Performance measurement part II: A guide to developing dermatology performance measures - 20/03/24

Doi : 10.1016/j.jaad.2023.02.069

Daniella Reimann, MD ^a, Dillon Imbriano, DO ^b, Tatiana Abrantes, BS ^c, Janet Sullivan, MD ^d, Oliver Wisco, DO ^c,^⁎ , Stephanie Chan, BS ^c, Christopher Dimarco, MD ^c, Nicole Gehret, BA ^c, Nicole Grenier, MD ^c, Paul Imbriano, DO ^e, Benjamin Kahn, MD ^c, Leonardo Lizbinski, MPH, MSc ^c, Cathy Massoud, MD ^c, Nicole Negbenebor, MD ^c, Sylvia Parra, MD ^f, Deven Patel, BS ^g, Margo Reeder, MD ^h, Allison Robbins, MD ^c, Junko Takeshita, MD, PhD, MSCE ⁱ, Eric J. Yang, MD ^c, Stephanie C. Braxton, MPH ^j, Dirk Elston, MD ^k
^a Tulane University School of Medicine, New Orleans, Louisiana
^b University of New England College of Osteopathic Medicine, Biddeford, Maine
^c The Warren Alpert Medical School of Brown University, Providence, Rhode Island
^d Former Chief Medical Officer of 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, Des Plaines, 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.Department of DermatologyThe Warren Alpert Medical School of Brown University593 Eddy StProvidenceRI02903

Abstract

Throughout the 21st century, national and local governments, private health sectors, health insurance companies, healthcare professionals, labor unions, and consumers have been striving to develop an effective approach to evaluate, report, and improve the quality of healthcare. As medicine improves and health systems grow to meet patient needs, the performance measurement system of care effectiveness must also evolve. Continual efforts should be undertaken to effectively measure quality of care to create a more informed public, improve health outcomes, and reduce healthcare costs. As such, recent policy reform has necessitated that performance systems be implemented in healthcare, with the “performance measure” being the foundation of the system in which all of healthcare must be actively engaged in to ensure optimal care for patients. The development of performance measures can be highly complex, particularly when creating specialty-specific performance measures. To help dermatologists understand the process of creating dermatology-specific performance measures to engage in creating or implementing performance measures at the local or national levels, this article in the two-part continuing medical education series reviews the types, components, and process of developing, reviewing, and implementing performance measures.

Le texte complet de cet article est disponible en PDF.

Key words : benchmarks, Centers for Medicare & Medicaid Services, DataDerm, National Quality Forum, outcome, performance measures, process, Qualified Clinical Data Registry, Qualified Registry, structure

Abbreviations used : AAD, ACA, CMS, CoSR, ECRI, EHR, EMR, GRADE, HGMF, MIPS, MRSA, PMC, QCDR, QI, QPP, QR, SAFER