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- W32795842 abstract "The following guidelines can help ensure that metrics are applied in meaningful ways for rewarding improved population health:Determine the problem that needs to be solved.Create a visual model that explains the causes of the problem and potential solutions.Use an acceptable metric to measure the problem over time so that change can be objectively documented.Approach selection of the problem, the solutions to be attempted, and the methods associated with each keeping continuous quality improvement in mind.Use a metric that can quantify the problem in real time at the beginning and end of the incentive period.Choose a characteristic to measure that is amenable to change.Choose a reward or penalty associated with the metric that is of sufficient value to induce the intended change.Ensure that the entity being offered the incentive has sufficient control over itself and others to change in ways and magnitudes measureable by the metric.Ensure that the entity has sufficient resources (eg, staff, funding, influence, authority) to effect the change.Determine when the incentive will be awarded (eg, at the start of the effort to effect change, throughout the effort to produce change, or withheld pending final measurement).Assure that the incentive associated with the metric will be awarded.Plan to develop new metrics if present metrics prove inadequate.The challenges associated with choosing the right metrics are many and in some sense antithetical to the ways American political, social, and economic systems work. We often chafe under regulatory and financial frameworks and game such systems to our own advantage. We can be oriented to self rather than to the public. Nevertheless, it is possible over time to build the broader consensus necessary to improve population health. After all, as a society, we have reduced exposure to tobacco, built sanitary sewer and water systems, achieved nearly universal childhood vaccination, and met other population health goals that were once considered unlikely. Metrics are the means through which we can continue to help communities see the value of working collaboratively for the health of their residents." @default.
- W32795842 created "2016-06-24" @default.
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- W32795842 date "2010-07-01" @default.
- W32795842 modified "2023-09-23" @default.
- W32795842 title "Using metrics to improve population health." @default.
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