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Landscape of Consensus-Based Entity-Endorsed Perioperative Quality Measures
Alex H S Harris1,2, Kristen Davis-Lopez2, Eric Schmidt1,3
1From the Veterans Affairs Health Services Research and Development Center for Innovation to Implementation, Palo Alto Veterans Affairs Health Care System, Palo Alto, CA.
Summary
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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