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Canadian Rheumatology Association Guidance for Developing and Endorsing Quality Measures to Support Learning Health
Racheal Githumbi1, Claire E H Barber2, Susan J Bartlett3
1R. Githumbi, MBT, Kiran Dhiman, MPH, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
The Journal of Rheumatology
|April 15, 2025
Summary
This study proposes a 5-step framework for developing and endorsing quality measures (QMs) in Canadian rheumatology care. The framework emphasizes stakeholder engagement and transparency for improved healthcare quality.
Area of Science:
- Rheumatology Quality Measurement
- Healthcare Quality Improvement
- Health Services Research
Background:
- The need for a standardized national quality measurement framework in Canadian rheumatology care.
- Current landscape of quality measure development and endorsement processes internationally.
Purpose of the Study:
- To review and synthesize methods for developing and endorsing quality measures (QMs).
- To inform the creation of a national quality measurement framework for rheumatology care in Canada.
Main Methods:
- Conducted a rapid environmental scan of QM development organizations in Canada, UK, US, and Australia.
- Abstracted major phases in QM development.
- Synthesized findings through iterative review with the Canadian Rheumatology Association (CRA) Digital Measurement Subcommittee.
Main Results:
- Proposed a 5-step measure development cycle: conceptualization, specification, testing, implementation, and evaluation.
- Highlighted the foundational importance of engaging diverse stakeholders, including patients and providers.
- Emphasized alignment with quality domains (effectiveness, equity, safety, etc.) and transparent development.
Conclusions:
- Established a comprehensive framework for developing and endorsing QMs in Canadian rheumatology.
- This framework aims to streamline future national quality improvement initiatives.
- The guidance was approved by the CRA committee and board.
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