specifies data elements ; (2) it establishes linkage capability among data elements and records ; (3) it standardizes the element definitions ; (4) it is automated to the greatest possible extent ; (5) it specifies procedures for continually assessing data quality ; (6) it maintains strict controls for protecting security and confidentiality of the data ; and (7) it specifies protocols for sharing data across institutions under appropriate and well-defined circumstances. (...)
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