Chapter 10: What Quality Looks Like

148  a 2019 survey: 2019 Healthcare Consumer Insight & Digital Engagement Survey, Binary Fountain, September 2019, https://go.binaryfountain.com/2019-healthcare-consumer-insights-survey.html.

148  Consumer Assessment of Healthcare Providers and Systems: https://www.ahrq.gov/cahps/index.html.

149  Healthgrades: https://www.healthgrades.com/.

149  RateMDs: https://www.ratemds.com/.

149  U.S. News & World Report: https://health.usnews.com/doctors.

149  ShareCare: https://www.sharecare.com/.

149  WebMD: https://doctor.webmd.com/.

149  Zocdoc: https://www.zocdoc.com/.

149  Vital Signs: Vital Signs, ProPublica, https://projects.propublica.org/vital-signs/.

149  state-by-state details: “Your Doctor Might Have a Disciplinary Record. Here’s How to Find Out.” ProPublica, updated December 11, 2019, https://projects.propublica.org/graphics/investigating-doctors.

150  recommends: “Using Physician Rating Websites,” Center for Advancing Health, GW Cancer Institute, 2016, https://www.guroo.com/#!insights/Quality/quality-using-physician-rating-websites.

150  a thorough review: Empowering New Yorkers with Quality Measures That Matter to Them, United Hospital Fund, December 2017, https://nyshealthfoundation.org/wp-content/uploads/2017/12/empowering-new-yorkers-with-quality-measures-dec-2017.pdf.

150  Agency for Healthcare Research and Quality: “Get to know the AHRQ Quality Indicators,” Agency for Healthcare Research and Quality       , https://www.qualityindicators.ahrq.gov/.

151  Recommended telehealth care: “Virtual Visits”, United HealthCare, https://www.uhc.com/individual-and-family/member-resources/health-care-tools/virtual-visits.

151  the telehealth transition: “Positioning Virtual Care to Transform Health Benefits,” Mercer, June 4, 2020, https://www.mercer.us/our-thinking/healthcare/positioning-virtual-care-to-transform-health-benefits.html.

151  do not have a primary care physician: “One-Fourth of Adults and Nearly Half of Adults Under 30 Don’t Have a Primary Care Doctor,” Kaiser Family Foundation, February 8, 2019, https://www.kff.org/other/slide/one-fourth-of-adults-and-nearly-half-of-adults-under-30-don’t-have-a-primary-care-doctor/.

152  American Telehealth Association: https://www.americantelemed.org/.

153  American Board of Medical Specialties: https://www.abms.org/.

153  Certification Matters: https://www.certificationmatters.org/.

153  Centers for Medicare & Medicaid Services: https://www.cms.gov/.

154  HHS.gov: https://www.hhs.gov/.

154  Physician Compare: “Physician Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/physiciancompare/.

154  Hospital Compare: “Hospital Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/hospitalcompare/search.html?

154  Nursing Home Compare: “Nursing Home Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/nursinghomecompare/search.html?

154  Hospice Compare: “Hospice Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/hospicecompare/.

154  Inpatient Rehabilitation Facility Compare: “Inpatient Rehabilitation Facility Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/inpatientrehabilitationfacilitycompare/.

154  Dialysis Facility Compare: “Dialysis Facility Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/dialysisfacilitycompare/.

154  Home Health Compare: “Home Health Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/homehealthcompare/search.html.

154  Long-Term Care Hospital Compare: “Long-Term Care Hospital Compare,” Medicare.gov, U.S. Centers for Medicare & Medicaid Services, https://www.medicare.gov/longtermcarehospitalcompare/.

156  Agency for Healthcare Research and Quality: “Major Hospital Quality Measurement Sets,” Agency for Healthcare Research and Quality, https://www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html.

156  National Quality Forum: http://www.qualityforum.org/About_NQF/.

157  AHRQ Quality Indicators: https://www.qualityindicators.ahrq.gov/.

157  National Hospital Quality Measures: “Measures,” Joint Commission, https://www.jointcommission.org/measurement/measures/.

