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Asthma Care Quality Measures at Children's Hospitals and Asthma-Related Outcomes

Anupama Subramony, Matthew Hall, Cherie Thomas

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |August 28, 2014
    PubMed

    Insights

    Hospitals use many Children's Asthma Care (CAC) metrics, but this study found no link between the number or type of metrics and patient readmission rates. Further research is needed to find effective asthma care measures.

    Area of Science:

    • Pediatric Healthcare Quality
    • Asthma Management Metrics

    Background:

    • The Joint Commission mandates Children's Asthma Care (CAC) measures for hospitals.
    • The association between these CAC metrics and patient outcomes remains unclear.

    Purpose of the Study:

    • To characterize the asthma metrics used by hospitals.
    • To determine if the quantity and type of asthma metrics correlate with readmission rates.

    Main Methods:

    • An online survey collected data on asthma metrics from pediatric hospital quality leaders.
    • Linear regression analyzed the association between metric usage and 7-, 30-, and 90-day readmission rates using data from the Pediatric Health Information System (PHIS).

    Main Results:

    • Hospitals reported using an average of 20.5 asthma metrics.
    • No statistically significant association was found between the number or domain of metrics used and 7-, 30-, or 90-day readmission rates.

    Conclusions:

    • Despite widespread use of diverse asthma metrics, current measures do not appear linked to improved patient readmission rates.
    • Future research should focus on identifying asthma process measures that demonstrably impact meaningful patient outcomes.
    Abstract

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