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Where to Find Information on Quality

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Where to Find Information on Quality

One of the most powerful forces driving improvement in health care is the educated consumer.

Consumers who make informed choices and are engaged in their own care not only experience better health outcomes, they also help reward doctors, hospitals and health plans that deliver better care and service. [i]

To make sure you and your family get good quality care, you need to be actively involved in finding and using information that tells about health care quality.

 

Finding and using information about quality care can help you stay healthy and help you make good decisions about treatment when you need it. Below are resources that tell more about what you can do to help make sure that you and your family are getting good quality care.

 

Materials You Can Print

  • A booklet called Guide to health care quality: how to know it when you see it is available from the federal Agency for Healthcare Research and Quality (http://www.ahrq.gov or call 1-800-358-9295.) Find out what quality health care is, why it's important to understand it, and how you can get it.

Resources for "Quality" Information

 

www.ahrq.gov – sponsored by the Agency for Healthcare Research and Quality. Click on “Consumers & Patients” to find information and resources on quality of care, medical errors and patient safety, various clinical conditions, prevention and wellness, prescription medicines, smoking cessation, choosing a health plan, and many other topics. Call the AHRQ Publications Clearinghouse at 1-800-358-9295.

 

www.guideline.gov – sponsored by the Agency for Healthcare Research and Quality. Quality Tools is a clearinghouse of practical, ready-to-use tools for measuring and improving the quality of health care. Information is provided for patients and consumers, health care providers, policymakers, and payers and purchasers.

 

www.nih.gov – sponsored by the National Institutes of Health (NIH), the government's primary source for conducting and funding clinical research. This is the main NIH website through which you can access information on many health topics and link to the various Institutes that make up the NIH. These include the National Cancer Institute, the National Heart, Lung, and Blood Institute and many others. Click on “Institutes” or search the Web site for your topic.

 

http://clinicaltrials.gov – sponsored by the National Institutes of Health provides regularly updated information about federally and privately supported research in human subjects. You can browse the site or enter specific location, condition, or other search topic.

 

www.medicare.gov – sponsored by the Center for Medicare & Medicaid Services can help you compare hospitals and nursing homes in your area. Phone 1-800-MEDICARE.

 

www.healthfinder.gov – sponsored by the U.S. Department of Health and Human Services. It offers links to hundreds of sites on the internet that contain reliable health care information. Click on “Health Care” and then “Health Care Quality” for links to many government and nongovernment sources of information on health care quality.

 

www.jcaho.org – sponsored by the Joint Commission on Accreditation of Healthcare Organizations. Click on “Quality Check” to locate JCAHO accredited hospitals, assisted living facilities, laboratories, and other types of health care facilities and services in your area. Phone 1-630-792-5000.

 

www.ncqa.org – sponsored by the National Committee for Quality Assurance. Click on “Report Cards” to access a variety of health care quality information, including reports on health care quality, report cards for physicians and health plans and more. Phone 1-888-275-7585.

 

www.ahqa.org – sponsored by the American Health Quality Association (AHQA). AHQA represents the national network of Quality Improvement Organizations (QIOs) that helps physicians, hospitals, health plans, nursing homes and home health agencies improve the quality of care they deliver. QIOs focus on the adoption of best practices to provide safe, effective and patient centered care. Go to www.ahqa.org/pub/189_1085_5234.cfm to locate a QIO near you or find out more about health care quality.

 

www.nahc.org – sponsored by the National Association for Home Care and Hospice. Click on “Consumers” to located home care, hospice services and other resources in your state. Phone 1-202-547-7424.

 

www.aaahc.org – sponsored by the Accreditation Association for Ambulatory Health Care. Click on “Search for Accredited Organizations” to locate outpatient health care services, such as freestanding surgery centers, radiology facilities, podiatrists, pain management clinics and many other types of outpatient facilities accredited by the Association. Phone 1-847-853-6060.

 

www.ama-assn,org – sponsored by the American Medical Association. Click on “For Patients” to access “DoctorFinder” with information about virtually every licensed physician in the United States , as well as links to other helpful web sites. Phone 1-800-621-8335.

 

www.docboard.org – sponsored by the National Organization for State Medical and Osteopathic Board Executive Directors. Click on “DocFinder” to access the physician database, which contains information from state government licensing board on the licensing background and disciplinary information of physicians and other health care providers.

 

www.fsmb.org – sponsored by the Federation of State Medical Boards. The Federation collects information on disciplinary actions taken against physicians by regulatory and licensing agencies, such as state medical boards, the National Board of Medical Examiners, various Federal agencies and other licensing authorities. Click on “Public Access” to search the web site to learn if your physician has any disciplinary history. Phone 1-817-868-4000.