157  CAHPS Hospital Survey: “CAHPS Adult Hospital Survey,” Agency for Healthcare Research and Quality, https://www.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html.

157  ORYX: “ORYX Performance Measurement Reporting,” Joint Commission, https://www.jointcommission.org/measurement/reporting/accreditation-oryx/.

157  The Leapfrog Group: http://www.leapfroggroup.org/.

157  The Advisory Board: https://www.advisory.com/.

157  series of briefs: “How Hospital Quality Ratings Work,” Advisory Board, February 2020, https://www.advisory.com/research/physician-executive-council/resources/2017/metrics-used-in-hospital-quality-rating-programs#CMSstar.

157  evaluated: “Rating the Raters: An Evaluation of Publicly Reported Hospital Quality Rating Systems,” New England Journal of Medicine, August 14, 2019, https://catalyst.nejm.org/doi/full/10.1056/CAT.19.0629.

157  conflicting ratings: “National Hospital Ratings Systems Share Few Common Scores And May Generate Confusion Instead Of Clarity,” Health Affairs, March 2015, https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2014.0201.

158  conflicting information for patients: “Consumers’ Interest in Provider Ratings Grows, and Improved Report Cards and Other Steps Could Accelerate Their Use,” Health Affairs, April 2016, https://www.healthaffairs.org/doi/10.1377/hlthaff.2015.1654.

158  IBM/Watson Health: “IBM Watson Health Recognizes Top-Performing U.S. Hospitals and Health Systems,” IBM, June 20, 2020, https://www.prnewswire.com/news-releases/ibm-watson-health-recognizes-top-performing-us-hospitals-and-health-systems-301085296.html.

159  assessed Nursing Home Compare: “Does Nursing Home Compare Reflect Patient Safety in Nursing Homes?” Health Affairs, November 2018, https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0721.

159  provides details: “Nursing Home Staffing 2019 Q3,” Long Term Care Community Coalition, https://nursinghome411.org/category/nursing-home-information/staffing/.

159  who has reviewed: “How Are Nursing Homes Doing When It Comes to Staffing? This Tool Helps You Find Out,” Association of Health Care Journalists, January 3, 2020, https://healthjournalism.org/blog/2020/01/how-are-nursing-homes-doing-when-it-comes-to-staffing-this-tool-helps-you-find-out/.

160  of her program: “How to Find a Long-Term Care Ombudsman Program,” National Consumer Voice for Quality Long-Term Care, https://theconsumervoice.org/get_help.

160  National Association of Area Agencies on Aging: https://www.n4a.org/. find one near you: “PACEFinder: Find a PACE Program in Your Neighborhood,” National PACE Association, https://www.npaonline.org/pace-you/pacefinder-find-pace-program-your-neighborhood.

160  find one near you: “PACEFinder: Find a PACE Program in Your Neighborhood,” National PACE Association, https://www.npaonline.org/pace-you/pacefinder-find-pace-program-your-neighborhood.

160  rules adopted in 2019: “Medicare and Medicaid Programs; Revision of Requirements for Long-Term Care Facilities: Arbitration Agreements,” Federal Register, July 18. 2019, https://www.federalregister.gov/documents/2019/07/18/2019-14945/medicare-and-medicaid-programs-revision-of-requirements-for-long-term-care-facilities-arbitration.

161  lack the fact-based comparative rankings: “Quality measurement lags in the outpatient surgery arena,” Modern Healthcare, April 6, 2019, https://www.modernhealthcare.com/safety-quality/quality-measurement-lags-outpatient-surgery-arena.

161  performance information: “Quality measures developed and tested by the ASC Quality Collaboration,” ASC Quality Collaboration, https://higherlogicdownload.s3.amazonaws.com/ASCACONNECT/1b34f1a1-0180-4005-9507-902fdf8f242e/UploadedImages/ASC_Quality_Collaboration/Documents/2019-Summary-ASC-QC-Measures.pdf.