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An official American thoracic society workshop report: developing performance measures from clinical practice
Annals of the American Thoracic Society
|May 16, 2014
Summary
Developing high-quality health care performance measures requires linking them to strong clinical practice guideline recommendations. This framework ensures measures improve patient care by using high-quality evidence and strong recommendations.
Area of Science:
- Health Services Research
- Clinical Quality Improvement
- Evidence-Based Medicine
Background:
- Current health care performance measures often lack high-quality clinical evidence or patient-centered outcome links.
- This limits their effectiveness in driving meaningful quality improvement initiatives.
Framework:
- Proposes a framework for developing performance measures based on clinical practice guidelines.
- Advocates for using recommendations with explicit evidence and strength ratings, such as the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system.
Implementation:
- Performance measures should derive from strong recommendations.
- These recommendations must be supported by high- or moderate-quality evidence.
Implications:
- This approach may reduce the number of performance measures developed.
- It significantly enhances the likelihood that quality improvement programs yield better patient care outcomes.