 

www.ahip.org – sponsored by America 's Health Insurance Plans. Click on “Consumer Information” to access guides on health insurance coverage and links to many other sources of information about choosing a health insurance plan. Phone 1-202-778-3200.

 

www.naic.org – sponsored by the National Association of Insurance Commissioners. Click on “Consumer Information Source” and then “Health Insurance” to access information about the different types of health insurance, you rights as a consumer, consumer fact sheets and other information. Phone 1-816-842-3600.

[i] National Committee for Quality Assurance Web site. “The Basics: Public Reporting.“ (assessed Oct. 24, 2008).

 

Where to find information on quality on the web:

 

Information on Prescription Drug Effectiveness, Safety and Cost

Consumer Reports Best Buy Drugs
http://www.crbestbuydrugs.org

Check Your Medicines: Tips for Using Medicines Safely

Provides tips on taking medication safely.

 

Drug Interaction Checker

If you take more than one medication, be sure that your drugs are safe to use together. To find out, you can use Drug Interaction Checker to find out whether the medication you take "interacts" with other drugs in harmful ways.

Hospital Information

Centers for Medicare & Medicaid Services
877-267-2323 (toll-free)
http://www.cms.hhs.gov/quality/Hospital

Health Care Choices
212-724-9395
Email:info@healthcarechoices.org
http://www.healthcarechoices.org


Joint Commission on Accreditation of HealthCare Organizations
630-792-5000
http://www.jcaho.org/quality+check/

The Leapfrog Group for Public Safety
202-292-6713
http://leapfroggroup.org/for_consumers

U.S. News and World Report
202-955-2000
http://www.usnews.com/usnews/health/hosptl/tophosp.htm

Hospital Infection Reporting
http://www.consumerunion.org/campaigns/stophospitalinfections/learn.html

State-Specific Hospital Information

California
California Health Care Foundation/California Institute for Health Systems Performance
888-430-2423

http://www.calhospitals.org

The Office of Statewide Health Planning and Development
916-654-1499
http://www.oshpd.ca.gov

The Orange County Register
877-469-7344
http://www.ocregister.com/news/2003/hospitals/reportcards.shtml

PacifiCare Health Systems Inc.
866-863-9776
http://www.pacificare.com

Pacific Business Group on Health
415-281-8660
http://www.healthscope.org

Pacific Business Group on Health/Office of Statewide Health Planning and Development
415-281-8660
http://www.pbgh.org
& 916-654-1499
http://www.oshpd.state.ca.us

Connecticut
The Connecticut Department of Public Health
860-509-8000
http://www.dph.state.ct.us/hcquality/ hcquality.htm

Connecticut Hospital Association
203-265-7611
http://www.cthosp.org/ChimeData/ ChimeData.asp

Florida
FloridaHealthStat
http://FloridaCompareCare.gov

Georgia
Partnership for Health & Accountability Consumer Hospital Report
770-249-4500
http://www.gha.org/pha/insights/2006/index.asp

Illinois
Blue Cross Blue Shield of Illinois
http://www.bcbsil.com/employer/resources/hospitalreport.htm

Kansas
Healthy Kansas City & Kansas City Metropolitan Healthcare Council
http://www.healthykansascity.org

Maine
Maine Health Management Coalition
www.mhmc.info/

Maryland
Maryland Health Care Commission/Health Services Cost Review Commission
410-764-3460
http://hospitalguide.mhcc.state.md.us

Massachusetts
Massachusetts Health Quality Partnership
617-972-9079
http://www.mhqp.org/

Michigan
Michigan Health & Hospital Association
517-323-3443
http://www.michiganhospitalprofiles.org

Michigan Health & Safety Coalition
248-448-6266
http://www.michiganhospitalprofiles.org

Greater Detroit Area Health Council
313-963-4990
http://www.gdahc.org/save_report.asp

Minnesota
Minnesota Department of Health
651-201-5000
http://www.health.state.mn.us/patientsafety/index.html#mn

Missouri
Missouri Department of Health & Senior Services
573-751-6400
http://www.dhss.state.mo.us/

Healthy Kansas City & Kansas City Metropolitan Healthcare Council
http://www.healthykansascity.org

New Jersey
New Jersey Department of Health & Senior Services
800-418-1397
http://www.nj.gov/health/hpr
http://www.state.nj.us/health/hcsa/cabgs01/cabg_consumer01.pdf

