Patient Outcomes of Health Care: Integrating Data into Management Information Systems
Striking changes are occurring in the American healthcare system. Public confidence in the quality of care provided by doctors and hospitals has been shaken. The Institute of Medicine report, To Err is Human , published in 2000, found that more people are killed annually by mistakes in medicine than by car accidents. The more recent report, Crossing the Quality Chasm  in 2001, calls for fundamental restructuring of American health care to assure high-quality chronic disease care. At the same time, substantial increases in healthcare costs are facing all payers, after a number of years of relatively flat costs associated with the growth of managed care. In many cases the increases in costs are being passed on to consumers through higher coinsurance and copayment rates for hospitals, doctors, and medications.
KeywordsManagement Information System Manage Care Organization Patient Questionnaire Clinical Information System Administrative Data Source
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- 1.Institute of Medicine. To err is human: building a safer health system. In: Donaldson M, Corrigan J, editors. Washington, DC: National Academy of Science Press; 2000.Google Scholar
- 2.Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. In: Donaldson M, Corrigan J, editors. Washington, DC: National Academy of Science Press; 2001.Google Scholar
- 3.Donabedian A. The role of outcomes in quality assessment and assurance [see comments]. Qual Rev Bull 1993; 19 (3): 78.Google Scholar
- 5.National Committee on Quality Assurance. The state of health care quality: 2002. Washington, DC: The Committee; 2002.Google Scholar
- 9.Kaplan RM, Anderson JP. The quality of well-being scale: rationale for a single quality of life index. In: Walker SR, Rosser RM, editors. Quality of life assessment and application. Lancaster, England: MTP Press; 1988. p. 51–78.Google Scholar
- 10.Bombardier C, Melfi CA, Paul J, et al. Comparison of a generic and a disease-specific measure of pain and physical function after knee replacement surgery. Med Care 1995;33(suppl 4): AS131–AS144.Google Scholar
- 13.Institute of Medicine. Clinical practice guidelines: directions for a new program. Field M, Lohr K, editors. Washington, DC: National Academy of Science Press; 1990.Google Scholar
- 14.Institute of Medicine. Priority areas for national action: transforming health care quality. Adams K, Corrigan J, editors. Washington, DC: National Academy of Science Press; 2003.Google Scholar
- 15.Agency for Healthcare Quality and Research. National healthcare quality report: update. Fact Sheet. AHRQ Publication No. 02-P028. Rockville, MD: AHQR; 2002.Google Scholar
- 17.Steinwachs DM, Wu AW, Skinner EA, Campbell D. Asthma patient outcomes study: baseline survey. Report prepared for Managed Health Care Association Outcomes Management System Project Consortium, Health Services Research and Development Center, Johns Hopkins University; 1995.Google Scholar
- 18.Steinwachs DM, Wu AW, Skinner EA, Young Y. Asthma outcomes in managed health care: outcomes management and quality improvement. Report prepared for Managed Health Care Association Outcomes Management System Project Consortium, Health Services Research and Development Center, Johns Hopkins University; 1996.Google Scholar