Creating Quality-of-Care Measures for Use Across Post-Acute Care Settings

Development and maintenance of symptom management measures

Measuring health care quality is the key to improving health outcomes, reducing morbidity and mortality, and increasing the accountability of providers to consumers and purchasers. Patients and payers rely on quality measures to make informed choices about their care. The measures themselves, however, are often inconsistent or fragmented across care settings.

In this Centers for Medicare & Medicaid Services–funded project, RTI is working to develop, tailor, maintain, implement, and reevaluate quality measures for federal quality reporting and value-based purchasing programs. This project focuses on process, outcome, and composite quality measures in skilled nursing facilities, nursing homes, inpatient rehabilitation facilities, and long-term care hospitals.

RTI’s project team incorporates a diverse array of disciplines including health services researchers, statisticians, epidemiologists, gerontologists, informaticists, and clinicians specializing in nursing, physical therapy, occupational therapy, social work, and psychology. We have extensive experience with the multitude of data sources (Medicare claims and assessment data) and techniques (such as psychometrics and risk adjustment) essential to developing measures that incentivize high-quality and high-value care. Furthermore, RTI brings the expertise necessary to navigate the measure development and implementation processes, including gathering stakeholder input, supporting the federal rule-making process, conducting provider training, supplying technical assistance, and supporting public reporting of provider data, in addition to successfully preparing measures for National Quality Forum endorsement.

RTI developed a standardized set of outcome and process quality measures consistent with the Institute of Medicine’s six aims of care: safety, timeliness, efficiency, effectiveness, equitability and patient-centeredness. Our expertise in measure development spans the continuum of design to evaluation.