Journal of General Internal Medicine

, Volume 25, Issue 11, pp 1235–1241 | Cite as

A Report Card on Provider Report Cards: Current Status of the Health Care Transparency Movement

  • Jon B. Christianson
  • Karen M. Volmar
  • Jeffrey Alexander
  • Dennis P. Scanlon
Original Research

Abstract

BACKGROUND

Public reporting of provider performance can assist consumers in their choice of providers and stimulate providers to improve quality. Reporting of quality measures is supported by advocates of health care reform across the political spectrum.

OBJECTIVE

To assess the availability, credibility and applicability of existing public reports of hospital and physician quality, with comparisons across geographic areas.

APPROACH

Information pertaining to 263 public reports in 21 geographic areas was collected through reviews of websites and telephone and in-person interviews, and used to construct indicators of public reporting status. Interview data collected in 14 of these areas were used to assess recent changes in reporting and their implications.

PARTICIPANTS

Interviewees included staff of state and local associations, health plan representatives and leaders of local health care alliances.

RESULTS

There were more reports of hospital performance (161) than of physician performance (103) in the study areas. More reports included measures derived from claims data (mean, 7.2 hospital reports and 3.3 physician reports per area) than from medical records data. Typically, reports on physician performance contained measures of chronic illness treatment constructed at the medical group level, with diabetes measures the most common (mean number per non-health plan report, 2.3). Patient experience measures were available in more hospital reports (mean number of reports, 1.2) than physician reports (mean, 0.7). Despite the availability of national hospital reports and reports sponsored by national health plans, from a consumer standpoint the status of public reporting depended greatly on where one lived and health plan membership.

CONCLUSIONS

Current public reports, and especially reports of physician quality of care, have significant limitations from both consumer and provider perspectives. The present approach to reporting is being challenged by the development of new information sources for consumers, and consumer and provider demands for more current information.

KEY WORDS

public reporting provider performance quality 

Supplementary material

11606_2010_1438_MOESM1_ESM.doc (247 kb)
ESM 1(DOC 247 kb)

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Copyright information

© Society of General Internal Medicine 2010

Authors and Affiliations

  • Jon B. Christianson
    • 1
  • Karen M. Volmar
    • 2
  • Jeffrey Alexander
    • 3
  • Dennis P. Scanlon
    • 2
  1. 1.Division of Health Policy and ManagementUniversity of MinnesotaMinneapolisUSA
  2. 2.Department of Health Policy & AdministrationThe Pennsylvania State UniversityUniversity ParkUSA
  3. 3.Department of Management and PolicyThe University of MichiganAnn ArborUSA

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