5. Only some diseases are evaluated.
Only a few types of patient conditions are evaluated for core process measures, such as whether patients got an aspirin or an antibiotic when they should or whether they were readmitted. Inpatients do get care for other diseases or procedures that bring them to the hospital besides heart failure, pneumonia, heart attack, joint replacement and certain types of surgeries.
6. Emphasis for most measures from process to outcome is still evolving.
Outcomes, including mortality, infection rates and readmissions, are now being measured with federal penalties for poor outcomes. Reporting on functional outcomes, meaning whether patients can function as they might reasonably be expected after their procedures, is coming. But it's not here yet. "Despite discussion of the challenges of a rapidly expanding number of quality measures, much of health care remains poorly measured or unmeasured," Panzer wrote.
I could go on and on. And I will in next week's column, where I'll share the second half of my list. In the meantime, if you have suggestions, leave them in the comments section below or email me directly.