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PHII Standards & Program Guide


The standards described in the 40+ page PHII Standards & Program Guide are the backbone of the Methods Evaluation Process (MEP) Certification and the Healthcare Transparency Accreditation Program (H-TAP). The book includes a very useful glossary, and several detailed examples of the standards in action.  

The 26 standards (and sub-standards) are organized around four core components

I.  Operations: A quality evaluation process is authorized by management; at least one person has obtained a PHII certificate indicating he/she has successfully completed a MEP workshop or online course.
II. Set-Up: Description of intervention pathway, pathway metrics are defined, confounding metrics are defined, and a referent is described.
III. Baseline: Metric values are enumerated and compared during a pre-intervention baseline period in both the intervention population and the referent.
IV. Follow-up: Metric values are enumerated and compared during a post-intervention follow-up period in both the intervention population and the referent.

In toto, the PHII standards are a consistent set of evidence-based practices that should be when measuring the relationship between interventions, people and change or when assessing how others are claiming a relationship between interventions, people and change..  

Quantifying the clinical or financial success of a care, disease management, wellness, medical management program or other population-health interventions can be challenging.  Evidence-based success is only accomplished by establishing a defensible linkage between structure, process and outcomes.  The PHII Standards promotes a process to encourage critical thinking about how a person or organization can attribute any change to a population that is caused by a defined intervention(s).  This requires consideration of both confounding factors and other forms of bias, as these may be partially or totally responsible for the impact or change.

Entities using programs with methods accredited by the PHII can be assured that they have met these transparency and attribution requirements.   However, PHII's programs do not recommend any specific return-on-investment (ROI) methodology, quality improvement approach, intervention process, and/or outcome measure, but rather as set of principles and rules that, when followed, will assure a level of transparency and minimial level of validity.  The PHII programs are designed to be complimentary to and support the mission of other health care accreditation agencies.

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