Third, making measurement costs explicit could spur innovation in developing more cost-effective data collection. If the cost of a measure is made publicly available and included in decisions about its use, developers might be inclined to make their measure less expensive. For example, reporting the cost of a chart-abstracted measure (eg, several Hospital Inpatient Quality Reporting Program measures) might encourage developers to explore structured data or natural language processing. Without estimating costs or including them in decisions about using measures, there is limited incentive to develop cost-effective measurement strategies.
“While a number of measures identified by [ Agency for Healthcare Research and Quality ], NQF and [the Centers for Medicare and Medicaid Services] relate to telehealth, it is difficult to ascertain which measures would suffice to assess whether telehealth is comparable to, or an improvement over, in-person care,” the report stated. “Additionally, the use of existing measures to assess telehealth should not add any additional burden to the collection and reporting of data from providers, and should contain data that match the specifications of the measure.”