The Future of Quality Measurement for Improvement and Accountability



“The Affordable Care Act expands access to health insurance and includes numerous provisions focused on delivering care that is high quality, safe, and affordable. Reliable and meaningful quality measurement that focuses on important outcomes, including patient experience throughout the health care system, is an essential prerequisite for achieving this goal,” writes Patrick H. Conway, M.D., M.Sc., of the Department of Health and Human Services, Washington, D.C., and the Centers for Medicare & Medicaid Services, Baltimore, and colleagues.

In this Viewpoint, the authors “describe the characteristics of the quality measurement enterprise of the future, outline a potential roadmap for the transition, and identify a set of opportunities for public- and private-sector collaboration.”

“As measures are increasingly implemented in payment programs based on value, the public and private sectors must collectively work to ensure the implementation of patient-centered measures that matter, minimize clinician burden, focus on improvement, and develop an agile learning measurement enterprise. The measurement enterprise is critical for successful transformation of the health system to achieve better health outcomes as efficiently as possible.”

(JAMA. 2013;309[21]:2215-2216.