Research Guides: Healthcare: Business Modeling

Clinical Outcomes

Business Modeling

Care-cycle valuation starts by formulating a modeling design and/or scenario framing to detect the best outcomes and lowest costs. Valuation requires integrating several disciplines, namely clinical outcomes, quality metrics, risk adjustment, and demand modeling.

Quality Metrics

AHRQ patient safety network glossary
The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs)
National Quality Measures Clearinghouse by the US Department of Health & Human Services and Agency for Healthcare Research & Quality
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Quality Diagnostic Tools for States, AHRQ
AHRQ Research Tools & Data
Evidence-based Practice Centers
Bridges to Excellence programs
Office of Statewide Health Planning and Development
Measurement of Healthcare Quality and Efficiency Resources for Healthcare Professionals Appendix D Inventory of Programs and Organizations
Healthcare quality and efficiency play an important role for both the overall economy and healthcare consumers. Affordable healthcare is crucial to the financial stability of many workers and retirees making quality and efficiency of programs particularly relevant during periods of economic challenges. Moreover, quality and efficiency measurement occupy a prominent position in ongoing healthcare system reform and pay-for-value efforts. This is particularly true, given the fundamental state of the United States healthcare system, such as the decentralized nature of the healthcare system, often poorly‐aligned payment structures and the complexity of roles assumed by
service providers.
This Inventory was updated in the fall of 2013. All web links have been updated. Seventeen new programs are included and discontinued initiatives have been dropped. Many entries have also been updated in full. For some long-standing programs, the previous entries (2008 and 2010) have only been lightly updated. Revised entries include the phrases “Updated in 2013” at the front of the entry.