NCQA behavioral health measurement effortsSarah Hudson Scholle
National Committee for Quality Assurance, 2000 L Street, NW, Suite 500, Washington, DC 20036, USA
J Manag Care Pharm 11:S9-11. 2005
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Benchmarking physician performance: reliability of individual and composite measuresSarah Hudson Scholle
National Committee for Quality Assurance, Washington, DC 20005, USA
Am J Manag Care 14:833-8. 2008
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- Health plan resource use: bringing us closer to value-based decisions
Sally Elizabeth Turbyville
National Committee for Quality Assurance, Washington, DC, USA
Am J Manag Care 17:68-74. 2011
..To examine commercial health plan variation in resource use for members with diabetes and its relationship to the quality of care for these members...
- Measuring practice systems for chronic illness care: accuracy of self-reports from clinical personnel
Sarah Hudson Scholle
National Committee for Quality Assurance, Washington, DC, USA
Jt Comm J Qual Patient Saf 34:407-16. 2008
..The validity of self-reports of the use of practice systems was examined...
Identifying older adults at high risk of mortality using the Medicare health outcomes surveyJudy H Ng
The National Committee for Quality Assurance, Washington, DC 20005, USA
J Ambul Care Manage 35:277-91. 2012
..74). Routinely-collected Medicare survey data may be used to assess patterns of enrollment of high-risk beneficiaries across health plans...
- Availability of data for measuring physician quality performance
Sarah Hudson Scholle
National Committee for Quality Assurance, 1100 13th St NW, Ste 1000, Washington, DC 20005, USA
Am J Manag Care 15:67-72. 2009
..To evaluate measurement of physician quality performance, which is increasingly used by health plans as the basis of quality improvement, network design, and financial incentives, despite concerns about data and methodological challenges...
- Multiple risk factors and the likelihood of patient-physician communication and health maintenance services in medicare health plans
Judy H Ng
The National Committee for Quality Assurance, Washington, DC 20005, USA
J Ambul Care Manage 36:50-60. 2013
..Evidence suggested moderation among competing effects. While clinicians target services to most at-risk elderly individuals, patients with low education experience gaps. Synergies among co-occurring risks warrant further research...
- Development of and Field Test Results for the CAHPS PCMH Survey
Sarah Hudson Scholle
National Committee for Quality Assurance, Washington, DC Department of Health Care Policy, Harvard Medical School, Boston, MA Westat, Rockville, MD Center for Survey Research, University of Massachusetts, Boston, MA RAND Corporation, Santa Monica Department of Medicine, University of California Los Angeles, Los Angeles, CA Yale School of Public Health Yale School of Medicine, New Haven, CT
Med Care 50:S2-S10. 2012
..To develop and evaluate survey questions that assess processes of care relevant to Patient-Centered Medical Homes (PCMHs)...
- Self-reported delays in receipt of health care among women with diabetes and cardiovascular conditions
Judy H Ng
The National Committee for Quality Assurance, 1100 13th Street, NW, Suite 1000, Washington, DC 20005, USA
Womens Health Issues 20:316-22. 2010
..This study examines the association of gender and health insurance status with delays in care, a dimension of access to care, among midlife (age 45-64) and older (age > or = 65) adults with diabetes and cardiovascular conditions...
- Patient-centered medical homes in the United States
Sarah Hudson Scholle
National Committee for Quality Assurance, Washington, District of Columbia 20005, USA
J Ambul Care Manage 34:20-32. 2011
..Efforts to support practices to implement medical home capabilities are needed, particularly in the use of data for population management and patient self-management...
- Comparison of administrative-only versus administrative plus chart review data for reporting HEDIS hybrid measures
L Gregory Pawlson
National Committee for Quality Assurance, Washington, DC, USA
Am J Manag Care 13:553-8. 2007
..We compared results of using administrative claims data alone versus administrative data combined with chart review for selected Healthcare Effectiveness Data and Information Set (HEDIS) measures...
- The relationship between quality and utilization in managed care
Sarah Hudson Scholle
National Committee for Quality Assurance, 2000 L Street, NW Suite 500, Washington, DC 20036, USA
Am J Manag Care 11:521-7. 2005
..To examine correlations of commercial health plan performance on Health Plan Employer Data and Information Set (HEDIS) effectiveness-of-care measures with utilization rates, as a proxy for cost...
- Quality of care in Medicaid managed care and commercial health plans
Bruce E Landon
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
JAMA 298:1674-81. 2007
..In contrast to the commercially insured population, the proportion of Medicaid beneficiaries enrolling in health maintenance organizations continues to increase...
- Gender disparities in cardiovascular disease care among commercial and medicare managed care plans
Ann F Chou
Department of Health Administration and Policy, College of Public Health and College of Medicine, University of Oklahoma, 801 NE 13th Street, Oklahoma City, OK 73120, USA
Womens Health Issues 17:139-49. 2007
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- Gender disparities in the quality of cardiovascular disease care in private managed care plans
Ann F Chou
Department of Health Administration and Policy, College of Public Health and College of Medicine, University of Oklahoma, 801 NE 13th Street, Oklahoma City, OK 73120, USA
Womens Health Issues 17:120-30. 2007
..To that end, the objective of this study is to determine if gender disparities in the quality of CVD care exist in commercial managed care populations...
- Efforts to reduce racial disparities in Medicare managed care must consider the disproportionate effects of geography
Beth A Virnig
Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St SE, MMC 729 A365 Mayo, Minneapolis, MN 55455, USA
Am J Manag Care 13:51-6. 2007
..To examine the impact of geographic variation on racial differences in 7 of 15 Health Plan Employer Data and Information Set (HEDIS) measures that assess the quality of the Medicare managed care program (also known as Medicare+Choice)...
- Ensuring high-quality primary care for women: predictors of success
Bevanne A Bean-Mayberry
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15240, USA
Womens Health Issues 16:22-9. 2006
..The purpose of this study is to determine whether separate or combined effects of provider gender, availability of gynecologic services from the provider, and women's clinic setting improve patient ratings of primary care...
- The development and validation of the primary care satisfaction survey for women
Sarah Hudson Scholle
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Womens Health Issues 14:35-50. 2004
..The 24-item PCSSW may be self-administered or conducted by telephone and may be used in studies to evaluate or improve the quality of primary care for women...
- Validation of data collection for the HEDIS performance measure on chlamydia screening in a MCO
Sarah Hudson Scholle
Am J Manag Care 9:713, 776; author reply 776. 2003
- Assessing primary care performance in an obstetrics/gynecology clinic
Sarah Hudson Scholle
Psychiatry, Pediatrics and Health Services Administration, University of Pittsburgh, PA 15213, USA
Women Health 37:15-30. 2003
..This study compared primary care performance among young low-income women using ob/gyns versus other settings as their primary care providers (PCP)...
- Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women's Health
Roger T Anderson
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
Womens Health Issues 12:309-26. 2002
..The largest effects among primary care services were for physical breast examination, mammogram (ages 50+), and counseling for smoking, domestic violence, and sexually transmitted diseases...
