Public reporting of and pay-for-performance programs tied to clinical measures are in use at a growing number of healthcare organizations in an effort to increase provider accountability for healthcare quality. Increasingly, however, concerns have been raised about the potential for unintended consequences of performance measurement and reporting that might lead to patient harm.
Listen to pre-conference comments from Bratzler.
During this 45-minute roundtable audio conference on CD-ROM, we examined some of the unintended consequences from pay-for-performance programs and how healthcare organizations can circumvent these problems. Industry expert Dr. Dale Bratzler, QIOSC medical director, Oklahoma Foundation for Medical Quality Inc., provided a brief overview of the potential unintended consequences of public reporting that could lead to patient harm in both direct and indirect ways.
Dr. Bratzler also described how avoiding these unintended consequences of performance measurement requires careful attention to the development of measure specifications and setting realistic goals for improvement.
Conference participants then had the opportunity to probe for more details and bring to the "table" the areas of concern in their organization.
Available in three formats
- CD-ROM for computer play
- CD-ROM for stereo play
- On Demand version accessible online
Please note the stereo version ships as two CD-ROMs, whereas the .mp3 version ships as one CD-ROM.
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||Current quality measures focus on care upon admittance and care at end of stay and/or at discharge, but ignore all aspects of care during the patient's hospital stay.
Dale Bratzler, D.O., M.P.H, currently serves as the medical director of the Hospital Interventions Quality Improvement Organization Support Center and the Hospital
Quality of Care Measures Special Study located at the Oklahoma Foundation for Medical Quality (OFMQ). In these roles, he provides clinical and technical support for local and national hospital quality improvement initiatives. He is a past president of the American Health Quality Association and currently serves on the National Advisory Council for the Agency for Healthcare Research and Quality.
Dr. Bratzler has published and presented locally and nationally on many occasions on topics related to healthcare quality, particularly related to improving care for pneumonia, increasing vaccination rates, and reducing surgical complications.
Dr. Bratzler received his Doctor of Osteopathic Medicine at the University of Health Sciences College of Osteopathic Medicine in Missouri, and his Master of Public Health degree from the University of Oklahoma Health Sciences Center College of Public Health. He is board certified in internal medicine. Dr. Bratzler is an adjunct associate professor of health administration and policy at the University of Oklahoma College of Public Health.