abstract: 'Poor health status, rapidly escalating health care costs, and seemingly

  little association between investments in health care and health

  outcomes have prompted a call for a ``pay-for-performance{''''} system to

  improve population health. We suggest that both health plans and

  clinical service providers measure and report the rates of 5 behaviors:

  1) smoking, 2) physical activity, 3) excessive drinking, 4) nutrition,

  and 5) condom use by sexually active youth. Because preventive services

  can improve population health, we suggest that health plans and clinical

  service providers report delivery rates of preventive services. We also

  suggest that an independent organization report 8 county-level

  indicators of health care performance: 1) health care expenditures, 2)

  insurance coverage, 3) rates of unmet medical, dental, and prescription

  drug needs, 4) preventive services delivery rates, 5) childhood

  vaccination rates, 6) rates of preventable hospitalizations, 7) an index

  of affordability, and 8) disparities in access to health care associated

  with race and income. To support healthy behaviors, access to work site

  wellness and health promotion programs should be measured. To promote

  coordinated care, an indicator should be developed for whether a

  clinical service provider is a member of an accountable care

  organization. To encourage clinical service providers and health plans

  to address the social determinants of health, organizational

  participation in community-benefit initiatives that address the leading

  social determinants of health should be assessed.'
affiliation: 'Kottke, TE (Corresponding Author), HealthPartners Inc, 8170 33rd Ave
  S,POB 1524,MS 21111R, Minneapolis, MN 55440 USA.

  Kottke, Thomas E.; Isham, George J., HealthPartners Inc, Minneapolis, MN 55440 USA.'
article-number: A73
author: Kottke, Thomas E. and Isham, George J.
author-email: E.Kottke@HealthPartners.Com
author_list:
- family: Kottke
  given: Thomas E.
- family: Isham
  given: George J.
da: '2023-09-28'
files: []
issn: 1545-1151
journal: PREVENTING CHRONIC DISEASE
language: English
month: JUL
number: '4'
number-of-cited-references: '41'
papis_id: 366d76d31010b42e622f4f79c7d91fd6
ref: Kottke2010measuringhealth
researcherid-numbers: 'Kottke, Thomas/HKN-3550-2023

  Dalla Zuanna, Teresa/G-3133-2015'
times-cited: '17'
title: Measuring Health Care Access and Quality to Improve Health in Populations
type: article
unique-id: WOS:000208158700006
usage-count-last-180-days: '0'
usage-count-since-2013: '8'
volume: '7'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2010'