Key Quality Measures Identified and Simplified

I just returned from a forum in Chicago where we brought together about 100 physicians in value-based relationships to talk about their challenges and success in this new model of care. Not surprisingly, the topic of quality and its measurement surfaced.

One of the things I’m quite proud that we, at Humana, have accomplished is the simplification of our clinical quality measures to a more manageable number that actually impact patient health. You can find our work detailed in this paper published in the American Journal of Medical Quality: A Health Plans Journey to Identifying Meaningful Measures(link opens in new window).

Today, we’re working with physicians and clinicians on 208 key quality measures, instead of 1,100. These resulting measures are grounded in evidence, supported by credible organizations, impactful to health outcomes and aligned with established governing principles.

For you, this 80 percent reduction means it is now easier to track the quality, complex care you deliver every day. It means you receive consistent, patient-centric data from us about readmissions rates, screening requirements (e.g., colonoscopies) and chronic disease management. It reduces confusion and complexity and better aligns the clinical quality reporting of your Humana patients with national, industry standards.

At the American Academy of Family Physicians (AAFP) conference this October, we’ll have physicians there talking about this topic and others you may find interesting. I hope you’ll stop by our booth if you’re there in New Orleans and say hello. You also can reach out to me at any time in our Office of the Chief Medical Officer: ocmo@humana.com.

Roy Beveridge, M.D. Senior Vice President and Chief Medical Officer