Landscape of Consensus-Based Entity-Endorsed Perioperative Quality Measures
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View abstract on PubMed
Summary
This summary is machine-generated.This study reviewed consensus-based entity (CBE)-endorsed surgical quality measures. Most measures focus on clinical outcomes for a few specialties, with gaps in patient-reported outcomes and low-value care.
Area Of Science
- Healthcare Quality Measurement
- Surgical Care Improvement
- Health Services Research
Background
- Consensus-based entities (CBEs) are crucial for evaluating and endorsing surgical quality measures.
- Payors and stakeholders rely on these measures to monitor and incentivize surgical care quality.
Purpose Of The Study
- To catalog current CBE-endorsed, surgery-related quality measures.
- To assess measure characteristics, identify gaps, and pinpoint redundancies.
- To inform future surgical quality measure development prioritization.
Main Methods
- Reviewed the National Quality Forum Quality Positioning System and Battelle Partnership for Quality Measurement.
- Identified CBE-endorsed quality measures related to perioperative care.
- Characterized measures by type, quality domain, focus, and surgical specialty.
Main Results
- Identified 172 perioperative measures (79 current, 93 previous CBE endorsements).
- Currently endorsed measures: 54% clinical outcomes, 10% patient-reported outcomes, 26% process, 5% cost, 5% structure.
- Cardiothoracic and orthopedic surgery measures were most common; 12 measures spanned multiple specialties.
Conclusions
- Most surgical quality measures concentrate on limited domains and a few specialties.
- Gaps exist in measures for patient-reported outcomes, low-value care, and healthcare structures.
- Prioritization is needed for developing measures addressing these identified gaps.
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