Performance Measurement of Disease Management Programs: Examination of Recent Guidelines
Barry M. Zajac
After the establishment of an industry trade association and accreditation, standardizing performance measurement is the third critical milestone in the maturation of the disease management (DM) industry. The publication of Standard Outcome Metrics and Evaluation Methodology for Disease Management Programs by American Healthways, a leading DM vendor, in 2003 is the first credible effort at achieving this milestone. This report is the product of collaboration between American Healthways and Johns Hopkins Outcomes Verification Program, along with a conference of almost 150 physicians and other healthcare professionals. It proposes 64 measures across five disease states, seven financial and utilization measures and survey standards for member and provider satisfaction. This paper presents a framework for developing and evaluating performance measurement standards based on four components or aspects: purpose, perspective, process and products ( With respect to the There are many models of performance measurement standards and measures available. The performance measurement standards established by the National Committee for Quality Assurance and the Joint Commission on Accreditation of Healthcare Organizations are used as reference programs. These programs have done better at fulfilling the attributes offered in the framework, recognizing that they have developed through well-funded efforts over many years. The American Healthways and Johns Hopkins paper is a significant accomplishment and an important step in the establishment of measurement standards for DM. Further work needs to be done to achieve standards that will be useful and acceptable across the industry and among all constituents. A broader-based and broader-funded effort with more formalized or well-documented measure selection is needed, as well as testing, validation and dissemination of measures not commonly used in DM settings.
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