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Healthcare organizations must be able to identify opportunities for reducing costs and improving quality and monitor whether those opportunities are being successfully addressed (Network for Regional Healthcare Improvement, 2020). There are many publicly reported data on the quality of care delivered by physician practices. The types of measures reported include both clinical processes of care (e.g., did all diabetic patients receive a test to measure their level of blood sugar?) and care outcomes (e.g., how many diabetic patients had well-controlled blood sugar levels?), as well as patient experience of care. The measures range from processes (e.g., how quickly heart attack patients were treated) to outcomes (e.g., infection rates and mortality rates).
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You work for a firm that provides information technology and management consulting services to major health insurance companies.
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