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  <titleInfo>
    <title>Vital signs</title>
    <subTitle>core metrics for health and health care progress</subTitle>
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  <name type="corporate">
    <namePart>Institute of Medicine (U.S.)</namePart>
    <namePart>Committee on Core Metrics for Better Health at Lower Cost,</namePart>
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  <name type="personal">
    <namePart>Blumenthal, David</namePart>
    <namePart type="date">1948-</namePart>
    <role>
      <roleTerm type="text">editor.</roleTerm>
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  </name>
  <name type="personal">
    <namePart>Malphrus, Elizabeth</namePart>
    <role>
      <roleTerm type="text">editor.</roleTerm>
    </role>
  </name>
  <name type="personal">
    <namePart>McGinnis, J. Michael</namePart>
    <role>
      <roleTerm type="text">editor.</roleTerm>
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  </name>
  <typeOfResource>text</typeOfResource>
  <genre authority="marc">bibliography</genre>
  <genre authority="">Electronic books.</genre>
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    <place>
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    </place>
    <dateIssued encoding="marc">2015</dateIssued>
    <copyrightDate encoding="marc">2015</copyrightDate>
    <issuance>monographic</issuance>
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    <extent>1 online resource (xix, 287 pages) : illustrations (some color)</extent>
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  <abstract>"Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans?  Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set.  If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans"--Publisher's description.</abstract>
  <tableOfContents>Introduction and overview -- Health care and health care measurement in America -- Improving the impact of measurement -- The core measure set -- Implementation : putting the core measures to use -- Action agenda -- Appendixes: Glossary ; Existing reporting requirements ; Existing data sources ; Existing infrastructure ; Biosketches of committee members and staff.</tableOfContents>
  <note>Includes bibliographical references.</note>
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    <topic>Medical care</topic>
    <geographic>United States</geographic>
    <topic>Cost control</topic>
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  <subject authority="lcsh">
    <topic>Medical statistics</topic>
  </subject>
  <subject authority="lcsh">
    <topic>Outcome assessment (Medical care)</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="lcsh">
    <topic>Public health records</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="lcsh">
    <topic>Health care reform</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Health Status Indicators</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Delivery of Health Care</topic>
    <topic>economics</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Vital Statistics</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Health Expenditures</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Outcome Assessment (Health Care)</topic>
    <topic>statistics &amp; numerical data</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Quality Assurance, Health Care</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="mesh">
    <topic>Cost Control</topic>
    <geographic>United States</geographic>
  </subject>
  <subject authority="fast">
    <topic>Health care reform</topic>
  </subject>
  <subject authority="fast">
    <topic>Medical care</topic>
    <topic>Cost control</topic>
  </subject>
  <subject authority="fast">
    <topic>Medical statistics</topic>
  </subject>
  <subject authority="fast">
    <topic>Outcome assessment (Medical care)</topic>
  </subject>
  <subject authority="fast">
    <topic>Public health records</topic>
  </subject>
  <subject authority="bisacsh">
    <topic>BUSINESS &amp; ECONOMICS / Industries / General</topic>
  </subject>
  <subject authority="fast">
    <geographic>United States</geographic>
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  <classification authority="nlm">W 84.AA1</classification>
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    <titleInfo>
      <title>Vital signs</title>
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    <originInfo>
      <publisher>Washington, D.C. : The National Academies Press, [2015]</publisher>
    </originInfo>
    <identifier type="local">(OCoLC)913532945</identifier>
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  <identifier type="isbn">9780309324946</identifier>
  <identifier type="isbn">0309324947</identifier>
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