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performance measure
Quality measure linked to pay for performance.
Centers for Medicare and Medicaid Services (CMS) develop performance measures for government-subsidized healthcare (Medicare, Medicaid)
Notes:
- performance measures may be implemented before their time, when population-based measures have not been validated, not measuring performance or quality, not improving outcomes or the quality of care [1]
- skilled nursing facility performance measures not consistently associated with hospital readmission or death [3]
- antibiotic prescribing practices may be a useful measure [2]
- American College of Physicians identifies 5 domains essential for assessment of performance measure review criteria [4]
- importance
- appropriate care
- clinical evidence base
- measure specifications
- measure feasibility & applicability
Related
pay for performance
References
- Schuur JD et al.
Assessment of Medicare's imaging efficiency measure for
emergency department patients with atraumatic headache.
Ann Emerg Med 2012 Sep; 60:280.
PMID: 22364867
- Physician's First Watch, Oct 10, 2012
Massachusetts Medical Society
http://www.jwatch.org
- Study Succeeds in Cutting Inappropriate Antibiotic Prescribing
by Pediatricians: Findings Among the Research Featured at
First IDWeek Conference
http://www.idweek.org/pr-stewardship
- Hersh AL et al.
Antibiotic prescribing in ambulatory pediatrics in the
United States.
Pediatrics 2011 Dec; 128:1053.
PMID: 22065263
- Neuman MD et al.
Association between skilled nursing facility quality indicators
and hospital readmissions.
JAMA 2014 Oct 15; 312:1542
PMID: 25321909
- MacLean CH, Kerr EA, Qaseem A
Time Out - Charting a Path for Improving Performance Measurement.
N Engl J Med 2018; 378:1757-1761. May 20, 2018
PMID: 29668361 Free full text
https://www.nejm.org/doi/full/10.1056/NEJMp1802595