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Quality Assurance

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Improving Quality Measurement: Design Principles for Quality Measures.

J Graham Atkinson¹

¹Jayne Koskinas Ted Giovanis Foundation for Health and Policy, Highland, Maryland.

The Journal of Ambulatory Care Management

|December 10, 2019

Summary

Developing better healthcare quality measures is crucial. Applying sound principles in their creation and combination can prevent common issues in current healthcare payment and provider ranking systems.

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Area of Science:

Health Services Research
Healthcare Quality Improvement
Health Policy Analysis

Background:

The use of quality measures for healthcare payment adjustment and provider ranking is increasing.
Current quality measures face significant challenges and limitations.
There is a need to address the flaws in existing healthcare quality metrics.

Purpose of the Study:

To identify and discuss problems associated with current healthcare quality measures.
To propose principles and procedures for the development and combination of quality measures.
To improve the reliability and validity of healthcare quality assessment.

Main Methods:

Review and analysis of existing quality measures in healthcare.
Identification of common pitfalls in quality measure development.
Formulation of best practices for creating and integrating quality measures.

Main Results:

Current quality measures often contain significant flaws.
A systematic approach to quality measure development is lacking.
Many issues could be mitigated by adhering to established principles.

Conclusions:

Adherence to sound principles in the development and combination of quality measures is essential.
Improved quality measure design can lead to more accurate healthcare payment and provider ranking.
Implementing these principles can enhance the overall effectiveness of healthcare quality assessment.