5. Public Reporting as a Quality Improvement Strategy

Author
Year
Paulsbo
2007 183
Peters
2009 184
1. Study
Purpose
To explore report
card preferences
of people with
disabilities
Examine the
impact of
evaluative
meaning on the
2. Geographic
Location
Oregon, California,
Virginia, Maryland,
and DC
3. Study
Design/
Type
Focus
Groups
USA Lab-type
Experiment
4. Sample/
Population
Procedure 5. Outcomes
N=49 people;
34 women, 15
men recruited
through
independent
living centers
Study 1: 303
non student
adults
Study 2: 207
equipment and
prescription
drugs; and
(5)dimensions of
a high quality
health care plan
Defining quality
health care
including:
Care
coordination and
communication
Choice of
providers
Disability
competence and
sensitivity
Access to
information
Evaluation or
report card
content
Comprehension
Use of
information
Impact of
M-25
6. Name
of Public
Report 7. Results 8. Summary
Reports
from
California,
Maryland,
Michigan
and Texas
important:
Provider panel with
appropriate accessible
specialists
Ease of referral
Transportation and
physically accessible
offices
Medications on formulary
Equipment and models
covered
Independent living needs
covered
Maintenance (not
improvement) and
alternative therapies
covered
Coordination of Care
Access to preventive
services
Health plan information
in alternative formats
Responsive appeals
process
Most participants
preferred shorter report
cards and wanted
number and visuals.
Some did not understand
stars or composite
ratings. Most wanted
disability specific
information and provider
specific, not just health
plan ratings. They also
wanted information on
the coordination of care
and accessibility of
facilities.
NA Study 1: Mood and
numeracy impact
interpretation when no
categories are provided;
Finding confirm
other studies that
demonstrate that
format can help
or confuse and
that people want
information
specific to there
situation or
condition.
Presenting
evaluative
information
allows people to
9. Funding of
Research
U.S.
Department of
Education
Robert Wood
Johnson
Foundation, the
National