Performance measurement for people with multiple chronic conditions: conceptual model

Area of Science:

• Healthcare Quality Measurement
• Chronic Disease Management

Background:

• Current performance measures for multiple chronic conditions (MCCs) are often disease-specific, failing to capture the complexity of care for patients with multiple health issues.
• There is a critical need for refined and novel performance measures that reflect the heterogeneity and scope of care for individuals with MCCs.

Purpose of the Study:

• To describe the development of the Performance Measurement for People with Multiple Chronic Conditions (PM-MCC) conceptual model.
• To create a framework that organizes and identifies gaps in performance measures for MCCs.

Main Methods:

• Utilized framework development and convened a national stakeholder panel.
• Included reviews of existing conceptual frameworks, literature on MCCs, expert input from a Steering Committee, and public comment.

Main Results:

• The developed model is patient and family-centered, incorporating their goals and preferences.
• It considers multiple care sites, providers, types of care, and national healthcare quality priorities.

Conclusions:

• The PM-MCC model provides a comprehensive framework for organizing performance measures.
• It highlights areas needing new measures and facilitates prioritization and implementation based on patients' overall healthcare needs.