Measuring Quality for People with Complex Needs

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It’s not an understatement to say the work we do at NCQA impacts health care and—at some point—people’s lives. For those of us who are older or who need specialized care, NCQA is developing a way to measure the quality of that care.

Measuring Quality for People with Complex Needs
Measuring Quality for People with Complex Needs

Measuring Quality for People with Complex Needs

How do we start measuring quality of care for people with complex needs? NCQA is working with The SCAN Foundation and The John A. Hartford Foundation to figure that out.

It begins with understanding priorities. Doctors ask their patients—specifically, older adults with functional limitations and complex health issues—what’s most important to them. For the most part, the answers are general: “I want to live in my home and be able to spend time with my grandchildren.” Occasionally, they’re specific: “I want to be able to walk to the grocery store down the street.”

Person-Driven Outcomes

But no matter the answer, people’s priorities and health goals should guide their care.

Right now, existing quality measures don’t capture what’s most important to people, particularly older adults with functional limitations and complex health issues.

Want to learn more? Watch this video where NCQA’s Erin Giovannetti explains our project and why developing person-driven outcomes is so important.

Cindy Peña
Cindy is Senior Communications Manager at NCQA. Her focus is building consumer awareness through media and public relations. A communications and public engagement strategist with a background steeped in TV news reporting, Cindy is also part of NCQA’s Creative Services unit developing messaging through visual storytelling.

4 thoughts on “Measuring Quality for People with Complex Needs

  1. The movement toward personalized care is so welcomed.
    Please show the readers how to encourage, equip and engage comprehensive care in Florida.
    Thank you for responding.

    1. Hi Eddie,
      I am working on finding the information for you and will send you a proper response soon. Thanks for your interest!
      Cindy

    2. Hi Eddie,
      Thanks again for your comment. In response to your query. We have several resources available on NCQA’s website on how to engage individuals in a discussion of goals:
      Please see these links:
      http://www.ncqa.org/hedis-quality-measurement/research/setting-goals-with-vulnerable-people
      http://www.ncqa.org/Portals/0/Programs/Goals%20to%20Care%20-%20Spotlight%20Report.pdf?ver=2016-02-23-113526-113

      Check out the link to policy approaches to advancing person-centered care: http://www.ncqa.org/Portals/0/HEDISQM/Research/Policy%20Report_Final%20Report_TSF%202-1.pdf

      Additionally, we are working on toolkits that providers can use to engage older adults in a discussion about goals and use these goals to develop a plan of care, we look forward to sharing those tools later this year.

      1. Very much interested in obtaining a copy of one these toolkits – from Idabel, Oklahoma. Thanks.

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