New Mexico
New Mexico Health Policy Commission
505-424-3200, ext. 117
http://www.healthlinknm.org/guide

New York
Center for Medical Consumers
212-674-7105
http://www.medicalconsumers.org

New York State Department of Health
800-663-6114
http://www.health.state.ny.us/nysdoh/heart/heart_disease.htm

Niagara Health Quality Coalition/Alliance for Quality Health Care
http://www.myhealthfinder.com

Ohio
The Cleveland Clinic & The Quality Institute of the Cleveland Clinic Health System
800-223-2273 (toll-free)
216-444-2200 (local)
http://www.clevelandclinic.org/quality

The Community Healthcare Coalition, Inc.
330-305-6565
http://www.ehpco.com/images/guide.pdf

Pennsylvania
Pennsylvania Health Care Cost Containment Council
717-232-6787
http://www.phc4.org

Rhode Island
Rhode Island Department of Health
401-222-2231
http://www.health.state.ri.us/

Tennessee
Blue Cross Blue Shield of Tennessee
http://bcbst.com/health/hospital_quality.shtm

Texas
Texas Business Group on Health/Dallas-Fort Worth Business Group on Health
214-382-3037
http://tbgh.org/checkup

Texas Health Care Information Council
512-458-7261
http://www.dshs.state.tx.us/thcic/

Virginia
Virginia Health Information
877-844-4636 (toll-free)
804-643-5573 (local)
http://www.vhi.org

Wisconsin
The Alliance: Employer Health Care Alliance Cooperative
608-276-6620
http://www.qualitycounts.org/

Wisconsin Collaborative for Healthcare Quality
414-456-5261
http://www.wiqualitycollaborative.org

Wisconsin Hospital Association
608-274-1820
http://www.wicheckpoint.org

 

Nursing Home Information

Centers for Medicare & Medicaid Services Nursing Home Compare includes information only on nursing homes that are Medicare or Medicaid certified. These nursing homes provide skilled nursing care, however, there are many other types of facilities that provide various levels of health care and assistance with activities of daily living.
www.medicare.gov/NHcompare/
1-800-633-4227

PHYSICIAN INFORMATION
Unfortunately, today there is little information publicly available about the comparative quality of doctors; however, we've listed some of the best resources for you to begin your research.

Your health plan directory can be a good source for information about the physicians in your network. You'll most likely find a list of physicians' names, their gender, clinical specialty, languages spoken, and whether or not they are accepting new patients. Ideally you might find a link to quality performance information on individual physicians or medical groups if it is available in your state.


Licensing
State boards of medical examiners are the legal authority that license physicians to practice medicine. Physicians MUST have a medical license from each state in which they practice medicine. Information on doctors in some states is available on the Internet at http://www.docboard.org

This site contains the licensing background and disciplinary information of physicians and other health care practitioners and is run by Administrators in Medicine, a group of state medical board directors.

Board Certification
The American Board of Medical Specialties (800-733-2267) or http://www.certifacts.org can tell you if a doctor is board certified. “Certified” means that the doctor has completed a training program in a specialty and has passed an exam (board) to assess his or her knowledge, skills, and experience to provide quality patient care in that specialty, such as internal medicine or geriatrics.

 

What you can do:
1. Become an informed consumer
2. Become an informed patient
3. Add your voice


NCQA Physician Recognition Program
Diabetes, Heart/Stroke
Patients can search for physicians in their state who have achieved special recognition by submitting data that demonstrates they are providing high quality care for diabetic patients or those that have suffered from a stroke or heart disease.
http://www.ncqa.org/PhysicianQualityReports.htm

State-specific information about medical group performance:

California
More than 50,000 patients rated California physician groups on how well treatments and specialty care were delivered, doctor communications, and if coordinated, timely care and services were provided.
http://www.healthscope.org

Massachusetts – Massachusetts Health Quality Partners (MHQP)
The quality information in MHQP's Physician Network Quality Report is based on the performance of Massachusetts ' primary care physicians. It measures the delivery of certain preventive and chronic care services and compares the care received by patients through nine
different large physician networks. It also compares the quality of care delivered in these networks to state and national benchmarks.
http://www.mhqp.org/physicianquality/

Minnesota
Minnesota Community Measurement
651-209-0390
http://www.mnhealthcare.org/

Washington
Puget Sound Health Alliance
206-448-2570
http://www.pugetsoundhealthalliance.org

1 Adapted from What Can You Do? Be Involved in Your Health Care. Agency for Health Care Research and Quality
(www.ahrq.gov/consumer/20tips.htm).
2 Information available at no cost)

 
 
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