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Identifying critical quality metrics in Mohs Surgery: A national expert consensus process
Joseph A Dodson1, Sarah A Ibrahim2, Howard Rogers3
1Rush Medical College of Rush University Medical Center, Chicago, Illinois.
Journal of the American Academy of Dermatology
|December 11, 2023
Summary
This study identified key metrics for Mohs micrographic surgery (MMS) excellence by engaging surgeons and patients. The findings aim to define high-quality patient care in MMS.
Area of Science:
- Dermatology
- Surgical Oncology
- Healthcare Quality Improvement
Background:
- The healthcare landscape is shifting towards value-based care, emphasizing patient outcomes and service costs.
- Defining and demonstrating the quality of Mohs micrographic surgery (MMS) requires understanding key aspects that ensure excellent patient care.
Purpose of the Study:
- To develop and identify a comprehensive list of metrics for defining excellence in Mohs micrographic surgery (MMS).
- To establish a foundation for data-driven approaches to quality assessment in MMS.
Main Methods:
- A modified Delphi process was employed, involving Mohs surgeons to reach a consensus on a list of metrics.
- Patient surveys were administered to incorporate their perspectives on surgical quality.
Main Results:
- Out of 66 initial metrics, 24 met the final inclusion criteria based on expert consensus.
- The initiative garnered broad support through physician feedback, indicating a shared interest in defining MMS quality.
Conclusions:
- This initial effort highlights the distinct perspectives of Mohs surgeons and patients regarding surgical excellence.
- Engaging both surgeons and patients in a data-driven approach can effectively define and improve the quality of Mohs micrographic surgery (MMS).
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