performance measure

^[1]^[2]^[3]^[4]

Introduction

performance measures may be implemented before their time, when population-based measures have not been validated, not measuring performance or quality, not improving outcomes or the quality of care^[1]
skilled nursing facility performance measures not consistently associated with hospital readmission or death^[3]
antibiotic prescribing practices may be a useful measure^[2]
American College of Physicians identifies 5 domains essential for assessment of performance measure review criteria^[4]
- importance
- appropriate care
- clinical evidence base
- measure specifications
- measure feasibility & applicability

↑ ^1.0 ^1.1 Schuur JD et al. Assessment of Medicare's imaging efficiency measure for emergency department patients with atraumatic headache. Ann Emerg Med 2012 Sep; 60:280. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22364867
↑ ^2.0 ^2.1 Physician's First Watch, Oct 10, 2012 Massachusetts Medical Society http://www.jwatch.org
Study Succeeds in Cutting Inappropriate Antibiotic Prescribing by Pediatricians: Findings Among the Research Featured at First IDWeek Conference http://www.idweek.org/pr-stewardship
Hersh AL et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics 2011 Dec; 128:1053. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22065263
↑ ^3.0 ^3.1 Neuman MD et al. Association between skilled nursing facility quality indicators and hospital readmissions. JAMA 2014 Oct 15; 312:1542 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25321909
↑ ^4.0 ^4.1 MacLean CH, Kerr EA, Qaseem A Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med 2018; 378:1757-1761. May 20, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29668361 Free full text https://www.nejm.org/doi/full/10.1056/NEJMp1802595