Journal article
A National Measurement Framework to Assess and Improve Sickle Cell Care in 4 US Regions
Public health reports (1974), Vol.135(4), pp.442-451
07/2020
DOI: 10.1177/0033354920935068
PMCID: PMC7383758
PMID: 32639897
Abstract
Objectives
Coordinated measurement strategies are needed to inform collaborative approaches to improve access to and quality of care for persons with sickle cell disease (SCD). The objective of our study was to develop a multilevel measurement strategy to assess improvements in access to and quality of care for persons with SCD in 4 US regions.
Methods
From 2014 through 2017, regional grantees in the Sickle Cell Disease Treatment Demonstration Program collected administrative and patient-level electronic health record (EHR) data to assess quality improvement initiatives. Four grantees—covering 29 US states and territories and an SCD population of 56 720—used a collective impact model to organize their work. The grantees collected administrative data from state Medicaid and Medicaid managed care organizations (MCOs) at multiple points during 2014-2017 to assess improvements at the population level, and local patient-level data were abstracted from site-level EHRs at regular intervals to track improvements over time.
Results
Administrative data were an important source of understanding population-level improvements but were delayed, whereas patient-level data were more sensitive to small-scale quality improvements.
Conclusions
We established a shared measurement approach in partnership with Medicaid and Medicaid MCO stakeholders that can be leveraged to effectively support quality improvement initiatives for persons with SCD in the United States.
Details
- Title: Subtitle
- A National Measurement Framework to Assess and Improve Sickle Cell Care in 4 US Regions
- Creators
- Elissa Z. Faro - Children's Hospital at MontefioreLisa Shook - Cincinnati Children's Hospital Medical CenterMarsha J. Treadwell - UCSF Benioff Children's HospitalAllison A. King - Washington University in St. LouisLauren N. Whiteman - George Mason UniversityE. Donnell Ivy - Health Resources and Services AdministrationMary Hulihan - National Center on Birth Defects and Developmental DisabilitiesPatricia L. Kavanagh - Boston UniversitySabrina Selk - Massachusetts Department of Public HealthSuzette Oyeku - Children's Hospital at MontefioreScott D. Berns - Brown University
- Resource Type
- Journal article
- Publication Details
- Public health reports (1974), Vol.135(4), pp.442-451
- DOI
- 10.1177/0033354920935068
- PMID
- 32639897
- PMCID
- PMC7383758
- ISSN
- 0033-3549
- eISSN
- 1468-2877
- Grant note
- DOI: 10.13039/100007305, name: Maternal and Child Health Bureau, award: HHSH 250201400026C
- Language
- English
- Date published
- 07/2020
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359863502771
Metrics
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