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Local Health Departments in a Managed Care Environment
Impact of Managed Care on Community Health
What Performance Measures Make Sense?
Bobbie Berkowitz, Ph.D., R.N., C.N.A.A., F.A.A.N., Deputy Director, Turning
Point National Program Office, School of Public Health and Community
Medicine, University of Washington, and Co-Chair, Institute of Medicine's
Committee on Using Performance Monitoring to Improve Community Health,
Many local health departments (LHDs) across the country have wrestled with the question of how to tie in or link the
activities of managed care plans into the overall objective of improving the health status of the
community, defined broadly to include persons enrolled in these plans and those without
In this session, Bobbie Berkowitz described the report
of an Institute of Medicine Committee, which she co-chaired, that examined the issue of using
performance monitoring to improve community health. Recognizing that health status is
influenced by a broad range of factors, she described the committee's recommendations to
develop performance measures in the context of a broad-based community health assessment,
prioritization, and improvement process.
Dr. Berkowitz also shared with participants examples of
performance measures developed by the committee for illustrative purposes, but stressed that the
priority health areas and measures for a given community should be developed in the context of a
broader community-specific process.
Institute of Medicine—Reports from the Committee on Using Performance Monitoring to Improve Community Health.
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