Table 2.
Credibility of Quality Reports
| Reports with physician quality measures• | Reports with hospital quality measures• | ||||
|---|---|---|---|---|---|
| Mean | Range | Mean | Range | ||
| Sponsor* | Local | 1.0 | 0–4 | 1.8 | 1–4 |
| State | 0.5 | 0–2 | 1.6 | 0–5 | |
| Health plan | 3.4 | 1–5 | 4.3 | 1–9 | |
| Source of measures† | National | 2.0 (0.7) | 0–5 (0–3) | 2.3 (1.8) | 1–6 (1–6) |
| Local/unique | 4.1 (1.0) | 1–9 (0–4) | 6.1 (2.1) | 4–11 (0–4) | |
| Type of data‡ | Claims | 3.3 (1.0) | 1–6 (0–3) | 7.2 (3.2) | 4–10 (0–6) |
| Patient record | 2.6 (0.9) | 0–5 (0–3) | 2.4 (1.6) | 1–6 (0–4) | |
| Patient survey | 1.1 (0.5) | 0–5 (0–3) | 1.2 (0.9) | 0–3 (0–2) | |
| Provider supplied (physician)/safety survey (hospital) | 0.2 (0.1) | 0–1 (0–1) | 4.3 (0.7) | 1–8 (0–2) | |
•Table entries summarize reporting in 21 study areas. Results are presented for reports by all sponsors and, in parentheses, reports by state and local sponsors only
*Type of organization acting as primary sponsor of provider quality report. Local sponsors include business coalitions, hospital associations and local health care quality organizations. State reports include Departments of Health or other State funded organizations, such as PHC4 in Pennsylvania and the Office of Statewide Health Planning and Development in California. Health plan reports include local, regional and national health plans
†National measure source includes all reports utilizing nationally endorsed measure sets, such as CMS Hospital Compare measures. Local/unique measures include measures developed or modified by the reporting entity or a local health care quality organization in consultation with local physician and hospital leaders. Unique measures include those developed by health plans for their members. Reports may use a combination of national and local/unique measures
‡Type of data used in quality measure construction. Claims data include health plan billing data and other administrative data such as hospital discharge data provided to CMS. Patient record data include data obtained directly from medical records; claims data may be used to identify patients for medical record review. Patient survey data are data obtained from a survey provided to patients such as CAHPS or locally/nationally sponsored surveys. Provider supplied/safety survey data are data obtained from surveys completed voluntarily by providers such as Leapfrog or health information technology readiness surveys