HSC 572 Study Guide - Comprehensive Final Exam Guide - Quality Management, Pdca, Nursing
Document Summary
Process used in an attempt to constrain spending and reduce inpatient length of stay. The practice pattern of physician or group is expressed as a measure of the use of resources and or length of stay during a defined period for the population served. Creates a way to compare physicians and allow payers to compare networks, groups, and individual physician physicians with metrics that track quality, utilization, cost, and prescribing practices against group, network, and national benchmarks. Showing physicians how their performance compares to other physicians to improve clinical, quality and cost related outcomes. Shown to be a major contributor to unexplained clinical variations in healthcare. Collection of provider-specific and practice level data used to analyze physician practice patterns, utilization of services, and outcomes of care. In response to public demand for greater physician accountability, initial attempts to change physician behavior resulted in these report cards. The goal is to improve physician performance through accountability and feedback.
