This two year project is an important first step to fully understanding measurement for performance improvement in medical groups. This exploratory research is expected to set the stage for informing future research and policy discussions, both of which could ultimately have a more direct impact on providers, payers, and patients. As a critical first step, however, this research breaks new ground in an important area of health care research by looking at what the current landscape is to better understand how medical groups are using measurement internally to improve performance and what that means to them, and how internal measurement relates to external measurement obligations, and identifying where the gaps are.
Project success for this exploratory work will be seen in a more complete understanding of the current landscape of performance measurement, gleaned through an environmental scan, expert input, and qualitative data collection. Ultimately, success will be measured by our ability to answer the research questions stated below that are guiding this research project.
The overall goal of AHRQâs Measurement for Performance Improvement in Physician Practices project is to identify the current gaps in our knowledge about how practices are using data, if at all, for performance improvement. AHRQ has developed this project to address the lack of current evidence on internal performance measurement in medical groups, identifying the following research questions:
⢠What gaps exist in the research literature regarding management for performance improvement in medical groups?
⢠What factors, both internal and external, drive efforts to use measurement to improve medical group performance?
⢠How are measures used to support internal management and improvement processes?
⢠What additional activities support use of internal performance measures?
⢠How are internal performance measures derived and reported? What specific measures, benchmarks, and comparisons are used?
⢠How have physicians responded to these measurement processes?
⢠What are the perceived benefits of internal measurement activities? What types of costs and other burdens are directly associated with internal measurement? How feasible is it to specify actual costs of reporting?
⢠What implications does evidence on internal measurement for performance improvement have for payers, policy makers, executives in delivery systems, and clinical leaders?
US Code:
42 USC Sec. 299
Name of Law: Healthcare Research and Quality Act of 1999
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form 1 Medical group administrators : All other administrators (Attachment C)
AHRQ MPI_PRA_Supporting Statement Part B__3-25-2016.docx
Medical group administrators : All other administrators (Attachment C)