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Toward Transparency in Healthcare: Competing for Quality and Consumers

Healthcare Intelligence Network, May 2007, Pages: 46


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Since the mid-eighties, health policy experts have advised corporate healthcare purchasers to consider both cost and quality-of-care data when purchasing healthcare. Feeding the demand for transparency in cost and quality reporting is consumers' expectation to find reliable quality and comparative performance data on provider Web sites to support them in their healthcare decisions. Additionally, many payors are reducing reimbursements for sub-par provider performances accordingly.

Providers and health plans are scrambling to comply, but C-suite pushback, technology obstacles and the overwhelming hope that a set of consistent and reliable performance and quality measures to post will be developed is delaying some initiatives.

In 'Toward Transparency in Healthcare: Competing for Quality and Consumers,' a panel of experts discusses the challenges of incorporating public reporting as part of an integrated strategy, collaborating with providers, and developing objective metrics and reliable data.

With consumers just a mouse click away from choosing another physician or hospital, healthcare organizations must find a way to drive quality through effective public reporting or face a possible loss of business. In this special report, HIN's accomplished panel of contributing authors furnish details on the following:

-Furthering the transparency agenda with healthcare report cards;
-Responding to data validity and reliability issues;
-Evaluating internal vs. external reporting mechanisms;
-Communicating quality and performance data to employees, patients and members; and
-Building a quality-based specialty provider network.

Throughout this 46-page report, these respected thought leaders describe their experiences in the healthcare data reporting arena:

-Paul L. Green, director, clinical quality improvement, John F. Kennedy Memorial Hospital;
-Christine Profita Orok, project leader of cost and quality at Blue Cross Blue Shield of Massachusetts;
-Paul Thompson, product development director with Cigna Healthcare

This report is based on 2005 and 2006 audio conferences on the emergence of transparency in healthcare cost and quality as an industry hot button, as well as the more than 300 responses to HIN's 2006 e-survey, 'The Role of Healthcare Report Cards.'



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