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Performance Measurement:What Do Consumers & Purchasers
Need?
Stephanie Glier, MPH
ECRI Institute’s 24th Annual Conference
Session 2: Rate the Rater—The Purpose and Effectiveness of
Quality Monitoring and Measurement-setting Organizations and their
Influence on Standardization, Workflow, and Innovation
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• I have nothing to disclose.
Disclosures
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3PBGH Members
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Primary goal of health care: Value for patients
“Value is created in caring for a patient’s health status and
medical condition (acute or chronic) over the full cycle of care
(or over time).”
– Michael Porter, adapted from NEJM 2010
What do consumers and purchasers want?
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• To know we can get the care we need, when we need it, to
improve or maintain health or well-being
• Information that enables practice improvement
• Information that supports decisions about providers,
facilities, plans, treatments
What do consumers and purchasers want?
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• Measures are removed from true outcomes and patient value
• Difficult to measure some things that matter
• Emphasis on meeting clinical guidelines
• Stakeholder tension about precision, accountability
• Performance information is not timely
• Measures are not driving improvements in care delivery
• Measures are not useful for supporting decisions
Where does measurement fall short today?
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• Survival
• Degree of health, recovery, well-being attained or
maintained
Health status achieved or retained
• Time to recovery, time to return to normal activities
• Negative impacts of care (diagnostic errors, complications,
adverse effects)
Process of recovery or care
• Recurrence or move away from recovery
• Care-induced consequences or illness
Sustainability of health status
Measuring what matters to patients
Porter, NEJM 2010
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• Health and well-being
• Patient experience
• Cost
• Choice and access
• Population outcomes including impact on disparities in health
and care
Measuring what matters to patients
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• Patient-generated information and PROMs
• Standardized measure sets for conditions that represent
substantial disease burden
• Consumer input and feedback at clinical encounter,
organization, and policy levels
• Revisit the current measurement enterprise
Where do we go from here?
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Stephanie GlierSenior Manager, Consumer-Purchaser Alliance
[email protected]
linkedin.com/company/pacific-business-
group-on-health
@PBGH_updates
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