Measuring intensive care unit performance after sustainable growth rate reform: An example with the National Quality Forum metrics

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• 作者：Albert P. Nguyen ; MD^e ; ^{Apn019@ucsd.edu" class="auth_mail" title="E-mail the corresponding author} ; Joseph A. Hyder ; MD ; PhD^a ; ^{hyder.joseph@mayo.edu" class="auth_mail" title="E-mail the corresponding author} ; Brendan T. Wanta ; MD^a ; ^{wanta.brendan@mayo.edu" class="auth_mail" title="E-mail the corresponding author} ; Henry T. Stelfox ; MD ; PhD^b ; ^c ; ^d ; ^{tstelfox@ucalgary.ca" class="auth_mail" title="E-mail the corresponding author} ; Ulrich Schmidt ; MD ; PhD ; MBA ; FCCM^e ; ^{uschmidt@ucsd.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Critical care medicine ; Health policy ; Metrics ; National Quality Forum ; Performance measurement
• 刊名：Journal of Critical Care
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：36
• 期：Complete
• 页码：81-84
• 全文大小：196 K

文摘

Performance measurement is essential for quality improvement and is inevitable in the shift to value-based payment. The National Quality Forum is an important clearinghouse for national performance measures in health care in the United States.

Aim

We reviewed the National Quality Forum library of performance measures to highlight measures that are relevant to critical care medicine, and we describe gaps and opportunities for the future of performance measurement in critical care medicine.

Conclusion

Crafting performance measures that address core aspects of critical care will be challenging, as current outcome and performance measures have problems with validity. Future quality measures will likely focus on interdisciplinary measures across the continuum of patient care.