Performance measurement part I: Foundational knowledge for measure development - 20/03/24

Doi : 10.1016/j.jaad.2023.01.054

Tatiana Abrantes, MD ^a, Dillon Imbriano, BS ^b, Daniella Reimann, MD ^c, Janet Sullivan, MD ^d, Oliver Wisco, DO ^a,^⁎ , Stephanie Chan, BS ^a, Christopher DiMarco, MD ^a, Nicole Gehret, BA ^a, Nicole Grenier, MD ^a, Paul Imbriano, DO ^e, Benjamin Kahn, MD ^a, Leonardo Lizbinski, MPH, MSc ^a, Cathy Massoud, MD ^a, Nicole Negbenebor, MD ^a, Sylvia Parra, MD ^f, Deven Patel, BS ^g, Margo Reeder, MD ^h, Allison Robbins, MD ^a, Junko Takeshita, MD, PhD, MSCE ⁱ, Eric J. Yang, MD ^a, Stephanie C. Braxton, MPH ^j, Dirk Elston, MD ^k
^a The Warren Alpert Medical School of Brown University, Providence, Rhode Island
^b University of New England College of Osteopathic Medicine, Biddeford, Maine
^c Tulane University School of Medicine, New Orleans, Louisiana
^d Hudson Health Plan, Tarrytown, New York
^e Berkshire Medical Center of Massachusetts, Pittsfield, Massachusetts
^f Dermatology and Skin Surgery Incorporated of Sumter, Sumter, South Carolina
^g Tufts University, Medford, Massachusetts
^h The University of Wisconsin School of Medicine, Madison, Wisconsin
ⁱ The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
^j American Academy of Dermatology, Rosemont, Illinois
^k The Medical University of South Carolina, Charleston, South Carolina

^∗Correspondence to: Oliver Wisco, DO, Director of Cutaneous Oncology, Mohs Surgeon, Associate Professor of Dermatology, Clinician Educator, Department of Dermatology, The Warren Alpert Medical School of Brown University, 593 Eddy St, Providence, RI 02903.Director of Cutaneous OncologyMohs SurgeonAssociate Professor of DermatologyClinician EducatorDepartment of DermatologyThe Warren Alpert Medical School of Brown University593 Eddy StProvidenceRI02903

Abstract

As medicine is moving toward performance and outcome-based payment and is transitioning away from productivity-based systems, value is now being appraised in healthcare through “performance measures.” Over the past few decades, assessment of clinical performance in health care has been essential in ensuring safe and cost-effective patient care. The Centers for Medicare & Medicaid Services is further driving this change with measurable, outcomes-based national payer incentive payment systems. With the continually evolving requirements in health care reform focused on value-based care, there is a growing concern that clinicians, particularly dermatologists, may not understand the scientific rationale of health care quality measurement. As such, in order to help dermatologists understand the health care measurement science landscape to empower them to engage in the performance measure development and implementation process, the first article in this 2-part continuing medical education series reviews the value equation, historic and evolving policy issues, and the American Academy of Dermatology's approach to performance measurement development to provide the required foundational knowledge for performance measure developers.

Le texte complet de cet article est disponible en PDF.

Key words : accountable care, accreditation, clinical training, CMS, DataDerm, dermatology performance measures workgroup, healthcare reform, licensure, meaningful measures initiative, MIPS, payment reform, performance measure, quality assessment, the value equation

Abbreviations used : AAD, ACA, APM, CMS, MIPS, MVPs, NAM, NCQA, SGR, STEEEP, VM