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When should measures be updated? Development of a conceptual framework for maintenance of quality-of-care measures.
- Source :
-
Quality & safety in health care [Qual Saf Health Care] 2008 Jun; Vol. 17 (3), pp. 182-6. - Publication Year :
- 2008
-
Abstract
- Objective: To document current practices on long-term maintenance of quality measures and to develop a consensus framework to guide the design of maintenance systems.<br />Study Design: Survey of 10 organisations developing measures and selected researchers in the USA about current policies and procedures and desirable properties for a comprehensive system for measures maintenance. Panel discussions with all respondents to arrive at consensus recommendations for a framework for maintenance of measures.<br />Participants: Five measures developers, two provider and three purchaser organisations. Six were private sector organisations, two were governmental agencies, and two were accreditation institutions.<br />Principal Findings: All organisations had procedures for measures maintenance, but the degree of formalisation of the procedures varied. Three key functions for a measures maintenance system emerged: ad hoc review to deal with unexpected problems; annual maintenance to incorporate changes in coding conventions; and regular re-evaluation to thoroughly review measures at predefined intervals. Importance, scientific soundness, feasibility and usability were universally used as evaluation criteria. The panel discussions yielded a consensus set of recommendations for relationships between maintenance functions, evaluation criteria and measures disposition.<br />Conclusions: A sufficient degree of implicit consensus was found among leading measures developers to arrive at a consensus framework for policies and procedures for measures maintenance. Although organisations may choose to implement the framework in a way that is most consistent with their mission and structure, it provides guidance regarding which components should be included.
Details
- Language :
- English
- ISSN :
- 1475-3901
- Volume :
- 17
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Quality & safety in health care
- Publication Type :
- Academic Journal
- Accession number :
- 18519624
- Full Text :
- https://doi.org/10.1136/qshc.2006.021170