23 May Task Force Comments on LAN Performance Measurement White Paper
The HCTTF agrees with much of what is included in the Lan’s white paper, and supports its goals to recommend ways to design and implement measurement systems in population-based payment (PBP) models.
Task Force Summary Response
1. To support the long-term success and sustainability of population-based payment models, future-state measures must be based as much as possible on results that matter to patients (e.g. functional status) or the best available intermediate outcomes known to produce these results.
2. Because fragmentation across population-based payment models can undercut success, reliance on core measure sets is valuable. Continued innovation and refinement are needed to ensure measure sets are comprehensive, parsimonious, and outcome oriented.
3. A governance process is needed to oversee and accelerate the development, testing, and use of new, high priority measures for population-based payment models.
4. In service of a future state that employs measures that are outcomes-oriented, the infrastructure nationally must be sufficient to systematically collect, use, and report clinically rich and patient-reported data.
5. Providers in population-based payment models should have meaningful incentives to deliver high-quality care, achieve favorable outcomes, and manage total cost of care.
6. Measurement systems should define performance targets in a way that motivates ongoing improvement across the performance continuum, promotes best practice sharing, avoids a forced curve that mandates winners and losers, and enable long-term planning and commitment to improvement.
7. Adherence to good measurement science and implementation is critical to achieving the desired results from performance measurements in population-based payment models.
Read the letter for more recommendations from the Task Force.
Letter submitted on May 23, 2016