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The American Journal of Managed Care November 2013
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Using Health Outcomes to Validate Access Quality Measures
Julia C. Prentice, PhD; Michael L. Davies, MD; and Steven D. Pizer, PhD

Using Health Outcomes to Validate Access Quality Measures

Julia C. Prentice, PhD; Michael L. Davies, MD; and Steven D. Pizer, PhD
Medicare payment reforms require valid measures of high-quality healthcare. Different types of administrative wait time measures predicted glycated hemoglobin levels for new and returning patients.
The ongoing implementation of the Affordable Care Act and the growth of ACOs re-emphasizes the need for patientcentered measures that can lead to improved outcomes. Administrative wait time measures developed as performance measures in the VHA meet this criterion, given that these measures have consistently predicted several patient outcomes, including A1C levels.18 Consequently, the VHA further refined wait time measurements in 2012 by using the CD retrospective measure for new patients and the prospective DD measure for returning patients.34,35 The knowledge the VHA has cultivated in developing the DD measures and the data structures required to support them could be transferred to the private sector.

Author Affiliations: From Health Care Financing and Economics (JCP, SDP), Department of Veterans Affairs, Boston, MA; Boston University School Medicine and Public Health (JCP, SDP), Boston, MA; Department of Veterans Affairs (MLD), Washington, DC. Steven D. Pizer is now with Northeastern University School of Pharmacy.

Funding Source: Funding for this research was provided by the Systems Redesign Offfice in the Department of Veterans Affairs.

Author Disclosures: The authors (JCP, MLD, SDP) report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.

Authorship Information: Concept and design (JCP, MLD, SDP); acquisition of data (JCP, MLD); analysis and interpretation of data (JCP, MLD, SDP); drafting of the manuscript (JCP, MLD, SDP); critical revision of the manuscript for important intellectual content (JCP, MLD, SDP); statistical analysis (JCP); obtaining funding (MLD); administrative, technical, or logistic support (MLD); and supervision (JCP).

Address correspondence to: Julia C. Prentice, PhD, Health Care Financing and Economics, VA Boston Health Care System, 150 South Huntington Ave, Mail Stop 152H, Boston, MA 02130. E-mails: jprentic@bu.edu.
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18. Prentice JC, Davies ML, Pizer SD. Which outpatient wait-time measures are related to patient satisfaction? American Journal of Medical Quality 1062860613494750, first published on August 12 2013 as doi:10.1177/1062860613494750.

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23. Department of Veterans Affairs. VHA Outpatient Scheduling Processes and Procedures. 2010. VHA Directive 2010-027.

24. Department of Veterans Affairs. VHA Systems Redesign. History of Wait Time Measurement in VHA. 2009.

25. Department of Veterans Affairs. VHA Systems Redesign. Wait Time Measures: Future Plans. 2009.

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34. VHA Support Service Center. Data Definitions for FY13 Established Patient Measure. Published 2012.

35. VHA Support Service Center. Data Defnitions for FY13 New Patient Measure. Published 2012.
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