As the United States devotes extensive resources to health care, evaluating how successfully the U.S. system delivers high-quality, high-value care in an equitable manner is essential. At the request of Congress, the Agency for Healthcare Research and Quality (AHRQ) annually produces the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). The reports have revealed areas in which health care performance has improved over time, but they also have identified major shortcomings. After five years of producing the NHQR and NHDR, AHRQ asked the IOM for guidance on how to improve the next generation of reports. The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the health care system. In addition to being sources of data on past trends, the national healthcare reports can provide more detailed insights into current performance, establish the value of closing gaps in quality and equity, and project the time required to bridge those gaps at the current pace of improvement. Table of ContentsFront MatterSummary1 Introduction2 Re-Envisioning the NHQR and NHDR3 Updating the Framework for the NHQR and NHDR4 Adopting a More Quantitative and Transparent Measure Selection Process5 Enhancing Data Resources6 Improving Presentation of Information7 Implementing Recommended ChangesAcronymsAppendix A: Previous IOM Recommendations for the National Healthcare ReportsAppendix B: Key Findings of the NHQRs and NHDRsAppendix C: Previous Conceptual FrameworkAppendix D: Measurement Opportunities for the Framework's Components of Quality CareAppendix E: HHS Interagency Workgroup for the NHQR and NHDRAppendix F: The Expected Population Value of Quality Indicator Reporting (EPV-QIR): A Framework for Prioritizing Healthcare Performance MeasurementAppendix G: IOM Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement: RecommendationsAppendix H: Additional Assessments of Data Presentation in the NHQR and NHDRAppendix I: An Illustrative Funding ExampleAppendix J: Committee Member and Staff Biographies
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