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Development of primary care quality indicators for chronic obstructive pulmonary disease using a Delphi-derived
Sigrid Dewaele1, Steve Van den Bulck2, Lien Gerne1
1Department of Public Health and Primary Care, Academic Center For General Practice, KU Leuven, Kapucijnenvoer 7 blok H, Box 7001, 3000, Leuven, Belgium.
NPJ Primary Care Respiratory Medicine
|March 19, 2022
Summary
This study developed 21 quality indicators (QIs) for chronic obstructive pulmonary disease (COPD) primary care. These evidence-based, electronic health record-extractable QIs aim to automate quality assessment and improve patient care.
Area of Science:
- Primary Care
- Pulmonology
- Health Informatics
Background:
- High-quality care is essential for patients with chronic obstructive pulmonary disease (COPD).
- General practitioners and electronic health records (EHRs) are crucial for quality improvement in primary care settings.
- Developing standardized metrics is necessary to measure and enhance COPD care quality.
Purpose of the Study:
- To create a set of evidence-based and EHR-extractable quality indicators (QIs) for COPD primary care.
- To establish a reliable method for measuring and improving the quality of COPD management in primary care.
- To facilitate automated quality assessment through standardized indicators.
Main Methods:
- A multidisciplinary expert panel, including patients, was convened.
- A RAND-modified Delphi method was employed for consensus building.
- The SMART principle guided the selection and refinement of recommendations and QIs from international guidelines and existing sets.
Main Results:
- A core set of 18 recommendations and 2 QIs were initially derived from 37 recommendations and 5 existing indicators.
- An additional recommendation was proposed by the expert panel.
- The process culminated in a final set of 21 evidence-based and EHR-extractable QIs for COPD primary care.
Conclusions:
- The study successfully developed 21 comprehensive QIs for COPD primary care.
- These QIs are designed to be extractable from EHRs, enabling automated quality assessment.
- The developed indicators provide a valuable tool for measuring and improving the quality of COPD care in primary care settings.
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