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. 1996 Spring;4(2):58-69.

USQA Health Profile Database as a tool for health plan quality improvement

N A Hanchak  1 , J F Murray, A Hirsch, P D McDermott, N Schlackman
Affiliations
  • PMID: 10157263

USQA Health Profile Database as a tool for health plan quality improvement

N A Hanchak et al. Manag Care Q. 1996 Spring.

Abstract

Managed care organizations are in a unique position to evaluate and improve the quality of care delivered to their defined memberships. Traditionally, health services delivery has been claims-focused. We describe a potentially richer, patient-centered approach, whereby patients with certain chronic diseases are first identified and then used as the unit of analysis. U.S. Quality Algorithms (USQA), a subsidiary of U.S. Healthcare (USHC) based in Blue Bell, Pennsylvania, has developed selection criteria for 36 different chronic diseases and a new database, the USQA Health Profile Database (HPD), to identify and archive patients with those diseases. Examples of how this approach and database can be used as a quality tool are demonstrated.

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