The Commonwealth Fund's benchmarking and quality improvement tool, WhyNotTheBest.org, has just launched a new version of its interactive map that displays comparative performance information—on health care quality and safety, outcomes, and patient experiences—at the national, state, hospital referral region, and county levels. WhyNotTheBest.org also enables health care leaders to compare their hospitals against their peers or top performers, and to track performance over time. It is one of several benchmarking resources published by The Commonwealth Fund, along with the national and state scorecards and, coming in 2012, the local area scorecard. Together, these resources demonstrate the importance of profiling health care quality at the national as well as regional and community levels, where decision makers can interpret and act on performance information.
WhyNotTheBest.org's newly enhanced map lets users see where key delivery system reforms are playing out across the nation, including the locations of highly integrated delivery systems, recognized patient-centered medical homes, Beacon communities, Chartered Value Exchanges, and, in 2012, accountable care organizations.
Users can create, save, and download performance reports using WhyNotTheBest.org's robust benchmarking tool—and now they can use social media tools to share them via e-mail, Twitter, or a direct URL.
Regional Performance Data
Several new types of performance data have been added to the map, including:
In addition to these new measure sets, the map enables comparisons across states, counties and regions on process-of-care, or "core" measures, measures of patient experience from the Hospital Consumer Assessment of Healthcare Providers and Systems survey, readmission rates, and mortality rates. Together, these indicators begin to paint a picture of regional health system performance—beyond just hospitals.
A new set of map overlays provides further tools with which to explore health care system performance. As their name indicates, the overlays are shown on top of other performance data. There are three ways to explore:
This sophisticated approach to profiling performance is designed to encourage exploration—to see where patterns of high or low performance emerge, and to find potential relationships between improvement activities and better performance. We will continue to develop the WhyNotTheBest.org map as federal, state, and regional health care reform initiatives take hold. Ultimately, all health care is local—and we hope this map provides a tool to zoom in on the quality of care in communities around the nation.
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