Related Experiment Video
Updated: May 15, 2026
06:05
The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Improving the reliability of physician "report cards"
Kimberly A Smith1, Jeremy B Sussman, Steven J Bernstein
1Robert Wood Johnson Foundation Clinical Scholars Program Divisions of General Internal Medicine, University of Michigan, Ann Arbor, MI 48109-5604, USA.
Medical Care
|January 9, 2013
Summary
Reliably profiling primary care physicians (PCPs) is challenging with single measures. Combining measures into composites improves reliability for some conditions, but not all, and profiling practice groups offers little benefit.
Area of Science:
- Health Services Research
- Quality Improvement
- Medical Informatics
Background:
- Performance measures are crucial for assessing primary care physicians (PCPs).
- Reliability of individual PCP profiles is often compromised by small patient panel sizes.
- Alternative methods like composite measures and group profiling are explored to enhance reliability.
Purpose of the Study:
- To evaluate the reliability of individual PCP performance profiles.
- To determine if composite measures or practice group profiling can improve reliability.
- To assess the impact of sample size on performance measure reliability.
Main Methods:
- Cross-sectional analysis of electronic health record data from April 2009 to May 2010.
- Inclusion of patients with diabetes, congestive heart failure, ischemic vascular disease, and preventive care needs.
- Evaluation of 14 diabetes, 9 CHF, 7 IVD, and 4 preventive care measures across 163 PCPs in 17 clinics.
Main Results:
- Single performance measures rarely achieved 80% reliability for individual PCPs (0%-60%).
- Single-disease composites improved reliability for diabetes and preventive care (74.5%, 76.7%), but not CHF or IVD.
- An overall composite measure allowed reliable profiling of 85.3% of PCPs; practice group profiling showed limited improvement.
Conclusions:
- Individual performance measures are generally unreliable for profiling PCPs.
- Composite measures can enhance reliability for specific conditions, but not universally.
- Profiling practice groups does not substantially improve reliability compared to individual PCP assessment.
Related Concept Videos
01:20Introduction to Documentation and Reporting
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive and precise...
01:25Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
01:26Types of Reports III: Telephone and Verbal Reports
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
01:24Data Reporting and Recording
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
01:25Errors occurring during blood pressure monitoring
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
01:11Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes: