R. Adams Dudley, M.D., M.B.A.

Director of the UCSF Center for Healthcare Value
Associate Director for Research
Professor of Medicine and Health Policy
University of California, San Francisco
Email: adams.dudley@ucsf.edu Discipline: Medicine, Health Services Research Expertise: Health Services Research, Quality of Care

Investigator Award
Improving the Performance of Performance Reporting and Quality-Based Purchasing Initiatives
Award Year: 2004 Health care performance measurement and reporting is receiving a great deal of attention as a way to encourage providers to deliver better care. Yet several murky areas remain about what to measure, how to measure it, and how best to use health care performance measures. R. Adams Dudley, M.D., M.B.A., considers several key policy and technical issues in his project, Improving the Performance of Performance Reporting and Quality-Based Purchasing Initiatives. These issues include prioritizing possible measures, reconciling the varied measurement preferences of stakeholders, tackling risk adjustment and performance grading, and addressing special cases such as safety net and rural providers. Partnering with the National Quality Forum, Consumers Union, the Leapfrog Group, the National Business Coalition on Health, the Blue Cross/Blue Shield Association, and the American Hospital Association, Dr. Dudley proposes to help design more effective performance reporting and incentive programs that could actually improve the quality of U.S. health care.

Background

R. Adams Dudley is a professor of medicine and health policy at the University of California, San Francisco. He is the director of the UCSF Center for Healthcare Value and the associate director for research at UCSF's Institute for Health Policy Studies. His major research interests include developing measures of quality of care, assessing the impact of quality-based or value-based purchasing, and financial risk adjustment (adjusting premiums and capitation rates to reflect the severity of illness of enrollees). He has served as a consultant on health policy issues to the Institute of Medicine's National Roundtable on Quality of Care, Committee on Quality of Health Care in America, and National Cancer Policy Board, to the Joint Commission on Accreditation of Healthcare Organizations, to the World Health Organization, to the Pacific Business Group on Health, General Motors, the Leapfrog Group and other large employers, and to the American Thoracic Society and other medical societies. Dr. Dudley has three primary research projects currently. The California Intensive Care Outcomes (CALICO) project involves developing public reports of hospital-specific ICU quality of care for all hospitals with ICUs in California. The California Hospital Assessment and Reporting Task Force (CHART), which he leads, has convened representatives of consumers, purchasers, health plans, and hospitals in California to establish a consensus, universal, robust hospital performance reporting system. He also is working with public and private purchasers to summarize the research on quality-based purchasing strategies and identify optimal approaches to health care purchasing.