More quality measures versus measuring what matters: a call for balance and parsimony.
BMJ Qual Saf
; 21(11): 964-8, 2012 Nov.
Article
in En
| MEDLINE
| ID: mdl-22893696
ABSTRACT
External groups requiring measures now include public and private payers, regulators, accreditors and others that certify performance levels for consumers, patients and payers. Although benefits have accrued from the growth in quality measurement, the recent explosion in the number of measures threatens to shift resources from improving quality to cover a plethora of quality-performance metrics that may have a limited impact on the things that patients and payers want and need (ie, better outcomes, better care, and lower per capita costs). Here we propose a policy that quality measurement should be balanced to meet the need of end users to judge quality and cost performance and the need of providers to continuously improve the quality, outcomes and costs of their services; and parsimonious to measure quality, outcomes and costs with appropriate metrics that are selected based on end-user needs.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality Assurance, Health Care
/
Organizational Culture
/
Quality Indicators, Health Care
/
Quality Improvement
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
BMJ Qual Saf
Year:
2012
Document type:
Article
Affiliation country:
United States