The Network for Regional Healthcare Improvement (NRHI), a national organization representing over 30 regional health improvement collaboratives (RHICs) and partners working in the pursuit of better health and high-quality affordable care, has been working with RHICs in Colorado, Massachusetts, Oregon and Utah to better understand the cost and quality of healthcare services across delivery organizations. The four RHICs developed methods to comparatively study eight quality measures across systems and geographies, in addition to cost across geographies. The process used for standardizing disparate databases and methods is described in Producing Comparable Cost and Quality Results from All-Payers Claims Databases, featured in the May issue of The American Journal of Managed Care.
A key accomplishment was the development of a Uniform Data Structure (UDS) file format that can be scaled across populations, measures, and research dimensions to provide a consistent method of producing comparable findings across regions.
“Regional health improvement collaboratives are trusted, neutral conveners with rich access to, and unique knowledge of, local data,” said Craig Brammer, President and CEO, NRHI. “This project exemplifies the power of bringing RHICs together and demonstrating how their regional APCDs can be used to assess healthcare performance variation across states and regions producing data that can be used to affect healthcare policy.”
The full manuscript can be viewed in the May 2019 issue of The American Journal of Managed Care:https://www.ajmc.com/journals/issue/2019/2019-vol25-n5/producing-comparable-cost-and-quality-results-from-allpayer-claims-databases
Partners and funding:
NRHI, Center for Improving Value in Health Care (CIVHC), Massachusetts Health Quality Partners (MHQP) and Comagine Health (formerly HealthInsight) in Oregon and Utah, partnered with the National Bureau of Economic Research (NBER) and Harvard University in the Comparative Health System Performance Initiative Study funded by the Agency for Healthcare Research and Quality (AHRQ). The work described in this paper is a subset of projects being facilitated through the NBER Center of Excellence.
The Network for Regional Healthcare Improvement (NRHI) is a national membership organization of regional health improvement collaboratives (RHICs) and partners representing more than 30 states and territories across the US. Our members work in and across their regions to collaborate and transform healthcare with the goal of achieving better health, and high-quality affordable care.
This project was supported by grant number U19HS024072 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official view of the Agency for Healthcare Research and Quality.