Int J Qual Health Care-2001-Rubin-469-74

For example data from these initiatives are often

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Unformatted text preview: t, the statistical significance of the results is often less important than the practical interpretation or the visual impact of differences in a graphic presentation. For example, data from these initiatives are often presented as run charts, indicating a rate or score trend over time, with clinically important changes illustrated as crossing lines Process-based measures of health care quality representing acceptable upper or lower bounds rather than statistically significant differences. Purchasers and patients If the audience for the measures is purchasers or patients and the intent to provide information for health care purchasing decisions, summary or aggregated data are more helpful. These groups may prefer a comprehensive measure that is presented in a way that is understandable to patients, benefit managers, and enrollees. For these groups, it is important that the process measure is already demonstrated to have a strong link to outcome, as they do not perceive it as their role to conduct clinical studies establishing these links. It is more important for these audiences that patients and enrollees rather than providers believe the measure evaluates an important domain of quality. Statistical significance among groups becomes increasingly important; patients and enrollees want to know ‘which is better’. Despite this, further research is needed to design and present quality measures that enable patients to make informed decisions regarding quality of care. Accreditation and regulatory to develop and maintain process measures have made them more feasible. To be valid, process measures should have links to important outcomes, or should at least be determined by consensus methods to be judged by clinical experts to be important to patient outcomes. The past decade has brought a greater emphasis on synthesizing the evidence basis for how process of care affects outcomes and has made this information more readily available to the provider community as well as the public. In the future this will provide the ultimate base for the development of process measures of quality. Finally, practical strategies were revie...
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