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Programmatic quality measures: a new model to promote surgical quality
Xane Peters1,2, Jill Sage3, Courtney Collins4
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL 60611, United States.
Health Affairs Scholar
|May 17, 2024
Summary
The American College of Surgeons introduced programmatic measures, a new health care performance metric. These measures align structure, process, and outcomes to improve quality measurement and reduce clinician burden.
Area of Science:
- Health Services Research
- Quality Improvement Science
- Surgical Quality Measurement
Background:
- Current health care performance metrics often focus narrowly on outcomes, processes, or structures.
- Existing measurement systems face limitations due to data variability, inconsistent definitions, and workarounds.
- There is a need for more integrated and practical quality measurement tools.
Purpose of the Study:
- To introduce and describe the novel "programmatic measure" developed by the American College of Surgeons.
- To highlight how programmatic measures differ from traditional single or composite measures.
- To explain the benefits of programmatic measures in aligning quality measurement with clinical practice and patient care.
Main Methods:
- Development of "programmatic measures" by the American College of Surgeons.
- Focus on aligning structural components, processes, and patient outcomes.
- Integration of minimum resource requirements, including staffing and essential patient care resources.
Main Results:
- Programmatic measures offer a multifaceted approach, coordinating quality measurement with frontline care teams.
- These measures differ from single metrics (e.g., surgical site infection) and contemporary composite measures.
- Structural elements address staffing and resource barriers, streamlining quality reporting.
- Improved care navigation for patients and better-aligned goals for clinicians are anticipated.
Conclusions:
- Programmatic measures represent a patient-centric approach to health care quality and measurement.
- These new metrics aim to alleviate the burdens of excessive metrics, misaligned priorities, and resource limitations.
- The alignment of structure, process, and outcomes is expected to enhance teamwork, communication, and overall health care quality.
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