74% of physicians, health plan executives say quality measures are too complex

A new physician and health plan executive survey from Quest Diagnostics and Inovalon shows both parties believe there are barriers to the healthcare industry's adoption of value-based care, including overly complex quality measures.

Quest is a diagnostic insights and innovations company and Inovalon is a technology company that uses cloud-based analytics to help clients improve clinical and quality outcomes.

Regina Corso Consulting conducted the online survey on behalf of Quest Diagnostics and Inovalon in May. All total, 450 people responded, 300 of whom were private practice primary care physicians with a hospital affiliation and 150 of whom were health plan executives.

Highlighted below are five findings from the survey.

1. Although most respondents agreed that quality measures are "useful in improving care," nearly three-quarters (74 percent) of physicians and health plan executives said quality measures are too complex and difficult to achieve.

2. Access to complete patient data is lacking. Roughly two-thirds (65 percent) of physicians said they do not have all the healthcare information they need about their patients.

3. Physicians cited the following three limitations to having better information:

  • Patients can have many physicians who may not share information across EHRs or other channels — 78 percent
  • Lack of interoperability — 74 percent
  • No way to integrate into current workflow — 37 percent

4. Sixty-four percent of the respondents said physicians do not have the tools necessary to succeed in a value-based care system.

5. Eighty-five percent of physicians were "likely" or "very likely" to use a tool that provides on-demand patient-specific data to identify gaps in quality, risk and utilization as well as medical history insight within the clinical workflow in real time.

"[The study] reveals that complexity and incomplete access to patient information may be greater obstacles to adoption than previously realized." said Harvey M. Kaufman, MD, senior medical director of Quest Diagnostics. "We hope the study's findings spark greater collaboration by providers and health plans and dialogue about new solutions to improve quality outcomes and reduce overall costs."

To download the full study, click here.



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