SIDEBAR F Healthcare,” with the goal of forming The Impact of Public Reporting

the basis for a national, state-based The impact of public reporting is

In January 2004, the event-reporting system that could lead illustrated by the results of a project in
Centers for Medicare &
Medicaid Services to substantial improvements in the Wisconsin. Alliance, a large employer-
(CMS 2003) announced quality of patient care. See Table 2. purchasing cooperative, produced and
that hospitals that do distributed a report on hospital safety
not submit performance
data for the following The National Voluntary Hospital that involved 24 hospitals in south
measures will receive Reporting Initiative central Wisconsin. The report
0.4 percent smaller
In December 2002, the American appeared in the newspaper and on the
Medicare payments in
fiscal year 2005: Hospital Association, the Federation Internet. Copies were mailed to
of American Hospitals, and the employees’ homes and distributed by
1. Measures for acute
myocardial
Association of American Medical
infarction: aspirin at Colleges formed this voluntary
arrival and on Table 3. IOM’s 20 Key Areas in
initiative to collect and report
discharge, beta- Transforming the Healthcare System
blocker at arrival and hospital quality-performance
on discharge, ACE information. 1. Asthma
(angiotensin This effort intends to make crucial 2. Care coordination
converting enzyme)
inhibitor for LVSD information about hospital 3. Children with special healthcare needs
(left ventricular performance available to the public 4. Diabetes
systolic dysfunction). 5. End of life with advanced organ system
and to stimulate and support efforts
2. Measures for failure
diagnosis of heart to improve quality. Voluntary
6. Evidence-based cancer screening
failure: left reporting is an important first step to
ventricular 7. Frailty associated with old age
assessment, ACE
achieve this goal. See Sidebar F.
8. Hypertension
inhibitor for LVSD. The future direction of public
9. Immunization
3. Measures for reporting will be guided by the
diagnosis of 10. Ischemic heart disease
pneumonia: timing of following: 11. Major depression
antibiotic 12. Medication management
administration, 1. Institute of Medicine’s 20 priority
pneumococcal 13. Nosocomial infections
vaccination, oxygen areas for quality improvement (see 14. Obesity
assessment Table 3), 15. Pain control in advanced cancer
2. National Quality Forum’s 16. Pregnancy and childbirth
accountability initiatives, and 17. Self-management/health literacy
3. Institute of Medicine’s six aims for 18. Severe and persistent mental illness
an ideal healthcare system (see 19. Stroke
Table 4 on the following page). 20. Tobacco-dependence treatment in adults

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