The Outcome Measures Hierarchy


In health care, efforts to introduce choice and competition to inspire market-based reforms have fallen short, largely due to the failure to measure, disclose, and compete on the things patients actually care about: their survival, quality of life, and rates of complications after care.


What is the value-based approach to outcome measurement?

Outcomes are the ultimate measure of quality. In health care, measurement of value should focus on how well the care delivered meets individual patients' needs. Measuring success, or the results of treatment, requires following the patient through the process of care, and looking at medical conditions and patients holistically.

For example, for patients with diabetes, their medical condition includes co-existing hypertension, renal disease, and retinal disease. Success in treating diabetes incorporates the combined effect of caring for all of these needs.