Category Archives: Patient-Centeredness

The Promise of Quality and a Pathway to Equity

One of the six components of quality health care identified by the Institute of Medicine is patient-centeredness. While there has been significant attention on the components of safety, timeliness, effectiveness, efficiency, there has been less attention on the components of equity and patient-centeredness.

I have begun to use patient-centeredness as a key concept to drive change and improvement in our health care systems, as well as a pathway to health equity. To me, patient-centeredness means providing the best care to all patients at all times, based on their individual, contextualized needs and preferences. It means customizing and tailoring health care and services for diverse individuals while expecting and achieving the same (highest) quality outcomes for everyone. If we can really transform our current health care systems into more patient-centered ones where patients really are more engaged as partners in their own health care and their own health, we are likely to see quality improvement, reduction of health care disparities, more engaged clinicians and health care providers, and patients and health care consumers with greatly improved experiences of health care

Community Catalyst: Consumer Policy Platform for Health System Transformation

Community Catalyst has published this policy platform for health system transformation from a health consumer perspective. When using the framework of the “triple aim”, consumers should be asking: whether “better care” focuses on improving care for people with multiple chronic … Continue reading

Posted in Health Care Reform, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

AARP: Health Innovation Frontiers

This 2014 issue brief from AARP describes opportunities for health technology to improve the health and well-being of individuals aged 50 and older.  AARP estimates that there are 106 million older Americans and that these health technology opportunities could be … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Health Information Technology, Patient-Centeredness | Leave a comment

National Quality Forum: Patient-Reported Outcome Measures for Healthcare Accountable Entities

The National Quality Forum (NQF) commissioned two background papers to inform its work on patient-reported outcome performance measures (PRO-PMs). The second paper considers how reliable and valid PRO-PMs that provider groups, regulatory agencies, payers and insurers, and others could be developed for use for accountability … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

National Quality Forum: Methodological Issues for Patient-Reported Outcome Performance Measures

The National Quality Forum (NQF) commissioned two background papers to inform its work on patient-reported outcome performance measures (PRO-PMs). This first paper is on methodological issues in the selection, use, and administration of patient-reported outcomes for performance measurement in health care settings.  The … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

National Quality Forum: Patient-Reported Outcomes for Performance Measurement

The National Quality Forum (NQF) published this paper in 2013 regarding the use patient-reported outcomes (PROs) for health care performance measurement.  PROs are defined as “any report of the status of a patient’s (or person’s) health condition, health behavior, or experience … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

Patient-Centered Outcomes Research Institute: Methodology Standards

These are the methodology standards published by the Patient-Centered Outcomes Research Institute for its patient-centered outcomes research. The standards describe how patient-reported outcomes (PROs) should be used in patient-centered outcomes research. Research Question Standard 6 is: Measure outcomes that people … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

Food and Drug Administration: Guidance for Industry on Patient-Reported Outcome Measures

This Guidance for Industry was issued by the U.S. Food and Drug Administration (FDA) in 2009 regarding the appropriate use of patient-reported outcome (PRO) measures to support labeling claims in the development of medical products.  This FDA Guidance is the source … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

National Institutes of Health: Patient-Reported Outcomes in Comparative Effectiveness Research

The National Institutes of Health’s (NIH) Health Care Systems Research Collaboratory has several resources on the use of patient-reported outcomes in comparative effectiveness research.  A “living textbook” chapter provides background information on patient-reported outcome measures. This paper describes strategies to overcome … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

National Institutes of Health: Patient-Reported Outcomes Measurement Information System

The National Institutes of Health (NIH) has developed the Patient-Reported Outcomes Measurement Information System (PROMIS) to collect and maintain reliable, precise measures of patient–reported health status for physical, mental, and social well–being.   PROMIS instruments measure concepts such as pain, fatigue, physical … Continue reading

Posted in Health Care Reform, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

John Snow, Inc.: Opportunities for Whole-Person Care in California

This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Status Disparities, Patient-Centeredness, Prevention, Social Determinants of Health | Leave a comment