Quality Reporting

Availability of understandable and reliable information on patient outcomes and provider performance is essential to improving quality and helping consumers make informed choices. Making information available to providers on their performance can help them identify gaps in care, factors influencing patients’ improvement, and best practices that achieve desired results. In addition, public reporting of provider performance data can help patients make more informed choices about which providers and sites of care will best meet their needs.

For over two decades, health plans have worked with voluntary accreditation agencies and the employer community to develop a set of measures to evaluate health plan and provider performance. In addition, health plans-- both individually and through their participation in local community and regional activities-- collect, aggregate, and report data on practicing providers within the community/region. These reports provide information on the quality of care provided, utilization of health care services, and patient satisfaction and experience in these settings.