Structured Abstract

Contents

• Preface
• Acknowledgments
• Technical Expert Panel
• Peer Reviewers
• Executive Summary
• Introduction
  • What Is To Be Measured? Levels of Analysis
  • What Is Measured (And Why)
  • Relevant Outcome Domains
  • ICF Outcome Domains
  • Key Questions
  • Project Scope
• Methods
  • Topic Refinement
  • Inclusion/Exclusion Criteria
  • Search Strategy
  • Data Management, Extraction, and Synthesis
  • Applicability
  • Peer Review, Public Commentary, and Technical Expert Panel
• Results
  • Search Results
  • KQ1a What general population outcomes have been validated on and/or adjusted to accommodate disabled populations?
  • KQ1b What types of modifiers or case-mix adjusters have been used with the general population outcomes to recognize the special circumstances of people with disabilities?
  • KQ1c What are key parameters for measuring processes related to basic service care access for people with disabilities?
  • KQs 2 and 3 What measures have been used to assess effectiveness of care for people with disabilities living in the community in the context of coordination among health providers, or between community organizations and health providers?
• Discussion
  • Research Issues and Gaps
  • Limitations
• References
• Acronyms and Abbreviations
• Appendix A Search Sources and Algorithms
• Appendix B Care Coordination Evidence Tables

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services¹, Contract No. 290-2007-10064-I, Prepared by: Minnesota Evidence-based Practice Center, Minneapolis, MN

Suggested citation:

Butler M, Kane RL, Larson S, Jeffery MM, Grove M. Quality Improvement Measurement of Outcomes for People With Disabilities. Closing the Quality Gap: Revisiting the State of the Science. Evidence Report/Technology Assessment No. 208. (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I.) AHRQ Publication No. 12(13)-E013-EF. Rockville, MD: Agency for Healthcare Research and Quality; October 2012. www.effectivehealthcare.gov/reports/final.cfm.

This report is based on research conducted by the Minnesota Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-2007-10064-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsement of such derivative products may not be stated or implied.

None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.

1

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