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Evaluating Outcomes of Care and Targeting Quality Improvement Using Medicare Health Outcomes Survey Data

Bowen, Sonya E. MSW

The Journal of Ambulatory Care Management: October/December 2012 - Volume 35 - Issue 4 - p 260–262
doi: 10.1097/JAC.0b013e31826746ad
Original Articles

The Medicare Health Outcomes Survey (HOS) provides a rich source of outcomes data on the Medicare Advantage (MA) program for the US Department of Health and Human Services, managed care organizations participating in Medicare, quality improvement organizations, and health services researchers working to improve quality of care for Medicare enrollees. Since 1998, the Centers for Medicare and Medicaid Services has collected longitudinal functional status information to assess the performance of Medicare managed care organizations. This introduction reviews the goals of the HOS program, how the HOS supports health care reform, and outlines recent HOS studies exploring data applications for monitoring outcomes and implementing quality improvement activities.

Department of Health and Human Services, Center for Medicare and Medicaid Services, Baltimore, Maryland.

Correspondence: Sonya E. Bowen, MSW, Department of Health and Human Services, Center for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244 (sonya.bowen@cms.hhs.gov).

The author did not declare any conflict of interest.

The author thanks Dr Samuel “Chris” Haffer for his dedication and innovative thinking for more than a decade in advancing performance measurement and quality improvement in the Medicare program through his leadership on the Health Outcomes Survey.

© 2012 Lippincott Williams & Wilkins, Inc.