Developing Health Equity Measures   [open pdf - 1MB]

From the Assistant Secretary for Planning and Evaluation (ASPE) Executive Summary: "ASPE asked the RAND Corporation to develop a proposed definition of health equity as a starting place and to identify existing health equity measurement approaches that may be suitable for inclusion in Medicare's VBP [value-based purchasing] programs, quality reporting efforts, and confidential reports. RAND identified 10 existing approaches to health equity measurement and convened a technical expert panel (TEP) to: (1) provide feedback on the project team's proposed definition of a health equity measure and identification of features of health equity measurement approaches; (2) develop a set of criteria for evaluating health equity measurement approaches for potential inclusion in Medicare's VBP programs, quality reporting efforts, and confidential reports; and (3) evaluate the set of health equity measurement approaches identified by the team according to these criteria. Based on input from RAND, ASPE, and the TEP, in this report RAND defines a 'health equity measurement approach' as 'an approach to illustrating or summarizing the extent to which the quality of health care provided by an organization contributes to reducing disparities in health and health care at the population level for those patients with greater social risk factor burden by improving the care and health of those patients.' We note that this definition focuses on health care quality, as that was the charge from Congress under the IMPACT [Improving Medicare Post-Acute Care] Act, but measurement approaches could be considered more broadly in other contexts."

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U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation: https://aspe.hhs.gov/
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