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  1. Overview of the U.S. Healthcare System Infrastructure. The NHQDR tracks care delivered by providers in many types of healthcare settings. The goal is to provide high-quality healthcare that is culturally and linguistically sensitive, patient centered, timely, affordable, well coordinated, and safe.

    • 2021/12
  2. The descriptive statistics in this report provide an outline of health systems’ capacity to deliver services, but more work is needed to understand how each system aligns with its counterparts and how they work together as a whole.

    • 2023/12
  3. Healthcare quality assessments evaluate health systems’ effectiveness to provide patient care that is timely, affordable, and based on reliable evidence. This section of the report provides a broad portrait of U.S. healthcare in consideration of those fundamental measures as well as additional factors that influence disparities in care.

    • 2022/10
  4. Sep 10, 2015 · Developing meaningful measures of overall health system quality, and how it is changing, requires a combination of indicators that can reliably show how the system – which in our view includes providers, payers, and public health – is influencing the health of the population.

    • Introduction
    • Background
    • Description of Commissioned Paper
    • Conclusion
    • Join The Conversation!
    • References

    The first section of this paper explains the need for a patient-centered and equity-based institutional performance assessment or monitoring system. The second section outlines the NCQA’s recommendations for an integrated measure of health literacy, cultural competence, and language access within future organizational performance assessments. The N...

    The provision of high-quality care has long been a goal of the medical care system. Yet a 2000 report from the Institute of Medicine (IOM), To Err Is Human, documented that as many as 98,000 Americans die each year as a result of medical errors, and many more thousands experience nonfatal injuries . In Crossing the Quality Chasm: A New Health Syste...

    The development of integrated quality performance measures for three domains—health literacy, language access, and cultural competence—was proposed at a 2015 workshop of the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine . The Roundtable commissioned the National Committee for Quality Assurance (NCQA)...

    The authors of this paper suggest that the adoption of an integrated measure of health literacy, language access, and cultural competence would enable hospitals and health systems, as well as health consumer leadership organizations, to address specific as well as broader patient-centered framework issues in health equity. Health care organizations...

    Tweet this! “Reducing disparities requires attention to the essential components of equitable, patient-centered, high-quality care – that is, to culturally and linguistically appropriate care as well as attention to health literacy.” https://doi.org/10.31478/201902a#NAMPerspectives Tweet this! In order to ensure our health care system is moving tow...

    French, J. B., S H. Scholle, J. Ng, and M. Taylor. 2017.Measuring improvement in the patient-consumer experience of health care: Aligning and leveraging measures of health literacy, language access...
    Institute of Medicine. 2000. To Err Is Human: Building a Safer Health System. Washington, DC: The National Academies Press. https://doi.org/10.17226/9728
    Institute of Medicine. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies Press. https://doi.org/10.17226/10027
    Institute of Medicine. 2003. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/12875
    • Ignatius Bau, Robert A. Logan, Christopher Dezii, Bernard Rosof, Alicia Fernandez, Michael K. Paasch...
    • 2019
  5. Nov 19, 2020 · More than half of US hospitals are not-for-profit, and they negotiate contracts with multiple insurers for their income. Health insurers control their costs by charging customers...

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  7. Dec 22, 2015 · The U.S. Department of Health and Human Services (HHS) defines quality improvement efforts as “systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups.”