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The Third National
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October
2 - 4, 2002, Chicago, IL |
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Preconference | Wed., October 2nd | Th., October 3rd | Fr., October 4th | | ||||||||||
Session E-1: Addressing cultural competence and health disparities: advances in research, quality measurement and reportingEstimating and Interpreting Variations in Consumer Reported Healthcare Quality Across Culturally Diverse PopulationsThis presentation will outline key issues in using consumer reported assessments of health care quality to compare health care quality across culturally diverse populations. Findings from state and national surveys on child and adolescent healthcare quality will be presented, along with a framework for considering the validity, reliability and appropriate interpretation of estimates of healthcare quality that are derived from these surveys. Issues and options for attenuating potential biases and minimizing potentially inappropriate interpretations of findings will be summarized. Recommendations will be set forth for using and modifying existing consumer surveys for purposes of public reporting on variations in healthcare quality across culturally diverse populations. Christina Bethell is Senior Vice President with the Foundation for Accountability, a national not-for-profit organization dedicated to helping Americans make better, quality based health care decisions. Christina is responsible for developing methods to measure and communicate the quality of organized systems of care such as health plans and other providers with topics ranging from asthma, diabetes, coronary heart disease, end of life, adolescent preventive care and children with chronic conditions. She and her colleagues developed the FACCT Consumer Information Framework, which has won widespread application by several National organizations such as the National Committee on Quality Assurance and major purchasers of care. She is founding director of the Children and Adolescent Health Measurement Initiative (CAHMI). Previously, Christina worked on models for developing and sustaining community partnerships to assess and improve the health of populations and on health care reforms to ensure universal access to care. Dr. Bethell is a former senior policy analyst with the VHA in Washington, DC, senior research associate with Chicago's Rush Primary Care Institute and health policy analyst with both the American Association of Retired Persons and California's Health Access Foundation. She earned her PhD in Health Services Research and Policy from the University of Chicago and a Masters in Business Administration and Masters in Public Health from the University of California at Berkeley.
Quality of health care for minorities is part of an overall concern for national health care quality. There exists a synergy between all issues relating to quality of care and those specific to minorities. It is important to recognize this synergy so that efforts to improve care for minorities are not marginalized and allow us to make linkages with other ongoing efforts to improve health care. However, there is a need to highlight and address issues of quality of care that are unique to minorities. Using the IOM Framework for quality, we will review quality for minority populations in the areas of safety, effectiveness, patient centeredness, and timeliness. We will also present current work addressing improvements in care as examples of efforts to improve health care quality for minorities within the framework. Anne Beal, MD, MPH, is a Senior Program Officer for the Quality of Care for Underserved Populations component of the Commonwealth Fund. The Commonwealth Fund is a philanthropic organization committed to improving healthcare for vulnerable populations. Dr. Beal served as the Associate Director of the Multicultural Affairs Office at Massachusetts General Hospital and an instructor in pediatrics at the Harvard University Medical School. Her research interests include social influence on preventive health behaviors for minority populations; developing clinical performance measures for pediatric primary care; adolescent health risk behaviors, and; access to care for inner city populations.
Measuring Technical Quality of Care: The Basics and Challenges for Incorporating Cultural CompetenceElizabeth A. McGlynn, PhD is the Associate Director of RAND Health and the Director of the Center for Research on the Quality of Health Care. She is a nationally recognized expert on the measurement of technical quality. Under funding from government (HCFA, AHRQ), foundation (RWJ, CHCF), and private (BMS) sources she has led the development of a comprehensive, evidence-explicit system for quality assessment that can be used in managed care, medical group, and community settings. The system, known as QA Tools, includes about more than 500 quality of care indicators across 45 clinical areas for children and adults. Under funding from Robert Wood Johnson Foundation, QA Tools is being used to assess the quality of care nationally and in 12 communities. Dr. McGlynn has worked with Ford, General Motors, DaimlerChrysler, and the United Auto Workers to develop a coordinated strategy for reporting on health plan performance to employees and retirees of the "Big Three" automobile manufacturers. She directed a related project for the Health Care Financing Administration to develop a reporting strategy for Medicare beneficiaries enrolled in managed care. Under funding from The Commonwealth Fund and AHRQ, Dr. McGlynn has provided technical assistance to the National Committee for Quality Assurance in the development of HEDIS 3.0 and the testing of potential new measures for HEDIS. She is currently a member of NCQA’s Committee on Performance Measurement. She was a member of the Strategic Framework Board of the National Quality Forum and now serves on NQF’s Strategic Advisory Committee. Dr. McGlynn serves on the editorial boards for Health Services Research and The Milbank Memorial Fund Quarterly. Dr. McGlynn received her PhD in 1988 from the RAND Graduate School. |
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| As with the rest of Diversity Rx, this section
is a work in progress and we welcome information on other efforts, programs,
and reports that will expand upon the information offered here. Please
let us know if you have other examples to include here. |
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Diversity Rx is sponsored by: |
 The National Conference of State Legislatures |
 Resources for Cross Cultural Health Care |
 Henry J. Kaiser Family Foundation |
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