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VA Health Systems Research

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Public Presentation of Health System or Facility Data about Quality and Safety: A Systematic Review

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Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder (August 2011)

Principal Investigator: Paul G. Shekelle, M.D., Ph.D. Co-Investigators: Isomi M. Miake-Lye, B.A. Annette M. Totten, Ph.D. Mary E. Vaiana, Ph.D.

Evidence-based Synthesis Program (ESP) Center West Los Angeles VA Medical Center

Washington (DC): Department of Veterans Affairs; October 2011

Download PDF: Complete Report, Executive Summary, Report, Appendices


The public presentation of quality and safety data is essential to the Department of Veterans Affairs (VA) commitment to transparency. By making data available VA hopes to engage veterans and families in care, promote informed choice, and stimulate performance improvement activities.

The objectives of this project are: 1) to update a recent systematic review of the evidence that making performance data publically available leads to improvements in quality of care and safety; and 2) to summarize current research about patients� and families� use of performance data and how the presentation and distribution of these data could be designed to maximize their use by veterans and family members.

The Key Questions were:

Key Question #1: What is the most effective way of displaying quality and service information so that it is understandable? Key Question #2: How do patients prefer to receive or access this information? Key Question #3: What is the evidence that patients or their families use publicly reported quality and safety information to make informed health care decisions? Key Question #4: What is the evidence that public reporting of quality and safety information leads to improved quality or safety?

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