Posted 2/22/12 on the Disease Management Care Blog
Is the pursuit of evidence-based medicine evidence based? That was the head-cramping question the Disease Management Care Blog grappled with when it read this just published Health Affairs article, Tool Used To Assess How Well Community Health Centers Function As Medical Homes May Be Flawed.
Readers will recall that the National Committee for Quality Assurance (NCQA) is a Washington DC-based not-for-profit that champions the use of performance measures to assess the quality of health care. Provider organizations go through an assessment process based on the measures and, if they pass muster, are “recognized” by the NCQA. The performance measures are based on peer-reviewed medical evidence, vetted by expert panels and then opened for public comment before they are finalized and used.
The DMCB knows this because it has served on two of the NCQA panels.
While its most visible activity has been the ranking of health insurers, the NCQA has been offering a soup of recognition, accreditation and certification programs for other types of provider organizations including the disease management vendors (for example) and, more recently, medical homes. More on that group of providers later.