5. Public Reporting as a Quality Improvement Strategy

Author
Year
Rosenthal
2007 186
1. Study
Purpose
To provide
systematic
descriptions and
analyses of
value-based
purchasing and
related efforts to
improve quality of
care by health
care purchasers.
2. Geographic
Location
3. Study
Design/
Type
USA Descriptive
Survey
4. Sample/
Population
Procedure 5. Outcomes
Largest 26
private and
public
employers in
each of the
selected
markets, with
the exception of
New Orleans
and San
Antonio, in
which we
sampled 7 and
20 employers
respectively.
Comparisons
were made by
employer size
(5000(225))
M-27
6. Name
of Public
Report 7. Results 8. Summary
HEDIS
CAHPS
28,000 visitors per year.
90% of users are
consumers who are
comparing (48.1%),
seeking information
about current (37.5%) or
considering joining
(11.5%) HMOs.
Most users review the
summary page with the
HMO star charts (74.5%)
and not the details
Area of most interest is
Plan Service (customer
service, paying claims
etc.)
Comparative information
on prevention indicators
is of less interest either
because performance is
the same or it is only
relevant to specific
people.
Weight given to
CAHPS/HEDIS when a
health plan is chosen, by
employer size:
5000 Employees - 62
(50-73)
p-value for difference in
employer size = 0.29
Value based Purchasing
efforts directed at Health
Plans