How Do We Measure ‘Impact’?

Last week, my colleague Sharon Hicks shared her thoughts about a common question – for all the focus on CMS Stars and HEDIS measures, are we really measuring performance (see For All The Performance Measurement, Are We Really Measuring Performance?)? She is not alone in raising the issue. Even Donald Berwick, the former head of the Centers for Medicare & Medicaid Services (CMS), is asking for a rollback of performance measures (see Donald Berwick On Better Care As A Route To Financial Success and Consumer Sovereignty As Success Strategy). His recommendations are for a rollback in the number of measures, “harmonization . . .