|Title||Producing public reports of physician quality at the community level: the Aligning Forces for Quality initiative experience.|
|Publication Type||Journal Article|
|Year of Publication||2012|
|Authors||Christianson, JB, Volmar, KM, Shaw, BW, Scanlon, DP|
|Journal||The American journal of managed care|
|Date Published||2012 Sep|
OBJECTIVES: To describe the approaches used by the Aligning Forces for Quality (AF4Q) alliances in producing community-based reports of physician quality and to assess the contribution of these reports to existing physician performance information. STUDY DESIGN: The study included semi-structured interviews with alliance stakeholders and tracking of the number and content of physician performance reports in 14 AF4Q initiative communities and 7 comparison communities. METHODS: The study used qualitative analysis of interview data and systematic tracking of the number and content of physician performance reports over time. RESULTS: Report production occurred in several stages including initiation, measure selection/specification, measure construction, and dissemination. The measure selection/specification process was often the first major act undertaken by alliances under the AF4Q initiative grant. Alliances utilized nationally endorsed performance measures and made a strategic decision to gain buy-in with physicians. Alliances have experienced greater difficulty in producing buy-in for patient experience measures. The primary decision point for measure construction was the use of administrative claims data or physician-provided medical records data. Overall, AF4Q alliances have contributed to an increase in physician performance information in their communities. CONCLUSIONS: Our findings suggest that the AF4Q initiative has accelerated the development and content of physician performance measures in AF4Q communities.