System Management Populations: An Analysis of the Quality Metrics for Managing Chronic Diseases

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System Management Populations Objective The objective of this study is to compare the quality metrics for managing chronic diseases and evaluate how these quality metrics facilitate change and improve the management of chronic disease. This work in writing will take a stance on the efficiency of current automated trigger systems to help manage patient safety and answer as to whether these are proactive or reactive responses when educating patients on disease management. Introduction The work of the NCQA (2010) reports that health plans reporting improvements in quality of data in HEDIS for the first time surpassed 1,000 and this is reported to mean that "there has never been more transparency in health care." (p.8) It is reported that clinical quality measures have improved but only modestly. There are however gains in some areas such as colorectal cancer screening and beta-blocker treatment following a heart attack which have made great gains. NCQA reports that it has performance measures that Accountable Care Organizations (ACO) require to delivery care that is better in quality at costs that are lower. The ACOs are reported to "coordinate doctors, hospitals, and other health professionals to make sure people get all the care they need, while fighting waste and overuse." (NCQA, 2013, p.1) This is reported to make a requirement of the collection, integration and use of data geared toward the provision of care that is "high quality, well-coordinated [and]

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