A discussion paper from researchers at John Hopkins Medicine looks at the rise of performance measures and public reporting of performance and its part in raising awareness of deficits in quality and stimulating efforts to close measured gaps. However serious concerns exist relating to the value of performance measurement in its current state, including the validity and reliability of measures. The researchers sought to identify the requirements of a valid and useful performance-measurement and performance-reporting system. Summary recommendations included the creation of a health measurement and data standard-setting body; the building of the science of performance measures; and the improvement of communication of data to patients. This publication is part of the National Academy of Medicine’s Vital Directions for Health and Health Care Initiative, which called on more than 100 leading researchers, scientists, and policy makers from across the United States to assess and provide expert guidance on 19 priority focus areas for U.S. health policy.
- Fostering Transparency in Outcomes, Quality, Safety, and Costs, A Vital Direction for Health and Health Care. National Academy of Sciences. September 2016 (PDF)