NEJM Catalyst · 2021 · 18 citations · 30 references
Health ProfessionsHealth InformaticsHealth Services AdministrationHealth Services ResearchHealthcare Quality ImprovementOutcomes ResearchHealth Care Performance MeasurementHealth Outcomes MeasurementHealthcare Performance MeasurementOutcome MeasurementQuality MeasurementQuality Of CareCare Quality MeasurementClinical Outcome MeasurementHealthcare Outcome MeasurementHealthcare Quality MeasurementPatient Outcome MeasurementPatient Outcomes MeasurementQuality Of Care AssessmentQuality Of Care Metrics
SummaryThis article describes the challenges and solutions in determining whether a patient's treatment has been successful. Such an assessment depends on multiple factors, including the patient's pretreatment status; the qualifications of personnel performing the treatment; the treating facility's infrastructure and culture; the use of evidence-based clinical processes; the baseline incidence of treatment complications; and, most challenging, the ability to measure the outcomes that matter to patients. Recent advances in IT and the development of validated measurement instruments now enable consistent collection and analysis of metrics that capture all the relevant dimensions of a patient's treatment. These data can be mobilized for learning that improves clinical and administrative processes, optimization of care pathways, shared decision-making, accountability, and payment contracting. Providers can now have access to the tools and technology that allow them to be transparent about and accountable for the outcomes that their patients experience.
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Kurt Kroenke, Robert L. Spitzer, Janet B. W. Williams · Journal of General Internal Medicine · 2001 · 44.2K citations · Full text
Evaluating the Quality of Medical Care
Avedis Donabedian · Milbank Quarterly · 2005 · 6.1K citations
Public Affairs, Health Services Administration, Quality Management +12
The Patient-Reported Outcomes Measurement Information System (PROMIS)
David Cella, Susan Yount, Nan Rothrock et al. · Medical Care · 2007 · 3.1K citations
Pharmacy, Health Services Administration, Health Assessment +16