Historically, quality measurement and improvement in ambulatory care was undertaken at the health plan level. Thanks to the standardized Health Plan Employer Data and Information Set (HEDIS®) measurement set, emphasis is increasingly being placed on measuring quality at the level of the individual provider group or provider. As measures are developed, pilot tested, and disseminated, they are fueling quality improvement and valuebased purchasing initiatives such as
• public reporting of providerlevel quality data,
• consumer incentives for choosing higher quality providers,
• selective contracting with higher quality providers, and
• pay-for-performance (P4P) programs for ambulatory care providers.
Goldfarb, Neil I.
"Ambulatory Quality Measurement: The Jefferson University Physicians Experience,"
Prescriptions for Excellence in Health Care Newsletter Supplement:
3, Article 6.
Available at: http://jdc.jefferson.edu/pehc/vol1/iss3/6