IOM’s Vital Signs Report release

The new IOM Vital Signs report was well received today at its release at the National Press Club. Elizabeth was on the first panel and spoke to the need to standardize not only performance measures but implementation of those measures. She reminded us that even those “off the shelf” will be implemented differently due to business restrictions, data availability, etc. The country will need to get into the nitty gritty of implementation to really get to standardization and benchmarking. RHICs are a great vehicle for doing this.

One respondent called the report and measure set “profoundly transformative” because the measure set went beyond cost, quality and access.

Elizabeth pointed out that measures won’t be adopted or used if they aren’t seen as valuable to users – employers, consumers, and providers. The set provides a roadmap and is intended to allow some local flexibility and a balanced portfolio for communities to set their priorities within the framework. Elizabeth also emphasized the need for alignment across both public and private sectors in order to achieve relative standardization of measure sets. All stakeholders in a community must reorient their thinking and share accountability for performance on these core measures.

Respondents called for CMS to take quick action and lead a process to set goals for the country around this report and implement the recommendations outlined in the report. Respondents also urged a connection between financial incentives and measure performance. For more on the report, visit