Aprendiendo del pasado para medir el futuro – JAMA

Learning From the Past to Measure the Future


This Viewpoint, from the current CEO of the National Quality Forum and the director of AHRQ, discusses the changes in health care quality measurement over the past 15 years and opportunities for future progress.

In recent months, there have been multiple policies and initiatives seeking to improve health care quality and value. In January, Secretary Sylvia Burwell announced that the US Department of Health and Human Services will tie 90% of Medicare payments to quality or value by 2019. In April, Congress passed legislation to repeal the Sustainable Growth Rate formula; this law also established a new payment formula that pays clinicians based on a composite performance score. The private sector has been similarly active with the Health Care Transformation Task Force—composed of large health systems and insurers—aiming to have 75% of their contracts using incentives for quality and value by 2020.

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