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Specialty-Based Ambulatory Quality Improvement Program: A Specialty-Specific Ambulatory Metric Project
Arielle R Nagler1, Paul A Testa, Ilseung Cho
1Author Affiliations: The Ronald O. Perelman Department of Dermatology (Drs Nagler and Cho), The Ronald O Perelman Department of Emergency Medicine (Dr Testa), Department of Population Health (Dr Ogedegbe), Department of Obstetrics and Gynecology (Dr Gossett), NYU Grossman School of Medicine (Kalkut), New York, New York; Ambulatory Quality and Network Integration (Dr Nagler), Medical Center Information Technology (Dr Testa), NYU Langone Health (Drs Cho and Kalkut), New York, New York; and Department of Population Health (Dr Ogedegbe), Institute for Excellence in Health Equity, New York, New York.
A new quality improvement framework for specialty ambulatory care was developed. This program provides specialty-specific metrics and dashboards to track provider performance and support institutional leaders in outpatient settings.
Area of Science:
- Healthcare Quality Improvement
- Ambulatory Care Metrics
- Specialty-Based Healthcare
Background:
- Quality improvement programs and performance metrics are lacking in ambulatory care.
- Specialty-based ambulatory care requires tailored quality metrics.
- Outpatient healthcare delivery is increasing.
Purpose of the Study:
- To develop an infrastructure for specialty-specific quality measures.
- To create dashboards for displaying provider performance data.
- To promote quality improvement in ambulatory care settings.
Main Methods:
- Developed a governance and infrastructure for specialty-specific ambulatory quality metrics.
- Created two distinct dashboards for data visualization.
- Designed a provider-facing dashboard comparing performance to institutional standards.
Main Results:
- Established a system for specialty-based ambulatory quality metrics.
- Implemented a provider-facing dashboard for performance feedback.
- Developed a leadership dashboard for oversight of performance across measures.
Conclusions:
- The Specialty-based Ambulatory Quality program offers a systematic, institutionally-supported framework.
- This framework can be applied across various ambulatory specialties.
- Future plans include evaluating program impact and expanding to other specialties.
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