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NCQA issues standards for measuring hospital performance

Quality Improvement Monitor, December 2, 2005

 

NCQA issues standards for measuring hospital performance

 

The National Committee for Quality Assurance (NCQA) issued draft standards on November 21 on how health plans measure the quality and efficiency of care provided by network hospitals and physicians. The standards are for NCQA's Physician and Hospital Quality, the third content area of the organization's voluntary Quality Plus program.

 

Beyond measuring how plans measure quality and efficiency, the standards recognize plans for using such data in pay-for-performance efforts or to help inform consumer choice. The standards also assess how health plans communicate their measurement efforts to providers and promote collaboration between plans to create a robust data set for consumers and streamlined reporting for hospitals and doctors.

 

Plans seeking distinction in Physician and Hospital Quality must demonstrate that they use quality and efficiency measures for in-network hospitals and physicians, based on  widely accepted performance measures and valid methodologies.

 

Comments on the draft standards are due December 19.

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