Case Studies
Deploying Performance Measures: A "Heat Map"
Client: Purchasers and Plans, 2007
"Heat Map" arrays Volatility of Implementations based on Performance Measurements
With widespread adoption of electronic clinical records lagging, employers and
health plans increasingly turn to repositories of administrative data, such as
billing records, to measure performance.
Even when performance measures are technically well constructed, the specific nature
of an implementation based upon them can introduce a new dimension of volatility.
 Download the "Heat Map" (71 KB .pdf)
Provider or consumer sensitivity to how results are deployed largely corresponds to
their sense of disempowerment, real or perceived. This Heat Map depicts how
prominent aspects common to different implementations—data sharing (transparency),
the measurement methodology, and the role of reconsideration (due process)—can raise
or lower the "disempowerment heat" linked to a specific deployment.
"Heat Map" conception and design by Mark C. Rattray, MD and James Andrianos, MBA.
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