Table 1.
Indicators | Massachusetts | Massachusetts and the Netherlands | Netherlands |
---|---|---|---|
Screening and prevention | Well-child visits Colorectal cancer screening Chlamydia screening |
Breast cancer screening* Cervical cancer screening* |
|
Process of Health Care | CVD management Imaging tests LBP when appropriate Spirometry test COPD Pediatric medication and testing AMI management Heart failure management Pneumonia management |
Diabetes management Medication monitoring (Surgical) infection prevention |
Pain management in surgery and childbirth Volume of surgical procedures Breast cancer management Stroke management Hip fracture surgery <24 hours hospitalization Hip replacement management Ear/nose/throat surgery management Urinary incontinence management |
Health Outcomes | Risk-adjusted Readmission Rates for heart attack, heart failure, pneumonia | Massachusetts: Mortality (HSMR) for angioplasty, bypass surgery, hip fracture, hip replacement, stroke, heart attack, heart failure, pneumonia Netherlands: Overall HSMR; death after hospitalization heart attack & angioplasty |
Pain severity after surgery Residual malignant tissue after breast cancer surgery Re-surgery incidence (hip fracture, colorectal cancer, ear/nose/throat surgery) Death <1 yr after cardiology outpatient consult |
Access to Health care | Access to preventive services, ambulatory services, primary care physician, annual dental visit, substance abuse therapy | ||
Patient Experience | HCAHPS CG-CAHPS ACES |
Dutch CQ-index is based on CAHPS methodology and measures similar domains. ACES and CQ- Primary Care Physician index** cover similar domains. | CQ-index |
Source: Public websites; Massachusetts: hospital compare, my healthcare options, quality insights, Netherlands: kiesbeter.nl, ziekenhuizentransparant.nl Notes CVD: Cardiovascular Disease; LBP: Low Back Pain; COPD: Chronic Obstructive Pulmonary Disease; HSMR: Hospital Standardized Mortality Rate; HCAPHS: Hospital Consumer Assessment of Healthcare Providers; CG-CAHPS: Clinician/Group Consumer Assessment of Healthcare Providers; CQ-index: Consumer Quality Index;
Conducted by regional groups within national population screening programs;
Results of CQ-Primary Care Physician Index are not publicly available yet.