Important Note

Tufts ended funding for its Open Courseware initiative in 2014. We are now planning to retire this site on June 30, 2018. Content will be available for Tufts contributors after that date. If you have any questions about this please write to

Tufts OpenCourseware
Helping clinicians and delivery systems achieve the best outcomes. (Image source:
Highlights of this Course

This course describes how concerns about quality are impacting the health care system. Who is monitoring performance? How do they define quality? What are their criteria and methods? How is the performance of physicians, hospitals, and other providers reported to the public? What are the reimbursement mechanisms to reward or penalize providers for their performance? To what extent are the tools and techniques for measurement and reporting standardized nationally and across stakeholders? How are different interest groups--regulators, purchasers, insurers, providers, consumers, patients--involved? What does all this mean for physicians and practices?

Course Description

Public accountability in health care is a strong and growing force shaping the practice of medicine today. Physicians and other providers should know who is monitoring their performance and the delivery of care, how their performance is measured and reported, and how initiatives intended to improve quality impact their practices. This module describes the key players in health care accreditation and assessment, current and emerging programs in performance measurement, and the role of report cards and pay-for-performance in creating incentives for quality improvement. The goal of this module is to present practitioners with information, strategies and tools to manage and provide high quality and cost-effective care for patients. It is one of several modules addressing the competencies of Systems-based Practice and Practice-based Learning and Improvement, presented in the Tufts Health Care Institute Online Learning Campus to help train medical residents and practitioners.

Please note that the course as presented here does not contain the full content of the course as taught at Tufts. The included content is based on material the Tufts faculty and instructors choose to include, as well as factors such as content preparation, software compatibility, and intellectual property and copyright restrictions.
Course Faculty
Tufts Health Care Institute
David Nash, MD (TJU)
Ralph Halpern
Course Length
2 Hours