The potential of claims data to support the measurement of health care quality
By: Jennifer Hicks
Contributors: Rand Corporation; Rand Graduate School
Series: Dissertation / Rand Graduate School -- RGSD-171; Dissertation (Rand Graduate School) -- RGSD-171
Publisher: RAND
Published: 2003
Place of publication: Santa Monica, Calif
Language: eng
Number of pages: 251
Subjects: Medical care; Evaluation; Health insurance claims; Delivery of Health Care; Evaluation Studies
Description: Current information suggests that millions of Americans fail to receive adequate quality health care. The author examines whether the use of claims data for measuring health care quality is being fully realized and identifies electronic data that might increase the potential for quality measurement. The author found that quality measurement relying extensively on medical records is prohibitively high for most organizations and presents four options for quality measurement: (1) the status quo; (2) expanded use of claims data; (3) expanded use of medical records; and (4) expanded use of both claims data and medical records.
Notes: Includes bibliographical references (p. 245-251).